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      MS SYMPTOM MANAGEMENT
Medications and other medical procedures and strategies may be used to help treat some of the symptoms from MS. For instance, moderate exercise and yoga, as approved by one's physician, can help to reduce fatigue. Various types of counseling can be an important component in treating depression, often in conjunction with a prescribed medication. Cognitive evaluation and intervention can assist individuals with memory and processing issues, while several types of therapies (including physical, occupational, and speech) can help with a host of movement, strength, coordination and other symptoms that can affect one's quality of life and daily functions                            
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Below is a list of medications that may be prescribed or recommended by physicians for the treatment of MS symptoms. While this list includes many of the medications commonly prescribed for the individual symptoms noted, other drugs not appearing on the list may also be prescribed by a physician, depending on the specific circumstances and the doctor's preferences. Additionally, not all symptoms are included on this list; only those that may be treated with prescribed medications.

MS Symptom Management Medications

*Anxiety

Xanax
http://www.drugs.com/xanax.html 

Valium
http://www.drugs.com/valium.html 


*Bladder Control

Percutaneous Tibial Nerve Stimulation (PTNS)
A problem with bladder function that causes the sudden need to urinate.
Overactive bladder happens mostly in women but may occur in men. Aging, an enlarged prostate, and diabetes are all risk factors.
The urge to urinate may be difficult to control and lead to the involuntary loss of urine (incontinence). It may be embarrassing or limit activity.
Treatments such as pelvic floor muscle exercises, medications, and nerve stimulation can reduce or eliminate symptoms.​

https://multiplesclerosisnewstoday.com/news-posts/2019/11/05/need-to-know-why-utis-are-problematic-for-people-with-ms/

Article
http://www.dailystrength.org/health_blogs/dr-orrange/article/8-things-you-need-to-know-about-an-
overactive-bladder

Botox 
http://www.companies-uk.co.uk/boxtex-ltd-07191219 
***D-Mannose for UTI: Dosage, Treatment, Side Effects, and MoreD-Mannose Supplement-Alerna Health www.healthline.com › health › d-mannose-for-uti

https://alernakidneyhealth.com/
D-Mannose is a type of sugar related to the better-known glucose. Many people take D-mannose for treating and preventing urinary tract infections (UTIs), Detrol
http://www.drugs.com/detrol.html

Ditropan
http://www.rxlist.com/ditropan-drug.htm   

Enablex
http://www.enablex.com

Generic: Oxybutynin
http://en.wikipedia.org/wiki/Oxybutynin

Levbid
http://www.drugs.com/mtm/levbid.html

Sanctura
 http://www.drugs.com/pro/sanctura-xr.html

Toviaz
http://www.toviaz.com

Vesicare
http://www.vesicare.com

Urinary Track Infection
Between 70 and 90 percent of people with MS develop some bladder dysfunction over the course of the disease which places them at increased risk for UTIs. Chronic UTIs are prevalent, particularly among women with disabilities.
 

*Depression
 
Zoloft      
http://www.drugs.com/zoloft.html

Prozac
http://www.prozac.com 

Paxil
http://www.drugs.com/paxil.html 

Lexapro      
http://www.drugs.com/lexapro.html 

Wellbutrin
http://www.rxlist.com/wellbutrin-drug.htm

* Energy

MitoQ LTD
mitoq.com



* Exasperation-Relapse Medications

Acthar Gel-Infusion
1-800-465-921

http://www.actharmsrelapse.com/learn-about-acthar.html

Extavia
http://www.extavia.com
Patient Support  866-925-2333

Solu-medrol - Steroid
http://www.webmd/drugs/drug-6135-Solu-Medrol+Inj.aspx?drugid=6135&drugname=Solu-Medrol+Inj

Prednisone-  Steroid
http://www.ncbi.nlm.ov/pubmedhealth/PMH0000091/http://www.mayoclinic.com/nih.ghealth/steroids/HQ01431 


* Fatigue

Amantadine
http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/treatments/medications/amantadine/index.aspx

Nuvigil
http://www.nuvigil.com
 
Provigil 
http://www.provigil.com


*Incontinence Products

Incontinence Products & Services
Back In Motion
Rhonda Fiorillo
775-746-2206
www.backinmotion.net

 http://www.mayoclinic.com/print/incontinence-products/WO00124/METHOD=print

In Tone unit
http://www.incontrolmedical.com/shop/
$795.00 retail or
48.83 per month 6 months

E  Stim unit
LG Med Supply company $109.00
http://search.store.yahoo.net/yhst-14827549492814/cgi-bin/nsearch?catalog=yhst-14827549492814&.autodone=http%3A%2F%2Fsearch.store.yahoo.net%2Fyhst-14827549492814%2Fcgi-bin%2Fnsearch%3Fcatalog%3Dyhst-14827549492814&query=E+Stem+unit&x=0&y=0

Tens Unit Store $99.95
http://www.tensunitstoreonline.com/tens-units/dual-combo-tens-muscle-stimulator-twin-stim/


* Memory & Cognition

Aricept
http://www.aricept.com
http://www.drugs.com/aricept.html

Cerefolin
http://cerefolinnac.com
patient assistance program available through Brand Direct Pharmacy 1-866-331-6440

