Usually you should ask your doctor or the doctor's staff, however taking 2 mestinon pills at one time would be similar to what most of us have done. i usually did 1 1/2 60mg pills every few hours.
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If you try that and it helps, you need to contact your doctor and get the prescription increased as well as let the doctor know the current prescription is not working and you need more. The doctor needs to know this to keep on top of your MG -- in most of us it progresses and we have to go on something to treat the immune system rather than mestinon

Although exercise is helpful, we can tire very quickly. Relax, sit and watch some TV and let your body recover. The time when we head to the ER is when our breathing gets difficult.

Good Luck Russ

Unfortunately, I'm in recovery mode too. I over did it by simply having a longer than normal evening, and staying out too late. I'm in my third day of taking it easy. Every MGer has a different level of tolerance. The last two times, I have over done it, I knew that I was pushing myself to far. Sometimes rest is the only thing that will help me completely recover. Sometimes, I have to rest for days.

Be very careful taking too much mestinon. The side effects of the medicine are the symptoms of the disease. So you could take too much, and think the MG is worse, when really it's just the medicine. I would talk to your doctor before taking double your dose. Sometines, if my mestinon needed increased, I would cut the pills into halves or quareters.

Rest is your best friend now. Best wishes. Barbel

Thank you both!

Although I just was diagnosed in Oct. I am learning quickly to how easy it is to over doing it. Sometimes it helps me to just lay down for an hour or two and it re energizes me. Other time it takes me a day or two. I have learned to pace my steps, my activities around when I feel the best. I have never increased my mestinon but have taken it 15 to 30 min. early. I take 60 mg every 4 hrs. 4 x a day while awake.

Thank you!

I also find it helpful since disabled 9 yrs ago with something else to do what I can/need to do in am my best time.I get dinner prep etc out of the way etc ,rest at lunch and after usually if I can,then use the rest of strength to get through and enjoy evening with family. Busy day is followed by restful 1 when possible.broken leg now is good excuse to be waited on just a little. But I do feel better moving abit actually vs sitting all the time. Find your normal and then it will change oh so quickly! !! How annoying those twitches are!

It is frustrating not to be able to do what I could do just a few months ago. I was diagnosed in December 2015. I just made a walk with the dog to the mailbox around the corner and am worn out.

I just started the IVIG therapy 2 weeks ago. I went for 2 days and next month they will come to my home to give me the IV. I take the mestinon 60 mg every 4 hours when awake and 180 mg at bedtime. He recently added Imuran. The side effects on the website do not sound pleasant. It is to get me off of the steroids eventually.

Has anyone been on Imuran and had problems?

You want to make sure that you exercise when you are at your strongest. Same with eating, depending on your symptoms.

That would mean 1.25 hrs after you take the mestinon you would have full benefit for a couple of hours. (approx)

Thank you, good advice. ;-)

I don't know for sure how long you have had mg but if you over did it it might take a whole day on the couch to recover.
I have been over doing good it and this week I had to stay on the couch 2-3 days to recover.
Recovery isn't easy many times.

Thank you. I've only been diagnosed a few weeks now. It took me 36 hours to recover from this.