A member asked:

Suffered ms flare- worst symptom being pain- oxy doesn't work so good- fentanyl seems like it would work best on cns ms pain- cym&lyr no wrk-trd opan, etc?

5 doctors weighed in across 3 answers

See specialist: If you are not already under the care of a pain management specialist, you need one. Preferred provider will be a board certified anesthesiologist who has completed a pain fellowship. Los angeles will have many to choose from.

Answered 4/14/2014

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Consider more: There are several things that will help when combined: http://www.Msaustralia.Org.Au/documents/ms-practice/pain.Pdf.

Answered 1/25/2013

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This is complex: Pain is often seen in ms (>90%), and is most often due to nerve issues, but does not always respond to the above meds. Older drugs such as Trileptal or even tegretol might be useful. Opioids ok if used for only a few days. Key issue is success in controlling relapse, and IV Methylprednisolone is first-line, but acth might be tried next, followed by plasmapheresis. Are you on appropriate dmt's?

Answered 2/19/2015

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