Multiple sclerosis (MS): symptomatic treatments

Evidence-based neurology checklist on multiple sclerosis (ms): symptomatic treatments: Fatigue: drug treatments Amantadine Modafinil Methylphenidate A recent systematic review however suggested that these are all no better than placebo Fatigue: non-drug treatments Urinary symptoms Spasticity…

Fatigue: drug treatments

  • Amantadine
  • Modafinil
  • Methylphenidate
  • A recent systematic review however suggested that these are all no better than placebo

Fatigue: non-drug treatments

Urinary symptoms

Spasticity

Tremors

Tonic spasms

Emotional lability

Oscillopsia

References

  1. Rejdak K, Jackson S, Giovannoni G. Multiple sclerosis: a practical overview for clinicians. Br Med Bull 2010; 95:79-104.
  2. Multiple sclerosis: management of multiple sclerosis in primary and secondary care. NICE clinical guidelines [CG186]. October 2014.
  3. Perry M, Swain S, Kemmis-Betty S, Guideline Development Group of the National Institute for Health and Care Excellence. Multiple sclerosis: summary of NICE guidelines. BMJ 2014; 349:g5701.
  4. Nourbakhsh B, Revirajan N, Morris B, et al. Safety and efficacy of amantadine, modafinil, and methylphenidate for fatigue in multiple sclerosis: a randomised, placebo-controlled, crossover, double-blind trial. Lancet Neurol 2021; 20:38-48.
  5. Coe S, Cossington J, Collett J, et al. A randomised double-blind placebo-controlled feasibility trial of flavonoid-rich cocoa for fatigue in people with relapsing and remitting multiple sclerosis. JNNP 2019; 90:507-513. 
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