1. Meds that MG pts should avoid:
• Never use alpha-interferon, Botox, D-penicillamine, or telithromycin (Ketek - ketolides)
Use with caution:
• Succinylcholine, d-tubocurarine, or other neuromuscular blocking agents
• Quinine, quinidine, procainamide
• Antibiotics:
* Aminoglycosides – gentamicin, kanamycin, neomycin, tobramycin, and
streptomycin
* Fluoroquinolones – ciprofloxacin, levofloxacin, norfloxacin, ofloxacin,
perfloxacin, moxifloxacin
* Macrolides – erythromycin, azithromycin
• Beta-blockers (systemic and ocular): propranolol, timolol
• Calcium channel blockers
• Magnesium salts
• Lithium
• Iodinated contrast agents
• Statin drugs
Daroff, R., et al. Bradley’s Neurology in Clinical Practice. Elsevier Saunders, 2012.