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Suggest Management For Multiple Sclerosis
Yes thank you..my question is I m trying to help a young lady my niece get some medical help with her MS..she has terrible attacks and has been in the er almost every night this week..its almost unbearable to watch her body go through so much torment..today they gave her valium which we realize only clams down the for the moment...is there anything else ? Olga
Tue, 1 Jul 2014
Hi,
Thank you for posting your query.
I have noted your niece's symptoms.
I assume that the diagnosis of multiple sclerosis (MS) has been confirmed in her. This includes doing MRI of brain and spinal cord, lumbar puncture and evoked potential studies.
Regarding treatment, for acute episodes of MS, the choice of treatment is methylprednisolone injections (high dose steroids). This is generally given at a dose of 1 gram daily for 3-5 days.
Subsequently, we need to start immunosuppressive therapy to prevent relapses of symptoms. interferon injections are the most popular for this purpose.
For relieving nerve pain, she can be started on pregabalin or gabapentin capsules.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query.
I have noted your niece's symptoms.
I assume that the diagnosis of multiple sclerosis (MS) has been confirmed in her. This includes doing MRI of brain and spinal cord, lumbar puncture and evoked potential studies.
Regarding treatment, for acute episodes of MS, the choice of treatment is methylprednisolone injections (high dose steroids). This is generally given at a dose of 1 gram daily for 3-5 days.
Subsequently, we need to start immunosuppressive therapy to prevent relapses of symptoms. interferon injections are the most popular for this purpose.
For relieving nerve pain, she can be started on pregabalin or gabapentin capsules.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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