How do you initiate steroids in ocular Myasthenia Gravis?

It's the same with generalized MG. The only difference is that I avoid increasing the dose to more than 30-40 mg of prednisone per day (if possible).

Many experts propose initiating dosing every other day, but I have never been a big fan of this regimen because I have seen several patients experienc...

I agree with Dr. @Dr. First Last. I do use every-other-day dosing when weaning off patients, typically after they've been on 10 mg daily, but I don't employ it when initiating prednisone treatment.

The every-other-day steroid approach goes back 50 years and was a regimen to gradually increase steroids to avoid MG worsening from initiating high doses. Most of us have gradually increased with daily doses. I still taper with every other day but I'm not sure this is done by rheumatologists or anyo...