Doctor insights on:
Ascriptin Ms Medication
Aubagio was just released for the treatment of relapsing-remitting multiple sclerosis. Bg-12 (oral fumarate) should be available before mid-year. Both are oral drugs which will be added to the only other oral drug- gilenya (fingolimod).
There are several other drugs which will be added within the next few years proving that there is reason to be optimistic about the future of ms treatment. ...Read more
SEVERAL CHOICES: If you have relapsing-remitting form, many meds are available. Many ms specialists are now recommending using the most potent drugs available, especially in first few years. Tysabri, (natalizumab) followed by gilenya, and possibly bg-12 (not yet available) might be good items. Copaxone if a young woman who wants kids, but not very potent. Vitamin d-3 supplements are crucial in some. See ms specialist. ...Read more
See below: Medications which impact the inflammatory activity of the disease are often called "disease modifying therapies". These are medications for the long haul, to reduce the impact and frequency of relapses, and slow brain volume loss. Other classes of medications target symptoms due to MS (such as steroids) but do not alter the course of the disease itself. ...Read more
Not a dosage issue: Individual medication dosing for ms, has never been designed to be based on weight or individualized like a diabetic or hypertensive medication, and has always been designed to modulate the immune system to control inflammation, and in most cases, there is a standard dose for all. However, medications vary in potency and success, and each person is different in response. Potent outcomes are key. ...Read more
Relapse or rebound: Absence of medication, results in absence of protection, and you are at risk for progressive disability. Do not stop medication on a whim, as all MS meds have some interventional benefits, and stopping can be literally catastrophic. Important to work closely with your doctor, as many medication choices are available. ...Read more
I have MS and I take medicine for it. Would I be able to have a child if I wanted to and still be on medication?
NO PROBLEM: MS has no effect on pregnancy, labor, delivery, or limitations on becoming a mother, and furthermore, pregnancy is highly protective, especially the third trimester. Normally recommend stopping meds prior to pregnancy, yet, Copaxone (glatiramer) is the safest medication for women who become pregnant, and would not have any appreciable teratogenic risk. Would supplement folate & other prenatal vitamins. ...Read more
Possible: Depends on the surgery andcondition of the ms. Ms affets sensory and motor neurological symptoms and it may be resonable that if surgery is perform in an area the MS affects the tissue may not respond as well as othe areas not affected. But there may be additional causes for your poor response and may not always be attributted to the ms. ...Read more
I have MS and have constant lower back. Whether that has any relation I don't know what other medication I can take for pain.?
What meds R U taking: In the initial stages of MS, pain is uncommon, but, as the condition deteriorates, muscles weaken, joints get unstable, posture changes and, of course, painful muscle spasms can occur. The best thing you can do is to get a referral to a physical therapist who has experience in treating such conditions. I also have MS. Pain meds are the treatment of last resort! Best wishes! ...Read more
Have nausea that is unrelated to my medication-can my MS be causing this? P.S. It is not vertigo related either.
See below: Am confused regarding your information; you are mentioning treatments which have no relationship to ms, and rather relate to hematological issues, and congenital immune deficiencies. Do you really have ms, or is this a questionable diagnosis, are you currently taking both Prednisone and acthar together? I do not see any ms disease modifying agent, not sure why nausea. Suggest 2nd opinion. ...Read more
Need medication for MS and no way to pay, where do ya go and is there anyone that can help? Have no insurance, do have a job but they say ya make too much to go on medicaid. Is there anyone that can help I can't afford to pay for it.
Suggest: Contact your local MS Society, and if you have a doctor, have him/her decide on a choice of medication, and contact the manufacturer, such as Biogen, Teva, or Novartis, as all have compassionate programs to provide inexpensive fees, or even, free medications. Good luck and all the best. ...Read more
Please consider: resubmitting and including the specific names of the medications that you are referring to. ...Read more
I have only double vision from last 7 weeks and taking medication as prednisolone that helped me to reduce the diplopia. Is this the symptoms of ms?
Double vision: Need to know if the double vision is monocular or binocular. Cover one eye. If the double vision goes away, then it is so called binocular diplopia. If you have double vision with only one eye open, then it suggests that the problem is in the eye itself, and not the brain. Cannot exclude ms as a cause, but start with a good examination and medical evaluation. ...Read more
I am truly a chronic pain patient. My current dr. seems to have become very distant. I need a doctor to help me with my pain medication. Tupelo, MS?
