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Doctor insights on: Therapy For Multiple Sclerosis

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Is cortisone given for multiple sclerosis treatment?

Is cortisone given for multiple sclerosis treatment?

MS relapses: Steroids such as cortisone can be used to treat relapses, but should not be used chronically due to adverse event potential. These drugs should only be used briefly to reverse a flare. ...Read more

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Dr. Ana Adelstein
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


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What are common therapies for multiple sclerosis?

What are common therapies for multiple sclerosis?

History: Originally, used interferons, such as Avonex, Betaseron, Rebif; and Copaxone. But these are of very mediocre benefit. Tysabri (natalizumab) and Gilenya seem very effective, but now we have Lemtrada, the most potent of all, but very risky. Two other oral agents might be considered, Aubagio and Tecfidera. Plegridy just arrived, but in my opinion is just an updated Avonex. The TIW Copaxone form is easy to use. ...Read more

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Is there any treatment for cognitive impairment for multiple sclerosis?

Is there any treatment for cognitive impairment for multiple sclerosis?

You Bet There Is!!: First, you are better if taking a very potent ms medicine, such as tysabri (natalizumab) or gilenya, as "off label" both have shown ability to prevent brain atrophy, and improve fatigue and cognition. Second, have adequate levels of vit d, taking 5-10000 units daily. The traditional Alzheimer's meds do not help usually, but would consider a trial of 2 medical foods, axona, and cerefolin-nac, and ?Galantamine. ...Read more

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What are promising new treatments for multiple sclerosis?

What are promising new treatments for multiple sclerosis?

Many: We have 12 drugs approved to treat MS, and more on the way. The newest are Tecfidera, Plegridy, and the most potent drug of all, Lemtrada. Coming are newer mono-clonal antibodies, a drug to restore myelin damage, and even some treatment for the progressive forms. ...Read more

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Best multiple sclerosis medications?

Best multiple sclerosis medications?

Interferons ? : There is no best medication , some would suit the patient better than others but interferons are the most widely used for prevention of attacks. ...Read more

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What new treatments are there for multiple sclerosis?

What new treatments are there for multiple sclerosis?

Define new...: First line therapies include: -interferon beta-1a (avonex) im once a week. -interferon beta-1a (rebif) sc three times a week. -interferon beta-1b (betaseron, extavia) sc every other day. -glatiramer acetate sc (copaxone) sc daily. Second line therapies include: -mitoxantrone (novantrone) IV q3months. -natalizumab (tysabri) IV q4weeks. -fingolimod (gilenya) PO daily. ...Read more

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Is there any permanent treatment for multiple sclerosis??

Is there any permanent treatment for multiple sclerosis??

All are permanent: all treatments for MS are not curative, in order to stop or slow down the progression of the disease, you have to take them indefnitely. I hope this answers your question, not sure what you mean by permanent. If you mean that the treatments "permanently" stop progression, only possibly if you keep using them. I like tysabri (natalizumab) despite the side effects. I see MS lesions literally disappear. ...Read more

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What are some treatments for tuberous sclerosis?

What are some treatments for tuberous sclerosis?

Managed, not cured: Ts is a lifelong process whose treatment begins with recognition, education and monitoring through life. It can be quite mild with no long term effects, or be devastating.Related seizures & emergence of soft tissue "tubers" in the brain & major organs can create problems.Periodic ct scans & ultrasounds to monitor the organs are common.Coordinated efforts of local & specialty drs is a must. ...Read more

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Are there any good alternative treatments for multiple sclerosis?

Really NONE: However, improve your outcomes, by using potent disease modifying agents, such as the newer orals, aubagio, gilenya, (fingolimod) tecfidera. Some otc approaches include, no smoking, vitamin d supplementation, aerobic exercise, low fat, low salt diets, stress management. ...Read more

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What other tests for multiple myeloma?

What other tests for multiple myeloma?

Blood/Urine/Imaging: Usually workup involves blood and urine tests (spep / upep - serum and urine protein electrophoresis). The preferred initial imaging study is the skeletal survey (x-ray of multiple sites of the body including skull, axial skeleton, and proximal long bones). Bony lesions are usually lytic. ...Read more

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What are your treatment options for multiple myeloma?

What are your treatment options for multiple myeloma?

Many: There are many options. One source of updated, risk-stratified treatment are the Mayo Clinic Stratification for Myeloma And Risk-adapted Therapy (mSMART) guidelines: http://www.msmart.org/msmart_mar09_002.htm Treatment depends on disease (MM) and host (patient) characteristics as well as the goals of therapy. ...Read more

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Is there a cure for multiple sclerosis?

No: Treatments are aimed at slowing down the disease activity, supporting symptoms, and improving quality of life long-term. ...Read more

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What's the present mortality rate of multiple sclerosi. Are there surgical options for multiple sclerosis?

What's the present mortality rate of multiple sclerosi. Are there surgical options for multiple sclerosis?

Two questions: 1. There is no surgical process that will beneficially help ms, other than possibly deep brain stimulation to control cerebellar tremors. 2. If treated with a potent medication, the lifespan should be similar to a patient without ms. 3. Forget this business with surgery to veins draining from the brain, it is life-threatening and does not work. ...Read more

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What are the diagnostic criteria for multiple sclerosis?

What are the diagnostic criteria for multiple sclerosis?

MS: Multiple neurological problems spread out over time and the neuro-axis. MRI lesions can be found in the spinal cord, next to the ventricles, in the brain stem, cerebellum or juxta-cortical. Use of 3.0 or greater tesla magnets can identify gray matter cortical lesions. Clinical criteria have undergone recent revisions. Its a demyelinating disorder that has several forms. (Google for more) ...Read more

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Is there an complete cure for multiple sclerosis?

Not yet: Of course, progress is being made, but we have a ways to go. Do not despair, as we do very well indeed with our newer more potent meds, such as tysabri, (natalizumab) or gilenya, and maybe even tecfidera, but the older interferons may not be best for most pts. We know to avoid smoking, follow low fat, low salt diets, do aerobic exercise, and add vitamin d-3. ...Read more

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Is there treatment of multiple scelerosis desease?

Yes: Nmss.Org msaa.Org there are several approved therapies. If you have been diagnosed with ms then surely the doctor who made the diagnosis has discussed this with you. ...Read more

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What's are future treatments for amyotrophic lateral sclerosis (als)?

What's are future treatments for amyotrophic lateral sclerosis (als)?

Hope it arrives.: There is a lot of research and we have identified a misfolded protein as playing a role (superoxide dismutase). But we do not have a cure. Best we can do is Riluzole and palliative supportive care at this time. However, a variety of meds and approaches are being studied. Stayed tuned. ...Read more

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Are there any holistic treatments that definitely work for multiple sclerosis?

Are there any holistic treatments that definitely work for multiple sclerosis?

Try these: There isn't yet a cure for ms in any form of medicine but good nutrition, yoga, acupuncture, graded exercise, relaxation and guided imagery can all be helpful to people with ms. ...Read more

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Dr. Bennett Machanic
1,451 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and muscular coordination, blurred ...Read more