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[12] Pharmacotherapy Cholinesterase inhibitor: : first-line agent is pyridostigmine titrated to symptom relief [6] Immunosuppressants (off-label) Indications: inadequate symptom control with (or intolerance to) pyridostigmine Common initial regimen: glucocorticoids and/or azathioprine [1] Glucocorticoids may be a part of the management of myasthenia gravis