Finding the Right Doctor for Mestinon

If you've been told you need Mestinon (Pyridostigmine Bromide) — or you think it might help your symptoms — you're probably wondering where to start. Not every doctor is familiar with this medication, and finding the right provider can feel overwhelming.

Whether you're dealing with myasthenia gravis, POTS, or another condition that Mestinon treats, this guide will walk you through exactly how to find a doctor who can prescribe it near you in 2026.

What Type of Doctor Prescribes Mestinon?

Mestinon is a cholinesterase inhibitor that's primarily used for myasthenia gravis. The type of doctor who prescribes it depends on your condition:

• Neurologists — The most common prescribers. If you have myasthenia gravis or a suspected neuromuscular disorder, a neurologist is your first stop.
• Neuromuscular specialists — A subspecialty of neurology focused specifically on conditions like myasthenia gravis. These doctors have the deepest expertise with Mestinon dosing.
• Cardiologists — If you're being prescribed Mestinon for POTS (postural orthostatic tachycardia syndrome) or orthostatic hypotension, a cardiologist or autonomic specialist may write the prescription.
• Internal medicine doctors — Some internists are comfortable prescribing Mestinon, especially for off-label autonomic uses.
• Primary care physicians — Your PCP can prescribe Mestinon, though many prefer to defer to a specialist for initial diagnosis and dosing.
• Rheumatologists — In some cases, rheumatologists involved in autoimmune care may prescribe or co-manage Mestinon therapy.

The good news: Mestinon is not a controlled substance, so any licensed physician can prescribe it. The challenge is finding one who knows how to dose it properly for your specific condition.

How to Find a Provider Who Prescribes Mestinon

1. Use Your Insurance Directory

Start with your insurance company's online provider directory. Search for neurologists or neuromuscular specialists in your area. Most insurance websites let you filter by specialty and distance from your ZIP code.

Call ahead and ask: "Do you treat patients with myasthenia gravis?" or "Are you familiar with prescribing Pyridostigmine?" This saves you from booking an appointment with a doctor who doesn't handle your condition.

2. Try Zocdoc or Healthgrades

Online platforms like Zocdoc, Healthgrades, and Vitals let you search for specialists by condition. Search for "myasthenia gravis" or "neuromuscular" in your area. You can often see patient reviews and book appointments directly.

3. Ask for a Referral

If you already have a primary care doctor, ask for a referral to a neurologist. Be specific about why — mention your symptoms and that you're interested in discussing Mestinon. A targeted referral gets you to the right specialist faster than a general neurology appointment.

4. Contact Patient Organizations

The Myasthenia Gravis Foundation of America (MGFA) maintains a list of neuromuscular specialists and MG care centers. The Dysautonomia International directory is helpful if you're looking for POTS specialists who prescribe Pyridostigmine.

5. Consider Telehealth

Telehealth has made it much easier to see specialists who aren't in your immediate area. Many neurologists and autonomic specialists now offer virtual visits. Since Mestinon is not a controlled substance, it can be prescribed through a telehealth appointment in most states.

This is especially useful if you live in a rural area or a region with few neuromuscular specialists. A telehealth neurologist can evaluate you, prescribe Mestinon, and coordinate with your local pharmacy.

6. Check Academic Medical Centers

University hospitals and academic medical centers often have dedicated neuromuscular clinics or MG centers. These clinics see a high volume of Mestinon patients and are up to date on the latest treatment approaches. Search for "[your city] neuromuscular clinic" to find options.

What to Expect at Your Appointment

When you see a doctor about Mestinon, here's what to prepare for:

• Medical history review — The doctor will ask about your symptoms, when they started, and what makes them better or worse.
• Diagnostic testing — For myasthenia gravis, this may include blood tests (acetylcholine receptor antibodies), electromyography (EMG), or a Tensilon test. For POTS, you may need a tilt table test.
• Discussion of treatment options — Mestinon is typically a first-line treatment for MG symptoms, but your doctor will discuss whether it's the right fit for your situation.
• Dosing plan — Mestinon dosing is highly individualized. Most patients start with 60 mg three times daily and adjust based on response. Your doctor will explain the schedule and what to watch for.

Bring a list of all medications you currently take. Mestinon has important drug interactions that your doctor needs to know about.

After You Get Your Prescription

Once your doctor prescribes Mestinon, you'll need to fill it at a pharmacy. Here are a few things to keep in mind:

• Availability — The immediate-release 60 mg tablets are generally available, but the extended-release 180 mg formulation has been experiencing supply shortages. Use Medfinder to check pharmacy stock near you.
• Cost — Generic Pyridostigmine IR tablets typically cost $26–$50 for 90 tablets with a discount card. The ER formulation is significantly more expensive at $105–$150 for 30 tablets. See our savings guide for ways to reduce your costs.
• Side effects — Common side effects include nausea, diarrhea, and increased salivation. Taking Mestinon with food can help. Read our full side effects guide so you know what to expect.

Final Thoughts

Finding a doctor who can prescribe Mestinon doesn't have to be difficult. Start with a neurologist if you have myasthenia gravis, a cardiologist or autonomic specialist for POTS, or ask your primary care doctor for a referral. Telehealth has made specialist access easier than ever, and patient organizations can point you toward experienced providers.

Once you have your prescription, Medfinder can help you find a pharmacy that has Mestinon in stock — so you can get started on treatment without delays.