Myasthenia gravis (MG): non-steroid immunosuppression: indications

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

Myasthenia gravis (MG): non-steroid immunosuppression: indications. When steroids are contraindicated. Fully referenced neurology checklist.

Indications for the sole use of non-steroid immunosuppressants

  • When steroids are contraindicated
  • When steroid side effects develop
  • When there is pre-existing osteoporosis
  • When there is pre-existing ischaemic heart disease
  • When there are significant bulbar or respiratory symptoms

Indications for combination therapy with steroids

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References

  1. Skeie GO, Apostolski S, Evoli A, et al. Guidelines for treatment of autoimmune neuromuscular transmission disorders. Eur J Neurol 2010; 17:893-902.
  2. Sanders DB, Wolfe GI, Benatar M, et al. International consensus guidance for management of myasthenia gravis: executive summary. Neurology 2016; 87:419-425.

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