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Systemic glucocorticoids.such as triamcinolone.should be used with caution in patients with myasthenia gravis. An acute myopathy has been observed with the use of high doses of corticosteroids. Most cases occurred in patients with disorders of neuromuscular transmission such as myasthenia gravis or in patients receiving concomitant therapy with neuromuscular blocking drugs such as pancuronium (see Drug Interactions). The acute myopathy is generalized.may involve ocular and respiratory muscles.may result in quadriparesis.and may be associated with creatine kinase elevations. After corticosteroid cessation.clinical improvement or recovery may not be seen for several weeks or years.
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Ophthalmic diseases. Sympathetic ophthalmia.temporal arteritis.uveitis.and ocular inflammatory conditions unresponsive to topical corticosteroids.
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