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<p style=”text-align: left;”>Audrey, Imuran and Mestinon are two completely different types of drugs and replacing one with the other for the purpose of creating the same result is not going to happen. Mestinon is fur muscle weakness cause by the breakdown of acetylcholine, a neurotransmitter needed to make muscles function. Imuran is an immunosuppressant drug. It suppresses antibodies, including, but unfortunately not restricted to those that would otherwise take up the acetylcholine receptors on the muscle tissue. Two different drugs that act in completely different ways to help us poor devils with MG. But, one doesn’t replace the other and I am sure that your mother’s neurologist wasn’t intending that. But I certainly hope that, whatever is prescribed for her, that she tolerate it well and it helps her immensely.</p>