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Commonly used therapies for myasthenia gravis

Commonly used therapies for myasthenia gravis
  Time to onset of effect* Time to maximal effect*
Symptomatic therapy
Pyridostigmine 10 to 15 minutes 2 hours
Chronic immunotherapies
Prednisone 2 to 3 weeks 5 to 6 months
Azathioprine ~12 months 1 to 2 years
Mycophenolate mofetil 6 to 12 months 1 to 2 years
Cyclosporine ~6 months ~7 months
Tacrolimus ~6 months ~12 months
Efgartigimod alfa 1 to 2 weeks ~4 weeks
Ravulizumab 1 to 2 weeks ~4 to 10 weeks
Rapid immunotherapies
Plasmapheresis 1 to 7 days 1 to 3 weeks
Intravenous immune globulin 1 to 2 weeks 1 to 3 weeks
Surgery
Thymectomy 1 to 10 years 1 to 10 years
* Estimated times are rough guidelines based upon clinical experience in myasthenia gravis.
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