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Does Intake Of Pyridostigmine Help In Curing Blepharospasm?

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Posted on Thu, 3 Mar 2016
Question: I have been diagnosed with blephoraspasm of the eye lids. Is pyridostigmine bromide beneficial for me?
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Answered by Dr. Dr. Muhammad Sareer Khalil (32 minutes later)
Brief Answer:
blephoraspasm and pyridostigmine

Detailed Answer:
Hello and Welcome

I appreciate your concern

Pyridostigmine is mainly used in the treatment of myasthenia gravis. Myasthenia can mimic and present initially as blephoraspasm so MG workup should proceed and be ruled out.

Pyridostigmine in itself can cause blephoraspasm as a side effect.

As botox is the recommended treatment which can not be used due to the concerns that you mentioned, lid hygiene and prevention of blepharitis should be done. Dryness of the eyes should also be prevented.

Surgical options such as myectomy and superior cervical ganglion block are also available which you can discuss with your physician.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Does Intake Of Pyridostigmine Help In Curing Blepharospasm?

Brief Answer: blephoraspasm and pyridostigmine Detailed Answer: Hello and Welcome I appreciate your concern Pyridostigmine is mainly used in the treatment of myasthenia gravis. Myasthenia can mimic and present initially as blephoraspasm so MG workup should proceed and be ruled out. Pyridostigmine in itself can cause blephoraspasm as a side effect. As botox is the recommended treatment which can not be used due to the concerns that you mentioned, lid hygiene and prevention of blepharitis should be done. Dryness of the eyes should also be prevented. Surgical options such as myectomy and superior cervical ganglion block are also available which you can discuss with your physician. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil