What is the first-line drug 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 checking with a neurology department. Which is the first-line drug for myasthenia gravis?

Doctor's answer:

Suffering from myasthenia gravis may lead to the recurrence of some eyelid drooping and the reappearance of generalized muscle and bone weakness, especially becoming more pronounced after exercise. Rest can alleviate these symptoms, and the condition often exhibits a "morning light, evening heavy" pattern. In such cases, medications such as pyridostigmine can be used to help stabilize symptoms, slow the progression of the disease, and extend survival.

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