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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for multiple sclerosis

Hello Dr. Rynne, I am a wife and mother, and I was diagnosed with Multiple Sclerosis about 4 years ago. My MS is a very aggressive form, and I went from being an avid marathon runner and high achiever in the workplace, to being unable to walk without assistance and unable to work a full time job of any kind. Now all of this has hit me very suddenly, and I am still trying to understand how I am going to cope with such drastic life changes. MS has potential to be a very painful disease. I have spasticity in my legs that feel like a constant Charlie Horse cramp that won t release. I also have trigeminal neuralgia, agonizing face pain. So, all of this to offer you background. My problem is that I have become addicted to narcotic pain medication. I can t stand that I need to use it. I would like to know that since I have to be on this medication for the rest of my life (unless there is a cure or new medication). Can you tell me what kind of damage will happen to my body over the upcoming years as a result of less active lifestyle in combination with a drug addiction? I am very concerned about my future. In essence I would like to know the long-term risks of daily narcotic medication use. Thank you so very much for taking the time to answer my question! Regards, Cindy
Mon, 26 Nov 2018
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Cardiologist 's  Response
Hello,

I passed carefully through your question and would explain that opioids can lead to addiction and tolerance if taken for a long time.

This means that you will need higher doses in the future and you will feel withdrawal syndrome if you stop taking them.

For this reason, I would recommend taking Gabapentin or duloxetine to help with the chronic pain and gradually stop taking narcotics.

A lot of physiotherapies will help improve your situation.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka,
Cardiologist
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Suggest treatment for multiple sclerosis

Hello, I passed carefully through your question and would explain that opioids can lead to addiction and tolerance if taken for a long time. This means that you will need higher doses in the future and you will feel withdrawal syndrome if you stop taking them. For this reason, I would recommend taking Gabapentin or duloxetine to help with the chronic pain and gradually stop taking narcotics. A lot of physiotherapies will help improve your situation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist