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Table 30-2

Medications That Can Exacerbate Symptoms of Myasthenia Gravis (MG)

Substance groupExamples
AnalgesicsMorphine derivatives
AntibioticsAminoglycosides, macrolides, quinolones, sulfonamides, tetracyclines, polymyxins, and penicillin in high doses
AntiarrhythmicsProcainamide, ajmaline, chinidine
AnticonvulsantsBenzodiazepines, gabapentin, carbamazepine, phenytoin
β-BlockersPropranolol, pindolol, timolol
Calcium antagonistsVerapamil, nifedipine, diltiazem
DiureticsLoop diuretics (furosemide), acetazolamide, hydrochlorothiazide
StatinsDifferent statins reported
Psychotropic agentsChlorpromazine, promazine
Muscle-relaxing agentsCurare derivatives, suxamethonium

Note: These are merely examples of drugs that can cause a worsening of MG symptoms, and this list cannot be considered complete.