Guidance for Antibiotic Use in Patients With Myasthenia Gravis

All prescribers should be aware of the range of possible adverse effects associated with antibiotics. Though perhaps less well recognized than other adverse effects, various neurotoxicities — including seizure, optic neuropathy, encephalopathy, peripheral neuropathy, and exacerbation of myasthenia gravis (MG) — may result from antibiotic use. This risk is increased in older patients, patients with impaired renal function, and patients with preexisting neurologic conditions.