Doctor insights on:
Ms Contin Online
Better?: Both medications are classified as opioid analgesics meaning they are derived from opium. Ms contin (morphine) is an extended release formulation indicated for constant, chronic pain. These medications should only be prescribed for severe pain. The longterm use of these medications is controversial and should be done under the direction of a qualified physician. ...Read more
OxyContin: Oc (extended release oxycodone) is stonger by a factor of almost twice-that is 15 mg of oc is about equal to 30 mg of MS contin (extended release morphine sulphate). But there is a lot of variability between individuals. Oc seems to be more energizing for some patients and as a result there is more "liking" which is independent of the pain relief. That may explain why there seems to be more abuse. ...Read moreSee 1 more doctor answer
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 an ms center.Get a more detailed answer ›
I've read in healthtap about tecfidera, gilenya (fingolimod) and tisabry MS treatments. What's your opinion about interferon treatment (using rebif 44mg)?
Not first choice: Look, we are in a new age of treatment, and need to acknowledge that the older injectables were great to use, but the drugs you listed are far more effective, and avoid needles (except tysabri, (natalizumab) one infusion monthly) yet, risks are present with all three, and in comparison with rebif, absence of long-term safety data. If you are doing well, could stay on current med, but change if MRI is active. ...Read more
I've tried gabapenten, lyrica, (pregabalin) Elavil, cymbalta, oxycodone for sudden onset neuropathy.Guess that's it.Any answers, cause I don't havevany.I give up.
Neuropathy: The important thing is diagnosis FIRST, treatment second. Don't give up. Get to the reason for the neuropathy. Something is causing it. (Nerve compression, chemical damage, diabetes, etc) If nothing else, radically change your diet to gluten free, high protein, low carb all organic for one month. No alcohol/smoking. You might get surprised. ...Read moreSee 1 more doctor answer
MS Contin (morphine) = oramorph: There is no such thing as "stronger" or "weak" opioid medication, only those that work and don't work, based on the patient's individual circumstances and genetics. ...Read more
Sometimes: MSContin is far better for most types of chronic pain than any of its shorter-acting relatives.Nerve modulators like Lyrica (pregabalin) & Neurontin can also be helpful.All work on the theory that pain is primarily in the brain.In my practice, pain almost always has an actual mechanical or inflamm. cause which is treatable w/ osteopathic manip., neuroprolo, Vit D/glucose creams, etc.This is 'cure' v 'control'. ...Read moreSee 1 more doctor answer
Medicines: One of these medicines may be a short-acting, temporary back up. There is no medicine rocicotin- perhaps you mean roxicodone (oxycodone)? This is a short-acting medicine. MS contin is long acting, and is meant to bring the overall pain level down consistently, so that back up medicine is not needed as often. Hope that helps! ...Read more
How to diagnose MS: There are MS symptoms, and then there are symptoms that help to make the diagnosis of MS. For example, muscle spasm is a symptom of MS, and many other illnesses. Lesions of the brain are caused by MS, but also by viruses, head injuries, etc. If you have the right symptoms and the right MRI findings, the diagnosis should be clear. With MS, the diagnosis is rarely that easy to make. ...Read moreSee 2 more doctor answers
Forever: Although chronic opiod ingestion can cause hormonal abnormalites and depression, so can chronic pain. The morphine itself has no long term adverse effects on any organ system other than endocrine effects. Constipation is the only GI effect that is pretty consistent. I have patients that have been on morphine for 15 years without any consequences other than above which are treatable. ...Read moreSee 1 more doctor answer
Severe paresthesia in extremities. Negative for MS (brain and spinal MRIs), negative EMG & NCS. On Lyrica (pregabalin) & Cymbalta but no relief. Recommendations?
More info req'd: It sounds like you've had a complex Neurological work-up and are intereted in seeking a second opinion. I would be glad to help, yet would need to see more data before throwing a diagnostic assumption at you. Please gather your medical records (labs/imaging/etc) and schedule a virtual consult with me for further details. I'm interested and available. ...Read moreSee 1 more doctor answer
No reflexes anywhere but diagnosis MS 2001. Now severe neuropathy plus sjogrens etc. Docs think cidp plus ms. Important to differentiate the 2? How diagnosis cidp.
For Neurologist with sizeable Tecfidera MS pt load...Acute eosinophilia 1.4/12% 3wks on Tecfidera w/o new Sxs. What "transient increase"s have u seen?
Experiences: First, am not enamored with Tecfidera, as over 20% of my patients have found it intolerable due to GI adverse events, and many have found it to be ineffectual. Can cause drops in lymphocytes and also affect other white cells, and your eosinophil elevation could very well represent a low level allergic response which may depart in a few weeks. Clarify the issues with your neurologist. ...Read more