Getting off narcs?: Chronic pain patients work with their doctor to get off of narcotics by using physical therapies, meditation, acupuncture, stress reduction and serotonin meds. Chronic narcotic patients need to follow rules like coming in on schedule for refills, not calling for early refills or dropping their meds in the toilet.etc If your doctor's plan is to get you off narcs but you want refills.... angst. ...Read more
Was on many medications for confirmed MS (rebif, copaxone, gilenya, tysabri, (natalizumab) tecfidera) none helped control. Is this typical of ms? Next step?
Unusual but possible: Visit a ms center.Get a more detailed answer ›
After 2 MS exacerbations the back of my hands ache from below knuckles to wrist. Any tips outside of medications?
Gbs diag3/11/13, MS symptoms, ascending pain from foot to hip, what causes ascending unilateral pain, pain medication not relieving pain.
What medications can help the forgetfulness associated with ms. I takw copaxone (glatiramer) daily. No other medicatiins. Lab work chemistries and thyroid are ok?
Side effects: There are side effects related to the treatment of multiple sclerosis, as well as the effects of the disease itself on attention, concentration and memory. In some cases the addition of antidepressants will improve the cognitive effects and the low mood associated with the condition. A consultation with the psychiatrist could be very helpful. ...Read more
38 old female. One lesion in the brain few in spine. 2 lumbar tap, at limits. No medication. No relapses. Is it ms?
Multiple timepoints?: Multiple sclerosis means multiple locations (which you describe) but also multiple events or timepoints. Diagnosis depends on clinical picture (type and patterns of brain/cord dysfunction) and the appearance on imaging (periventricular demyelination, "dawson's fingers" on MRI etc). The fact that you had no relapses speaks against ms. Discuss with ms neurologist who can put it all together. ...Read more
Taking Ms Contin (morphine) for chronic pain. I'm allergic to it. Can you suggest an alternative pain medication other than oxy, perc, vicodin?
Herbs: Medicinal cannabis if it is legal in your state is an alternative to narcotic pain medications. Also, eating a more alkaline diet my help. Acupuncture. Deep meditation. There are various herbs but this is not my specialty. Recommend following up with a pain management specialist and/or homeopathic specialist. There are also doctors of natural medicine possibly in your area. ...Read more
Are there recommended medications for extreme MS fatigue, other than Phentermine? I take Neurontin and Baclofen, and occasional Phentermine.
MS Rx: The treatment of MS is very complex. Recommend you go to uptodate and review this. Then discuss with your team. ...Read more
Are there any over-the-counter medications MS vitamins that help with alcohol withdrawal and seizure prevention?
Under Supervision: Withdrawal from alcohol should be taken quite seriously. If one has been drinking sufficient quantities of alcohol, there is a risk of severe withdrawal symptoms including seizures and even death. In such situations, there are no vitamins or over-the-counter supplements that can prevent such symptoms. Withdrawal alcohol, only under the supervision of a physician who understands the dangers. ...Read more
MS and drugs: No MS cannot be caused by medication side effects. Conditions similar to MS can be caused by injecting or inhaling toxic substances, if you mean these kinds of drugs, please avoid all of them. ...Read more
The answer depends on what is considered a serious side effect. It is pretty safe. Blood count monitoring is important with this medicine. Most side effects are benign with this medicine.
http://www.tecfiderahcp.com/clinical-overview/safety-tolerability.html ...Read more
See below: Ampyra (dalfampridine) is thought to work by enhancing the electrical impulses that travel through nerves that are not working well because of the loss of the myelin protective covering that is the hallmark of ms. Ampyra (dalfampridine) is not a cure for ms and it does not slow down the disease. It can help some people to walk a little better. ...Read more
Hard to answer: Tysabri (natalizumab) is a potentially effective treatment for MS but your question would be difficult to answer. Tysabri (natalizumab) is approved for the treatment of aggresive or refractory MS where other equally effective medications have not worked. This is because of a possibly fatal side effect called pml which may cause more damage than the disease. Use requires an experienced doctor and close monitoring. ...Read more
Depends on the place:
One limitation is customs. If you mean can they get MS drugs sent to them- that would depend on the country's regulations. Some people leave their country for reasons like this. Some people have MS treatment once a day every month, people in this situation could travel perhaps
Another limitation of treatment is cost, and whether the cost would be borne by the host country or not. ...Read more
Can you tell me easy ways to cope with my mom who's dying from MS and how to stay off harder drugs then weed?
Sorry about your Mom: Hopefully, there is a knowledgable neurologist who is managing her care. If she is progressive, most of our current meds are of little benefit, although Novantrone might be useful. If pain is an issue, a pain specialist can help. If marijuana is used, can assist with spasticity, and maybe pain, but is limited in other applications. You and she may benefit from counseling, assisted exercise. ...Read more