Drugs to Avoid If You Have Myasthenia Gravis

From MGFA

Important Statement 

Identifying drugs to avoid if you have myasthenia gravis is not necessarily cut and dry. Many different drugs have been associated with worsening myasthenia gravis (MG). However, these drug associations do not necessarily mean that a patient with MG should not be prescribed these
medications because in many instances the reports are very rare and in some instances they might only be a “chance” association (i.e. not causal). Also some of these drugs may be necessary for a patient’s treatment. Therefore, some of these drugs should not necessarily be considered “off limits” for MG patients. Careful thought needs to go into decisions about prescription. It is advisable that patients and physicians recognize and discuss the possibility that a particular drug might worsen the patient’s MG. They should also consider, when appropriate, the pros and cons of an alternate treatment, if available. It is important that the patient notify his or her physicians if the symptoms of MG worsen after starting any new medication.

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