Doctor insights on:
Multiple Sclerosis And Cymbalta
Numerous ways: First, make certain that modern potent meds are being used, not the older self-injectables. Supplement with vitamin d. The sensitivity may respond to gabapentin, lyrica, cymbalta, or a series of patches, even localized blocks. Various rehab approaches including acupuncture may work well. ...Read more
A disorder causing usually episodic loss of myelin (demyelination) which disrupts function of central nervous system. Can lead to nerve damage because nerve requires myelin to function best. Classically relapsing and remitting or chronic and progressive. The former is characterized by transient neurological episodes of dysfunction separate in time and in space ...Read more
What medications can help with nerve pain caused by my multiple sclerosis? I have tried gabapentin and oxcabazapine and both have stopped working.
Might be difficult: In a friend who is being treated and controlled with potent meds, you might think they look completely normal. If undiagnosed, they might display inordinate fatigue, get confused with poor memory, have bad balance, trouble with visual loss, weakness in legs, etc. This is a complex area for most physicians, and an ms specialty focused neurologist is critical. ...Read moreSee 2 more doctor answers
Hard to Say: The exact causes of multiple sclerosis (MS) are unknown. It's believed to be an autoimmune disease where the body's immune system attacks its own tissues. In MS, this process destroys myelin, the fatty substance that coats and protects nerve fibers in the brain and spinal cord. ...Read moreSee 2 more doctor answers
Absolutely, exercise: Years ago, self-appointed all-knowing "experts" declared exercise "off-limits" for ms patients. We now know better, as aerobic exercise has a mild immune suppressant effect and not only enhances fitness and general well-being, but also improves ms quality of life. Just remember to pace yourself and if you get overheated take time out to cool down, but do not become inactive ever. ...Read moreSee 2 more doctor answers
Detective Work: No one diagnostic study can stand alone to conclusively diagnose ms. A neurologist must be a detective, hunting out clues from symptoms suggesting abnormal function in the brain or spinal cord white matter, of appropriate duration (greater than 24 hours) coupled with abnormalities on examination. Mri, spinal fluid, and certain blood tests. This information can help exclude MS mimickers. ...Read moreSee 2 more doctor answers
Cymbalta (duloxetine) is an "antidepressant" medication. However, it is an approved treatment for a variety of indications to include (unipolar) depression, anxiety, and chronic pain (related to diabetic neuropathy, musculoskeletal and/or fibromyalgia). Pharmacologically, it primarily enhances 2 different neurotransmitters (serotonin and norepinephrine). It can cause a ...Read more
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