How do you manage anxiety for patients who are experiencing a myasthenic crisis?

For a long time, we have been taught that we should avoid benzodiazepines in this setting (also applies to patients with ALS, myositis, etc.) because of their suppressive effect on the CNS respiratory drive and the risk of exacerbating hypercarbic respiratory failure. Based on recent conversations w...

I like to use benzothiazines to create stability and calm. Other medications are often not as effective, sadly. Hydroxyzine, propranolol, and gabapentin are not as effective.