When Common Drugs Pose Grave Problems

October 1, 2002

A detailed drug history is essentialwhen treating patients with myastheniagravis-especially those whoreport a sudden increase in symptoms.

A detailed drug history is essentialwhen treating patients with myastheniagravis--especially those whoreport a sudden increase in symptoms.Commonly prescribed medicationssuch as aminoglycosides (eg,gentamicin), lithium, phenytoin,procainamide, quinidine sulfate, andβ-adrenergic blockers (includingeyedrops) can exacerbate muscularweakness in myasthenia gravis.
-- Sonia Arunabh, MD
    K. Rauhilla, MD
    New Hyde Park, NY