Symptom Management

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Symptom
Bladder Dysfunction
Medication Name

Urinary antispasmodic

  • Botulinum toxin (Botox*)
  • Flavoxate (Urispas*)
  • Imipramine (Tofranil*)
  • Mirabegron (Myrbetriq*)
  • Oxybutynin (Ditropan*)
  • Solifenacin succinate (Vesicare*)
  • Tolterodine (Detrol*)

Promote the flow of urine

  • Tamsulosin (Flomax*)
  • Prazosin (Minipress*)
  • Darefenasin (Enablex*)

Suppression and treatment of urinary tract infections

  • Ciprofloxacin (Cipro*)
  • Nitrofurantoin (Macrodantin*)
  • Sulfamethoxazole (Bactrim*, Septra*)

Urinary suppressant

  • Desmopressin (DDAVP*)

Intermittent self-catheterization or indwelling catheter

  • discuss with your physician
Symptom
Bowel Dysfunction
Medication Name

Stool softener

  • Docusate oral (Colace*)
  • Docusate enema (Enemeez Mini Enema*)

Constipation

  • Bisacodyl (Dulcolax*)
  • Sodium phosphate (Fleet Enema*)
  • Psyllium hydrophilic mucilloid (Metamucil*)
  • Magnesium hydroxide (Phillips’ Milk of Magnesia*)
Symptom
Depression
Medication Name

Tricyclic antidepressant

  • Amitriptyline (Elavil*)
  • Nortriptyline (Aventyl*, Pamelor*)

Selective Serotonin Reuptake Inhibitors (SSRI)

  • Citalopram (Celexa*)
  • Fluoxetine (Prozac*)
  • Paroxetine (Paxil*)
  • Sertraline (Zoloft*)

Serotonin–Norepinephrine Reuptake Inhibitors (SNRI)

  • Mirtazapine (Remeron*_)
  • Venlaflxine (Effexor*)
  • Desvenlaflaxine(Pristiq*)
Symptom
Fatigue
Medication Name

CNS stimulant

  • Amantadine (Symmetrel*)
  • Methylphenidate (Ritalin*)
  • Modafinil (Alertec*)
Symptom
Numbness
Medication Name
  • Corticosteroids (in very severe cases)
  • Prednisone, methylprednisone (Solumedrol *)
Symptom
Pain
Medication Name

Neuropathic pain and paresthesias

  • Amitriptyline (Elavil*)
  • Nortriptyline (Aventyl*)
  • Gabapentin (Neurontin*)
  • Pregabalin (Lyrica*)
  • Carbamazepine (Tegretol*)
  • Phenytoin (Dilantin*)
  • Cannabis sativa L. extract (Sativex*)
  • Cyclobenzaprine (Flexeril*)
  • Narcotic analgesics-acetaminophen-oxycodone (Percocet*)

Muscle relaxant

  • Methocarbamol (Robaxin*)
  • Baclofen (Lioresal*)
  • Lorazepam (Ativan)

Analgesics and anti-inflammatory agents

  • Acetaminophen (Tylenol*)
  • Ibuprofen (Advil)
Symptom
MS Relapse
Medication Name

Reduce inflammation that occurs in the CNS during an MS relapse.

  • Prednisone (Deltasone*)
  • Methylprednisone intravenous (Solu-Medrol*)
Symptom
Sexual Dysfunction
Medication Name

Decreased vaginal lubrication

  • Water soluble lubricants (KY Jelly*)

Erectile dysfunction

  • Alprostadil (Caverject*, Muse*, Prostin VR*)
  • Papaverine
  • Sildenafil (Viagra*)
  • Tadalafil (Cialis*)
  • Vardenafil (Levitra*)

Relief of pain (dysesthesias)

  • Carbamazepine (Tegretol*)
  • Phenytoin (Dilantin*)
Symptom
Spasticity
Medication Name

Muscle relaxant

  • Baclofen, injection (Intrathecal Baclofen - ITB Therapy)
  • Baclofen, oral (Lioresal*)
  • Cannabis sativa L. extract (Sativex*)
  • Diazepam (Valium*)
  • Lorazepam (Ativan*)
  • Tizanidine (Zanaflex*)
Symptom
Speech and Swallowing Difficulties
Medication Name

Medication may be used to dry a mouth that is over-secreting

  • Anticholinergics (Ditropan*)
Symptom
Tremor
Medication Name

Anticonvulsant

  • Gabapentin (Neurontin*)
  • Levetiracetam (Keppra*)
  • Primidone (Mysoline*)
  • Topiramate (Topamax*)

Antibiotic

  • Isoniazid (Isoniazid*)

Beta blocker

  • Propranolol (Inderal*)

 

Symptom
Vertigo/Dizziness
Medication Name

Antiemetic (anti-nausea)

  • Dimenhydrinate (Gravol*)
  • Ondansetron (Zofran*)
  • Meclizine (Bonamine*)
  • Prochlorperazine (Compazine*, Stemetil*)

 

Symptom
Vision Problems
Medication Name

Corticosteroids

  • Methylprednisone Solu-Medrol (IV)
  • Prednisone Deltasone (oral)

 

Symptom
Walking
Medication Name

Potassium channel blocker

Fampyra* (Fampridine SR)
Biogen ONETM program: 1-855-676-6300

Taro-FAMPRIDINE (generic)
TaroCares program: 1-833-618-0571

PMS-FAMPRIDINE (generic)
ALLY Patient Support Program
1-833-255-9100