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None. Patients can learn over time to adjust dosage; with current dosing, cholinergic crisis is rare. Prednisone. Rapid induction regimen: 60-100 mg/d for 2-4 wk; slow titration regimen: 10 mg/d, increase by 10 mg every 5-7 d up to 60-100 mg. 60-100 mg/d, followed by a slow alternate day taper. 2-4 wk.

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