Skip to main content
. Author manuscript; available in PMC: 2019 Aug 12.
Published in final edited form as: Neurol Clin. 2018 May;36(2):311–337. doi: 10.1016/j.ncl.2018.01.011

Table 4.

Treatment recommendations for myasthenia gravis

Prior to 2007 2018
1st Line
Tensilon® Enlon®
Pyridostigmine Pyridostigmine
Prednisone Prednisone
Thymectomy? Thymectomy! YES
2nd Line
Azathioprine Azathioprine
Mycophenolate mofetil Cyclosporine/tacrolimus
Cyclosporine IVIG
3rd Line
IVIG Plasma exchange
Plasma exchange Mycophenolate mofetil Methotrexate
4th Line
None Eculizumab (Soliris®) Rituximab
5th Line
None Cyclophosphamide