​Mylen Replacement

Supplements
Prevagen
https://www.prevagen.com/


Ageless Brain
Organix

https://agelessbrainformula.com


Ideal Brain
https://www.facebook.com/Idlebraindotcom


Cresceo Brain Health Supplement
http://www.medixselect.com/page/cresceovideog?src=G1051&gclid=CICposHZoMICFSho7AodKFYAEg


Ginkgold -Supplement Natures Way
http://www.slate.com/articles/life/brains/2007/04/ginkgo_bilobaforget_about_it.html

Online Brain Training

Cognifit

https://www.cognifit.com/

Lumosity
https://www.lumosity.com


* Pain
 

Neurontin
http://www.medhelp.org/posts/Addiction-Substance-Abuse/Neurontin-for-Chronic-Pain/show/433
      
Percocet    
http://www.drugs.com/percocet.html
    
Norco
http://www.drugs.com/norco.html 

Lyrica    
http://www.drugs.com/lyrica.html

Vicodan
http://www.drugs.com/misspellings/vicoden.html

* Sleep

Sleep disorders associated with multiple sclerosis
Many of the symptoms of multiple sclerosis (MS) contribute to or cause sleep problems, which in turn worsen symptoms of MS.
 https://www.tuck.com/multiple-sclerosis-sleep/

* Spasticity

Baclofen
http://www.medicines.org.uk/guides/baclofen/muscle%20spasm
The latest development in the delivery system for Medtronic ITB Therapy (Intrathecal Baclofen Therapy) for severe spasticity! We’ve just introduced a new catheter, as part of the system used to deliver ITB Therapy. The catheter is a thin, flexible tube that delivers your spasticity medication from the pump to your spine.

The new Ascenda™ catheter is 6 times stronger than previous Medtronic catheters. This is important because it may reduce complications and help ensure that your therapy is not interrupted – even during the activities of daily living.
http://www.drugs.com/baclofen.html

Botox for Tremors
https://mail.google.com/mail/ca/#inbox/138a531ebbc5513c

Keppra
http://www.drugs.com/sfx/keppra-side-effects.html

Requip
http://www.drugs.com/requip.html

***Sativex
http://www.gwpharm.com/Sativex.aspx

Zanaflex
http://www.drugs.com/zanaflex.html 


*Walking

Ampyra
http://ampyra.com
http://www.drugs.com/ampyra.html
http://wwwmsviewsandrelatednews.blogspot.com/2012/10/ampyra-two-year-safety-data-presented.htmlhttps://mail.google.com/mail/u/0/?hl=en&shva=1#inbox/1400ccebe844ce25
financial assistance program available
Usage data           
http://my.clevelandclinic.org/search/results.aspx? k=ampyra+study&s=Entire+Site 

*Ampyra pamphlet:

Don't Wait to Talk about Walking

Some people with MS change how they walk to cope with having walking problems. 
They may favor one leg or lean on furniture while walking around their house. 
Others simplyavoid situations that require too much walking.
If you have noticed a problem with your walking due to MS, DON'T WAIT, talk to
your healthcare provider!

Did you know 70% of people who reported MS-related walking problems say that
trouble walking is the most challenging aspect of MS?'
Despite this challenge, people may not talk to their doctor about walking problems
for many reasons:
*Possible embarrassment or fear of losing independence
*Walking problems can start slowly and go unnoticed for a long time
*Wanting to ignore a problem or waiting for a doctor to notice a problem first
*Not knowing that walking problems can often be treated

" I had walking problems for four years before I was diagnosed with MS.
Now I make sure to monitor my walking and review my progress with
my doctor and my physical therapist at every visit. "

MS Specialty Treatments(Local)

*Acupuncture

http://www.thefinleycenter.com/


Renown Medical Acupuncture
Acupuncture@renown.org
775-982-8255
Symmetry Acupuncture
http://symmetryacupuncture.com/
775.329.5100

*Dry Needling

Align Physical Therapy

http://www.alignptgroup.com/
(775) 360-5564


*Cannabis Medicinal

Medicating with Mary

Medicinal cannabis is ENTIRELY different than recreational
www.marymedibles.com

*Cognitive

The Continuum

https://continuumreno.com/
775-829-4700

*Hyperbaric Oxygen Therapy
www.nevadahyperbarics.com/
(775) 826-2084
(Review)
http://www.mayoclinic.com/health/hyperbaric-oxygen-therapy/my00829 


*Physical Therapy

Align Physical Therapy

http://www.alignptgroup.com/
(775) 360-5564

Back in Motion
http://www.backinmotion.net/
(775) 746-2206

The Continuum
https://continuumreno.com/
775-829-4700

Renown Physical Therapy
https://www.renown.org/explore/transitional
775-982-2781

St Mary's Health & Fitness Center
https://www.saintmarysfitness.com/
775-770-3800

*Speech Therapy

The Continuum
https://continuumreno.com/
775-829-4700

*Multi-Treatment

Sierra Integrated Medical Center

MS, Parkinson’s & Motor Neuron Diseases
http://www.sierraintegrative.com/clients/ogorman.htm


                                              



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