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RE: Meds/treatments

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Hi!

I'm on Rebif, Monday, Wednesday, Friday. I've been on it since October 03. I did have flu like symptoms but not any more. I'm fine and have no side effects.

-Dave

-----Original Message-----From: celesiac Sent: Saturday, February 28, 2004 3:45 AMTo: MSersLife Subject: Meds/treatmentsThanks everyone for the welome. I do have some questions though. What are the different meds and treatments everyone is on? Celesia

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Celesia,

Excuse my running off at the mouth here, but I'll share with you some

of what I've seen folks use. First thing: listen to your body. Rest

when you need to, expecially early on. There is an adjustment time,

when you get used to our "uninvited guest". What things bring on a

flare of symptomes? What makes it better, what worse? It is scarey at

first, until you have things sorted out. Be sure to remember, and

reassure your family and loved ones: you are still you, and will still

be you.

Now some things to consider: MS patients

should be evaluated for PT and establish a regular exercise program

(initially supervised) to strengthen and maintain their muscle function.

Many of those with MS use alternative methods to help with their

symptoms. Meditation, relaxation response, prayer, Tai Chi, herbal

meds/vitamins, etc. help people deal with the symptoms of MS. Each

individual has to decide which method, or combination of methods, works

best for them. Each of these methods has effects/side effects that need

to be considered.

What medicines MS patients take are usually drugs to treat symptoms, as

well as those to stabilize the MS. ALL MEDS SHOULD BE USED AS DIRECTED

BY DOC. These symptoms should be evaluated to make sure that there

is not something else causing them. Just because one has MS, it doesn't

mean that other things may not cause some of the same symptoms.

Depending on the symptoms, some may use:

one of the ABC drugs to stabilize and prevent

relapses-that's Avonex, Betaseron, Copaxone. It is recommended that everyone

with MS discuss with your doc using one of these drugs.

for spasms: neurontin, baclafen, trileptal

for pain-this burning, freezy-cold pain is a type of pain

called neurogenic pain, and

the meds used for spasms may help here also. A certain class of

anti-depressants that is used for nerve pain, for example

amitriptyline, may also help. OTC meds, such as tylenol and

acetomenophen may be used (ONLY AS DIRECTED), and then narcotics may be

added if these others don't do the trick. Some try to "tough it out",

but consider: chronic pain

makes it hard for us to do all that we can do; it upsets the immune

system; it contributes to depression.

for urinary incontenence: one of the anti-spasm meds may

help; and then the "gotta go" meds, such as Detrol, may be used. Again,

be sure that there is not something else causing this. Exercises

controlling pelvic muscles may help here also.

for depression: Monitor this, and don't be afraid to discuss

this with your support group and physician; and re-evaluate it on a

regular basis. Heaven knows that we have enough to be depressed about!

Our family may see things that we don't, as far as how we are acting.

If you are considering hurting yourself or someone else, go directly to

an Emergency Room! That's the disease talking, and you can be

helped. Remember, you have MS. MS doesn't have you!

for acute relapses: IV steroids may be used acutely, and

long-term steroids may be used in some cases. This brings on its own

subset of symptoms and complications; most folks aren't on steroids

long-term.

for persisting or progressive symptoms: chemotherapy meds

such as immuran may be used, if the autoimmune process persists. The

idea here is to shut down the immune system, hoping that it will then

"reset" itself and stop attacking what it shouldn't-your myelin!

treatments: some may get IV injection of immunoglobulin, to

stabilize the immune system. This is not effective for everyone, and is

used generally only if symptoms are not responding to other treatments.

Plasma pheresis, is a treatment sort of like dialysis, where the blood

is circulated through a machine, treated, and returned. This too is

uncommon and used usually only for progressive serious symptoms.

I want to stress again: these meds should only be

used under the direction of a physician. You should discuss

the symptoms with your doc, and the best way for you to deal with them.

Anything that goes in you or on you should be discussed with your

primary care provider. Herbal preparations are "medications" of a

different sort; they have their effects, their side-effects, and their

interactions. I am hesitant with them because their preparation may not

be controlled and uniform-the amount of active ingredient may vary

according to brand, or even batch to batch. Remember, just because they

are "natural", it doesn't mean that they are harmless. They are

"medicines" of a different sort, and should be considered as such.

In addition, regular exercise, a healthy diet, continuing hobbies that

bring you

joy, decreasing negative stress, these are all important parts to

dealing with MS. A good and happy

life is definitely possible with MS...ask anybody! ;-)

Sam

in pretty good shape for the shape she's in

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Hi Celesia!

I am on Copaxone. It's a once a day, sub-q (under the skin) shot. When I first started it, I had like a weird warming sensation for a few seconds after injecting. I do get warm, red, raised and itchy bumps/lumps at the injection site. You can used ice before and after to reduce that. Not much else to "report."

Rhonda

-----Original Message-----From: celesiac Sent: Saturday, February 28, 2004 3:45 AMTo: MSersLife Subject: Meds/treatmentsThanks everyone for the welome. I do have some questions though. What are the different meds and treatments everyone is on? Celesia

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