Myasthenia Gravis News Community › Forums › Life Hacks and Tips › Mestinon 60 mg verses Mestinon XR 180 mg › Reply To: Mestinon 60 mg verses Mestinon XR 180 mg

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    Hi Amy,
    I just texted my neurologist about extended-release pyridostigmine (Mestinon). Waiting for a reply. I’ve been taking 150 or 180 mg every day, but have been having difficulty swallowing late in the day, and wake up late and groggy. I don’t know how well or poorly I breathe while asleep.