the anxiety of surgery is impactual. There is no denying that.
The was a time I needed to take mestinon through the night. At the very least I took it before getting up. You may need to start doing that. Increasing your dose and or making sure you keep taking it through the night so you arent so weak in the morning.
Ann

My early mornings are often one of my worst times and I think it happens if I don't wake up regularly to take my mestinon. We don't have the long acting Mestinon available in South Africa so to get Mestinon in overnight I have to set the alarm for every 4 hours. When I am really not doing well I usually have to do this or otherwise my early mornings can be quite hairy. Don't doubt yourself regarding the surgery. Best of luck for tomorrow. I'll be praying that it all goes off smoothly. Let us know how you are when you have the energy. Hugs Ange

I set an alarm to take mine every three hours around the clock and that helps with the early morning weakness. If I skip a dose, I can tell the difference.

At my worst, I wake up at least every four hours during the night. At my best, when sleeping through the night, I don't get up until at least a half hour after I have taken my first morning dose and have taken half the day's Mestinon by 10:30. Mornings are a hard time for me, too.
Hang in there, b.

Mornings are hard. Sometimes we borrowed from the new day the day before. We need Mestinon or prednisone to kick in. Hugs.

I had the same problem, being weak and tired every morning, until I added the long acting Mestinon 180mg at bedtime. This apparently keeps my body from depleting the Acetycholine at the muscles during the night. Although the pill has 180mg instead of the regular 60mg tablet it only seems to last for about six hours, so I set my morning alarm for 5am and take my regular 60mg pills and then go back to sleep for an hour. I wake up feeling much better, but it took a long time to be able to get the routine working. If you can't get the 180mg tablets locally it would be worth the effort to find out your best way to get them. They do help.

Thank you for your replies! Im happy to know that it is not just me. I also agree that if i take my medication and go back to sleep in the morning when i wake up i feel stronger then if i wake up take it and start my day at that moment.

Will keep everyone updated with the surgery. Other then being terrified, i am thrilled to be having this procedure done and on my way to normalcy. :)

It really is much easier than you can imagine. Take care and listen to a
relaxation tape to help you relax....the stress is not good for you.
Take care
Ann

Mestinon timespan is a perfect solution for waking up weak. It is almost made specifically for it.

Everyone has provided good info for you here.

Take care!
TJ

This is normal Shan, as is second guessing and the stress and anxiety prior to surgery. Prayers and well wishes heading your way.
Larissa

I just tried Time Span for the first time last night, and I woke up able to see and read the labels of my pill bottles right after I opened my eyes! I had no idea how symptomatic I had been upon waking until I tried Time Span. I'm a slow learner, I guess, but wanted to share how much it helped me.