Myasthenia gravis (MG): drug triggers

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Myasthenia gravis (MG): drug triggers. Aminoglycosides, Ampicillin, Clindamycin, Colistin, Levofloxacin, Macrolides. Fully referenced neurology checklist.

Antibiotics

  • Aminoglycosides
  • Ampicillin
  • Clindamycin
  • Colistin
  • Levofloxacin
  • Macrolides
  • Erythromycin
  • Fluoroquinolones
  • Oxytetracycline
  • Quinolones
  • Polymyxin B

Monoclonal antibodies

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Tyrosine kinase inhibitors (TKI)

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Anti-inflammatory drugs

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Cardiac drugs

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Anaesthetic drugs

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Antiepileptic drugs (AEDs)

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Anti-malarial drugs

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Other drugs

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References

  1. Rolak LA. Neurology Secrets. Third edition. Hanley and Belfus Philadelphia 2001 p79.
  2. Wendell LC, Levine JM. Myasthenic crisis. Neurohospitalist 2011; 1:16-22.
  3. Gunduz A, Turedi S, Kalkan A, Nuhoglu I. Levofloxacin induced myasthenia crisis. Emerg Med J 2006; 23:662. 
  4. Gutiérrez-Gutiérrez G, Sereno M, García Vaquero C, Miralles A. Levofloxacin-induced myasthenic crisis. J Emerg Med 2013; 45:260-261.
  5. Wang SH, Xie YC, Jiang B, et al. Fluoroquinolone associated myasthenia gravis exacerbation: clinical analysis of 9 cases. Zhonghua Yi Xue Za Zhi 2013; 93:1283-1286. 
  6. And 29 more. Subscribe to see the full list

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