What factors trigger or worsen exacerbations in myasthenia gravis (MG)?

Updated: Aug 27, 2018
  • Author: Abbas Jowkar, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

The following factors may trigger or worsen exacerbations:

  • Warm weather

  • Surgery

  • Immunization

  • Emotional stress

  • Menstruation

  • Intercurrent illness (eg, viral infection)

  • Tapering of immunosuppression

  • Pregnancy and postpartum period

  • Worsening of chronic medical illnesses (cardiac, renal, autoimmune, etc.)

  • Medication (eg, aminoglycosides, ciprofloxacin, telithromycin. clindamycin, phenothiazines, chlorpromazine, diazepam, halothane, ketamine, lidocaine, procain, non-depolarizing neuromuscular blocking agents, chloroquine, procaine, lithium, phenytoin, beta-blockers, procainamide, propafenone, bretylium, qunidine, calcium channel blockers, d-penicillamine, high-dose prednisone, magneisum)


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