Quick answer would be a definite No, but certainly not without a full discussion with my Neurologist. I find that our medication to be a fine balance and the thought of tipping it back to those early days is a real No No as far as I am concerned.

This might help

https://www.youtube.com/watch?v=4InhmRCIpow&feature=youtu.be&fbclid=IwAR3c8IBsAfANhzze9ln0emg6kTom7klMaqKI2yaYnhwESDirE_h_peWChCg

As indeed might this web page. As I understand MG and autoimmune suppressant medication 'we' are more interested in the Lymphocytes count, which is more specific than the wide ranging White Blood Cell count - I stand to be corrected.

https://www.medicalnewstoday.com/articles/320987

Lymphocyte% is 16.5, # is 0.8. I am concerned the suppressed immune system puts me at higher risk of a bad outcome if I get the virus. Perhaps a greater risk temporarily than the effects of withholding the Cellcept.

If you just started Cellcept, maybe. Otherwise, I wouldn't consider it. I am on Cellcept only, but had to take a lot of mestinon before to maintain. The earlier part of my cellcept included those lower blood counts, but it balanced out. I feel you may need to give Cellcept its chance to work for you and would hate for you to go back to square one. If you are worried, wear a mask or just wash your hands all the time while away. Have fun!
TJ

Also, things may change for better or worse with Coronavirus, so wait and see approach best for now. It isn't like you're going to Italy or S Korea or Iran. I have a buddy that just went to Italy a few days ago. Your age might be a factor to consider. Bottom line is sacrificing treatment not really advisable

Immunosuppressive meds don’t stop on a dime either so stopping them for a disease outbreak won’t do any of us much good as an outbreak (flu or coronavirus) may be over before the effects of cellcept, imuran, etc. wear off.

I live 30 minutes from Disney World. It is Flower & Garden Festival & I so want to go. But doc said to avoid it right now. She said that if Coronavirus follows the flu warmer weather will see a fall in numbers. So I would just wait & see. Now I always take precautions when I do visit_handwipes, mask, placing myself between family so not in direct contact with people in front or behind me. Of course don’t forget hat & sunscreen because of the cellcept. Enjoy

It seems to me that within a few months most of us will be exposed to the coronavirus and will likely have to face it. I would rather face it at home, with my medical support nearby. My guess is if you delay the trip until October or so you will have faced and gotten through this and then will be able to go with less worry.
We do get through most of the flu and colds that come along OK, so we probably will do OK with the coronavirus too.
And the others are absolutely correct that our medications work in very slow motion -- so what we do today often doesn't show up for months. So a short term drop of cellcept would likely not help at all.
Finally, if you really want to do it, if you can limit it to a few days and get back home, and do all of those wash your hands and be careful you might risk it. Right now we are so uncertain as to what the future of public gatherings will be that you can't even be sure Disney World will be open in a month.

Good Luck
Russ

Thanks for everyone’s comments. I was talking about stopping Cellcept for a while to increase my ability to recover if infected during this period that the virus is exploding, not just because of the trip. I have also read recently that there are some theories that an aggressive immune response may be causing some of the severe effects in patients. There are much less severe symptoms in children which some think may be due to less developed immune systems. That could mean that my initial thoughts may be misguided. There is much that is not known at this point. I think steady as she goes at this point.

Never even thought of it. Wouldn't travel if you paid me to. Travel is exhausting.
I was on a ventilator once because my muscles weakened. This whole mess scares me to death.

I am glad the guy who went to Italy didn't get but the sad part is he could be a carrier.

If we stop cellcept so that our immune system kicks in, isn't it our immune system the problem. I thought when our immune system kicks in that is when the MG kicks in.
MG caused my breathing issues and forced me on ventilator.

For anyone that has experienced a crisis with need for ventilation I think adjusting medication would be unwise without doctor’s orders. My symptoms have never been that severe.

I have been worrying about this, and called my neurologist almost two weeks ago to ask if I can stop taking it if I contract it, and since she was weaning me down slowly, if I could wean down from 150mg azathioprine to 100mg about two months earlier than scheduled. These questions seem to make it to the doctor in altered form, so I think the question she eventually was relayed was whether or not I should stop taking it fully right now, to which the answer was no. Given a fortnight, I might give her a call next week.

Also, It is absolutely essential for each one of us - not just those of us who are immunosuppressed - to practice social distancing for the near future. The person who cannot get help at a hospital when they are overwhelmed could be any of us.

https://medium.com/@tomaspueyo/coronavirus-act-today-or-people-will-die-f4d3d9cd99ca

I forgot to mention, I did find an article about a transplant recipient being temporarily taken off of immunosuppressants until she could recover, which she did:

http://www.xinhuanet.com/english/2020-02/18/c_138795665.htm

I think it's worth consulting your neurologist ahead of time.

I have not been getting clear guidance on the dangers of the virus to me or clear directions on what to do about the Cellcept dosage from my neurologist. I cannot blame him. This is a new situation everyone is dealing with. I have made the decision to go from 3000 mg daily to 2000. I have seen a slight increase in choking on secretions at night but that is the only effect so far which may not even be related to the reduction. At this point I think that is a prudent decision for me.