Courtenay resident Linda MacMullen was diagnosed with myasthenia gravis (MG) in 2001, after 10 years of showing symptoms.

The fact that it took health care providers a decade to determine her condition is a testament to the rarity of the disease.

MG falls under the muscular dystrophy umbrella and there is no cure.

According to the National Institute of Neurological Disorders and Stroke website (), MG causes weakness in the skeletal muscles, which are responsible for breathing and moving parts of the body, including the arms and legs.

The hallmark of myasthenia gravis is muscle weakness that worsens after periods of activity and improves after periods of rest. Certain muscles such as those that control eye and eyelid movement, facial expression, chewing, talking, and swallowing are often (but not always) involved in the disorder. The muscles that control breathing and neck and limb movements may also be affected.

MacMullen says by lunchtime, she is often already tiring.

鈥淚f I have just had my IV treatment, I can walk maybe half a block, and if I haven鈥檛, somedays, I can鈥檛 walk to the top of my driveway,鈥� she said. 鈥淚 never know in the morning when I get up, what kind of day it鈥檚 going to be.鈥�

Her days may soon be getting better.

The recent news of a possible medical treatment has her dreaming of a more independent life for herself.

鈥淲e are trying to get the province to approve a medication that might put me into remission,鈥� she said. 鈥淚t鈥檚 very exciting. It鈥檚 an FDA-approved drug - Rituxan (rituximab)鈥� used for cancer. It鈥檚 used for lupus and rheumatoid arthritis as well.鈥�

While MacMullen has not been given a start date yet for the program, she said it would be life-changing for her.

鈥淲hen my neurologist said 鈥榳e are going to try to get you into remission,鈥� I said 鈥楢fter 20 years, is that even possible?鈥� Now my brain is going, 鈥業鈥檒l be able to do this, I鈥檒l be able to do that.鈥�

鈥淢y family doctor was quick to point out that hopefully it would do that (result in remission), but it might not. But I wouldn鈥檛 hesitate in trying.鈥�

The Ministry of Health confirmed to Black Press that coverage of rituximab for myasthenia gravis is available, under certain conditions.

鈥� The use of rituximab for myasthenia gravis is off-label and requires Special Authority (SA).

鈥� SA grants coverage to a drug, medical supply or device that otherwise would not be eligible for full coverage.

鈥� All SA requests must be completed by a medical prescriber.

鈥� SA routinely approves rituximab for the treatment of MG.

鈥� Requests are reviewed on a case-by-case basis.

June is Myasthenia Gravis Awareness Month. To learn more about MG, visit

terry.farrell@comoxvalleyrecord.com
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