How long is the hormone course for myasthenia gravis?

Patient's question:

Recently, I don't know why I can't sleep, which greatly affects my work efficiency. My friend recommended that I go to the neurology department for a check-up. Could you please tell me how long the hormone treatment course is for myasthenia gravis?

Doctor's answer:

Generally speaking, when the symptoms of myasthenia gravis are severe or a myasthenic crisis recurs, the use of high-dose corticosteroid therapy is necessary. The course of corticosteroid therapy should last at least two weeks. High-dose hormones have already been started, such as 40 milligrams, and are doubled after three days to 20 milligrams. During the use of corticosteroids, calcium supplementation should be paid attention to to prevent the recurrence of avascular necrosis of the femoral head, as well as to protect the gastric mucosa.

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