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I’m 81, have had AChar+ MG for 5 years, & have had Type 1 diabetes for 50+ years so steroids (Prednisone) are not an option. Ivig never did anything for me. My excellent neurologist at UCSF has treated me with semiannual infusions of Rituxan, and I haven’t had any crises since. (It’s a lot cheaper than Vyvgart -16,000 vs $75,00/.). The chief concern is that Rituxan is highly immunosuppressive, so you need to avoid crowds & wear a mask when mixing with other people. Also, space your COVID shots at least 4 months after undergoing infusions.
I’ve had no physiologically negative reactions to Rituxan.