title: Mycophenolate mofetil - as an adjunctive immunosuppressive therapy in refractory myasthenia gravis: The Singapore experience.
abstract: We report our experience, using mycophenolate mofetil (MyM) as an adjunctive immunosuppressive therapy in patients with severe, refractory and high dose steroid-dependent myasthenia gravis (MG). Five patients were commenced on MyM in addition to other immunosuppressive therapies. All had significant clinical improvement and no subsequent myasthenic crisis requiring intensive care unit admission. MyM was well tolerated and no serious adverse effects were observed. MyM is an effective adjunctive therapy for the treatment of severe, refractory and steroid-dependent MG in our experience.
authors.affiliation: National Neuroscience Institute (SGH campus), Department of Neurology, Block 6 Level 8, Singapore General Hospital, Outram Road, Singapore 169608. gnrpk@sgh.com.sg
authors.forename: K M
authors.initials: KM
authors.lastname: Prakash
authors.forename: P
authors.initials: P
authors.lastname: Ratnagopal
authors.forename: K
authors.initials: K
authors.lastname: Puvanendran
authors.forename: Y L
authors.initials: YL
authors.lastname: Lo
mesh_terms: D000328:Adult; D000368:Aged; D002800:Cholinesterase Inhibitors / Q000008:administration & dosage; D004351:Drug Resistance; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000188:drug therapy*; D009173:Mycophenolic Acid / Q000008:administration & dosage / Q000031:analogs & derivatives*; D011239:Prednisolone / Q000008:administration & dosage; D011729:Pyridostigmine Bromide / Q000008:administration & dosage; D012720:Severity of Illness Index; D012846:Singapore
chemical_list: D002800:Cholinesterase Inhibitors; D007166:Immunosuppressive Agents; D011239:Prednisolone; D009173:Mycophenolic Acid; D011729:Pyridostigmine Bromide