Drugs that may Cause or Worsen Symptoms of Myasthenia Gravis Drug Uses Drug Names/Class Drugs used to Treat Immune Conditions Interferon Alpha Steroids Common Names (when available) Roferon/Infergen/Intron A Drugs used in Surgery Atracurium Rocuronium Pancuronium Vecuronium Succinylcholine Mivacurium Enflurane Halothane Isoflurane Tracrium Zemuron Lidocaine Procaine Xylocaine Novocaine Quelicin Mivacron Ethrane Drugs used as Local Anaesthetics Drugs used to Treat Infections (taken orally or by injection) Ciprofloxacin Gentamicin Neomycin Colistin Norfloxacin Ofloxacin Kanamycin Amikacin Netilmicin Streptomycin Tobramycin Clindamycin Lincomycin Vancomycin Ampicillin Telithromycin Sulfonamides Doxycycline Azithromycin Erythromycin Clarithromycin Pyrantel Pamoate Imipenem-Cilastatin Drugs used in Cardiovascular Conditions Verapamil Procainamide Bretylium Cipro Noroxin Foxin Netromycin Dalacin C Lincocin Vancocin Ketek Septra Vibramycin Zithromax Eryc Biaxin Combantrin Primaxin Isoptin Procan Quinine Quinidine Injectable Magnesium Propranolol* Oxprenolol* Timolol* Atenolol* Labetolol* Metoprolol* Nadolol* Acebutolol* Propafenone Felodipine Nifedipine Acetazolamide Biquin Inderal Trasicor Tenormin Trandate Betaloc Corgard Sectral Rythmol Plendil/Rendil Adalat Diamox Drugs used in Rheumatic Disease D-penicillamine Chloroquine Drugs used to Treat Epilepsy (Seizure Disorders) Phenytoin Barbiturates Cuprimine Aralen Dilantin Phenobarb Drugs used in Pain Management Codeine Morphine Hydromorphone Fentanyl Meperidine Drugs used to Treat Eye Conditions Timolol Betaxolol Acetylcholine Carbachol Tropicamide Dilaudid Demerol Timoptic/Xalacom Betoptic Miochol Miostat Drugs used to Treat Psychiatric Disorders (ex. depression, schizophrenia) Lithium Lithane Chlorpromazine Largactil Promazine Amitriptyline Elavil Droperidol Haloperidol Haldol Imipramine Tofranil Paraldehyde Drugs used in Diagnostic Imaging Iodinated Contrasts Drug used to Relax Muscles Methocarbamol* Robaxacet/Robaxisal Diazepam* Temazepan* Valium Restoril Botulinum Toxin Trihexyphenidyl Amantadine Nicotine Patch Botox Artane Symmetrel Nicotrol/Habitrol Drugs used for Sleep Miscellaneous Drugs Associated with more common or more severe adverse events Associated with less common or less severe adverse events *Indicates agents with documented effects in MG, other drugs belonging to the same drug classes (benzodiazepines, beta-blockers, muscle relaxants) may have similar effects and should be used with caution. Disclamer PrISM does not guarantee that the information is accurate or complete and is not responsible for any errors of omissions or for the result obtained from the use of such information. Use of this information will imply acknowledgement of this disclaimer and release any responsibility of PrISM or its employees. Readers are encouraged to confirm the information from other sources.