When do you trial pyridostigmine in a patient with suspected myasthenia gravis?

Is there a role for using a trial of pyridostigmine as a diagnostic aid in a patient with suspected (but not confirmed) myasthenia gravis?

Answer from: at Academic Institution

I usually try it very early on if I have a reasonable suspicion. Compared to the tensilon test and even the neostigmine test, a diagnostic trial of pyridostigmine is safer and more resource-efficient. Diagnostic trials of pyridostigmine are not particularly evidence-based, nor is treatment, but this...

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The most useful Tensilon tests were placebo contro...

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When do you trial pyridostigmine in a patient with suspected myasthenia gravis?

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