MS Specific Problems Treatment

Question 1

Fatigue (once other problems have been ruled out)

Answer 1

Amantadine 1st line

Also consider mindfulness and CBT

Question 2

Spasticity

Answer 2

Baclofen and gabapentin first line
Diazepam, dantrolene and tizanidine second line
Physio important

Question 3

What do you need to do when someone has bladder dysfunction in MS?

Answer 3

Get an ultrasound first to assess bladder emptying

Question 4

Bladder dysfunction in MS with significant residual volume

Answer 4

Intermittent self-catheterisation

Question 5

Bladder dysfunction in MS with no significant residual volume

Answer 5

Anticholinergics

Question 6

Oscillopsia (visual fields appear to oscillate)

Answer 6

Gabapentin first line