The treatments for myasthenia gravis include medication, surgery, plasma exchange, etc. The specific treatment plan should be chosen according to the cause of the disease and the patient’s physical condition, and there is no so-called “best” treatment, and it should be standardized according to the doctor’s prescription.
1. Drug treatment: cholinesterase inhibitors are the first-line drugs for myasthenia gravis, commonly used are brompheniramine, which is suitable for most types of myasthenia gravis patients and can improve clinical symptoms; it is also necessary to use prednisone, tacrolimus and other hormones, immunosuppressant drug treatment.
2. Surgery: generalized myasthenia gravis with positive acetylcholine receptor antibody and thymoma should be operated.
3. Plasma exchange: it is suitable for patients who are not satisfied with anticholinesterase drugs, thymectomy, hormone therapy or before thymectomy.
4. Immunoglobulin: it can be used in patients with severe diseases. Most patients do not have obvious adverse reactions, can rapidly improve the patient’s symptoms. However, it is expensive, and its efficacy can be maintained for 3 to 4 weeks. In order to obtain long-term efficacy, it is still necessary to use hormones or immunosuppressive drugs.
In summary, the same disease, the patient’s physical condition is different, the stage of development of the disease is different, the treatment plan will be different, should be standardized treatment under the guidance of the doctor.