When do you start to cross-titrate from steroids to CellCept in patients with Myasthenia Gravis?

It depends on the severity of the MG. In more severe cases, such as patients hospitalized for MG exacerbation with severe dysphagia, aspiration, or respiratory failure requiring ICU, we often prescribe steroids and CellCept simultaneously after IVIG or PLEX treatment, without cross-titration. I usua...