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Long-term treatment of generalised myasthenia gravis with FK506 (tacrolimus)
  1. T Konishi1,
  2. Y Yoshiyama2,
  3. M Takamori3,
  4. T Saida1,
  5. the Japanese FK506 MG Study Group*
  1. 1Department of Neurology, Utano National Hospital, Kyoto, Japan
  2. 2Department of Neurology, Chiba University School of Medicine, Chiba, Japan
  3. 3Neurological Center, Kanazawa-Nishi Hospital, Kanazawa, Japan
  1. Correspondence to:
 Dr T Konishi
 Department of Neurology, Utano National Hospital, 8, Ondoyama-cho, Narutaki, Kyoto 616-8255, Japan; konishiunh.hosp.go.jp

Abstract

Efficacy and safety of long term use of FK506 (2–4.5 mg/day) for a maximum of two years were evaluated in 12 patients with generalised myasthenia gravis (MG). At the end of the study, eight patients (67%) showed improvement in either MG score or Activities in Daily Living score, and prednisolone dosage could be reduced in seven patients (58%), with a mean reduction ratio of 37%. Long term use of FK506 for MG can be more effective than short term administration, with no serious side effects.

  • AChR, acetylcholine receptor
  • ADL, activities of daily living
  • MG, myasthenia gravis
  • clinical study
  • FK506
  • myasthenia gravis

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Footnotes

  • * Other participating members of the Japanese FK506 MG Study were: E Mukai (National Nagoya Hospital); G Sobue (Nagoya University School of Medicine); F Kanda (Kobe University School of Medicine); J-I Kira (Kyushu University School of Medicine); T Nakamura (Nagasaki University School of Medicine).

  • This study was supported by a grant from Fujisawa Pharmaceutical Co, Ltd, Osaka, Japan.

  • Competing interests: none declared

  • Presented in part at the EFNS Congress in Vienna, Austria, October 2002.