Multiple Sclerosis
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system).
Signs and symptoms
- Numbness or weakness in one or more limbs that typically occurs on one side of your body at a time, or your legs and trunk
- Electric-shock sensations that occur with certain neck movements, especially bending the neck forward (Lhermitte sign)
- Tremor, lack of coordination or unsteady gait
- Partial or complete loss of vision, usually in one eye at a time, often with pain during eye movement
- Prolonged double vision
- Blurry vision
- Slurred speech
- Fatigue
- Dizziness
- Tingling or pain in parts of your body
- Problems with sexual, bowel and bladder function
Diagnosis
Blood tests, CT-scan, MRI.
Treatement
Tab. Amantadine 100mg BD daily
Cap. Gabapentin (Gabix) 100mg at night for 1 month
Tab. Bisacodyl 5mg
Diazepam (valium) 2-10mg every 6-12 hours
Physiotherapy
Cognitive behavioural therapy (CBT)