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| |
| MS: Acute severe attack |
 | Methylprednisone (Solumedrol): 1 gram iv infusion per
day x 3 to 5 days |
| Followed by oral Prednisone taper
 | 60 mg qd x 7 days, then 60 mg qod x 7 days, then 40 mg qod x 7 days, then
20 mg qod x 7 days, then stop |
|
| ? H2 blocker for ulcer prophylaxis |
| Monitor blood glucose |
| Watch for infection |
|
| Multiple Sclerosis Symptomatic Treatment |
|
|
| Fatigue & heat sensitivity |
| Amantadine (Symmetrel): 100 mg bid |
| Pemoline (Cylert):
| Chewable tab: 37.5 mg, Tab: 18.75, 37.5, 75 mg |
| dose: 18.75 mg - 37.5 mg am |
| use for short term |
|
|
| Neurogenic bladder: uninhibited, small capacity |
| Physical measure
| void on schedule q3h |
| Intermittent catherization |
|
|
| Propantheline bromide (Pro-Banthine)
| tab: 7.5, 15 mg |
| 15 mg qid, increase gradually |
| anticholinergic side effects |
|
| Oxybutynin (Ditropan)
| tab: 5 mg, syrup: 5 mg/5ml |
| 5 mg bid, max 5 mg qid |
| anticholinergic side effects |
|
| Detrol (Tolterodine)
| usual 2 mg bid |
| less dry mouth, reduce dose to 1 mg bid if liver dysfunction or on
macrolide antibiotics or antifungal agent |
|
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Multiple sclerosis info center
Multiple sclerosis overview
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