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I’m taking 120mg 5 times a day and 15mg of prednisolone a day. I get similar side effects but they are worth putting up with to get them”relief” that mestinon gives me. It’s a weird disease and sometimes difficult to come to terms with. I think, personally that 30 mg is a very low dose and even 60mg, widely regarded as the standard dose, is low given that your also having IVIG.