Symptom Management

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Symptom
Bladder Dysfunction
Medication Name

Urinary antispasmodic

  • Botulinum toxin (Botox*)
  • Imipramine (generics)
  • Mirabegron (Myrbetriq* and generics)
  • Oxybutynin (generics)
  • Solifenacin succinate (Vesicare* and generics)
  • Tolterodine (Detrol* and generics)
  • Trospium chloride (generics)

Promote the flow of urine

  • Darifenacin (Enablex* and generics)
  • Prazosin (generics)
  • Tamsulosin (generics)

Suppression and treatment of urinary tract infections

  • Ciprofloxacin (generics)
  • Fosfomycin (Ivozfo* and generics)
  • Nitrofurantoin (generics)
  • Sulfamethoxazole (Septra*, Sulfatrim* and generics)

Urinary suppressant

  • Desmopressin (Bipazen* and generics)

Intermittent self-catheterization or indwelling catheter

  • discuss with your physician
Symptom
Bowel Dysfunction
Medication Name

Stool softener

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

Constipation

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

Tricyclic antidepressant

  • Amitriptyline (generics)
  • Nortriptyline (generics)

Selective Serotonin Reuptake Inhibitors (SSRI)

  • Citalopram (Celexa* and generics)
  • Escitalopram (Cipralex* and generics)
  • Fluoxetine (generics)
  • Paroxetine (Paxil* and generics)
  • Sertraline (Zoloft* and generics)

Serotonin–Norepinephrine Reuptake Inhibitors (SNRI)

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

CNS stimulant

  • Amantadine (generics)
  • Methylphenidate (generics)
  • Modafinil (Alertec* and generics)
Symptom
Numbness
Medication Name
  • Corticosteroids (in very severe cases)
Symptom
Pain
Medication Name

Neuropathic pain and paresthesias

  • Amitriptyline (generics)
  • Cannabis sativa L. extract (Sativex*)
  • Carbamazepine (Tegretol* and generics)
  • Cyclobenzaprine (generics)
  • Gabapentin (Neurontin* and generics)
  • Nortriptyline (generics)
  • Pregabalin (Lyrica* and generics)

Muscle relaxant

  • Baclofen (generics)
  • Lorazepam (Ativan* and generics)
  • Methocarbamol (generics)

Analgesics and anti-inflammatory agents

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

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

  • Prednisone
  • Methylprednisolone 
Symptom
Sexual Dysfunction
Medication Name

Decreased vaginal lubrication

  • Water-soluble lubricants (KY Jelly*)

Erectile dysfunction

  • Alprostadil (Caverject*, Vitaros* and generics)
  • Papaverine
  • Sildenafil (Viagra* and generics)
  • Tadalafil (Cialis* and generics)

Relief of pain (dysesthesias)

  • Carbamazepine (Tegretol* and generics)

     

Symptom
Spasticity
Medication Name

Muscle relaxant

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

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

  • Anticholinergics (oxybutynin generics)
Symptom
Tremor
Medication Name

Anticonvulsant

  • Gabapentin (generics)
  • Primidone (generics)
  • Topiramate (generics)

Beta blocker

  • Propranolol (generics)

 

Symptom
Vertigo/Dizziness
Medication Name

Antiemetic (anti-nausea)

  • Dimenhydrinate (Gravol* and generics)
  • Ondansetron (generics)
  • Prochlorperazine (generics)

 

Symptom
Vision Problems
Medication Name

Corticosteroids

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

 

Symptom
Walking
Medication Name

Potassium channel blocker

FAMPYRA™
Merz Connect™ Patient Support Program
1-833-839-7177 
MerzConnect@bayshore.ca

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

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