I have had Lambert Eaton for 34 years. I m 70 now and at the end of the road. I am virtually bedridden My eyes hurt a lot ...dry eye, dry mouth, dry skin. I put ice packs on my eyes at night. The pharmacist sent systane gel . I am using it, but my eyes still hurt. Almost everything that normal patients use is contraindicated for LEMS. I HAVE NOCTURIA ALSO. The drug that physician ordered is absolutely contraindicated for Myasthenics. I can t walk at all, so during the night, I ride my scooter 3 feet to bathroom door. It is sad but true but my Neurologists don t know as much as I do about my condition or they are just not telling. thank you. charlotte in Tallahassee