multiple sclerosis treatment 2022 at home


multiple sclerosis treatment

 Multiple sclerosis (MS) has no cure at the moment, however medications and other therapies can help manage the disease [JJ1] and alleviate some of the symptoms.

Treatment for MS is determined on the stage of the illness and the person's individual symptoms.

It might include the following:

  • Treating relapses of MS symptoms (with steroids)
  • Treating specific symptoms of MS
  • Reducing the number of relapses with treatment (disease-modifying therapies)
  • They will find a team of specialist experts to help them.
  • Physiotherapist, speech and language therapist, and physician specializing in physical therapy.
  • You will be a special MS nurse, and will be your main source of contact.
  • Currently, there are three types of treatment for multiple sclerosis: abortive treatments, preventative therapies, and symptomatic therapies.

  •  Multiple Sclerosis Treatment (MS)

New Infusion Therapy Center The Johns Hopkins Neurosciences Consultation and Infusion Center, located in Pavilion II at Green Spring Station in Lutherville, Maryland, is open and ready to serve you.

Therapies that aren't working

Exacerbations (also known as relapses, flare-ups, or episodes) are characterized as new or returning neurological symptoms that last at least 24 hours and are not caused by a metabolic cause such a fever. Because exacerbations might impair one's capacity to function, the purpose of therapy is to hasten recovery.

Steroids are occasionally used for acute exacerbations of symptoms to decrease the duration and intensity of the episode. These aren't the same steroids that professional athletes use, as we've seen in the press.

Glucocorticoids are a kind of steroid used to treat MS. Glucocorticoids are anti-inflammatory drugs that are used to treat a variety of diseases and disorders (such as allergic reactions and asthma). In MS, methylprednisolone is commonly administered intravenously (via a vein in the arm) once a day for three to five days. The intravenous steroid is sometimes followed with steroid tablets, which are given in a decreasing dosage for another 1-2 weeks.

Preventive Medicine

Seven preventative therapies have been licensed by the FDA in the last 17 years to minimize the frequency and severity of multiple sclerosis exacerbations or to treat deteriorating MS. These therapies are, in a nutshell:

Interferon beta-1a is a beta interferon that is administered once a week through intramuscular injection or three times a week via subcutaneous injection.

Interferon beta-1b is a kind of beta interferon that may be injected under the skin every other day. The frequency will vary depending on the treatment.

Interferon betas all function in the same way, inhibiting particular immune system cells and processes to lessen the inflammatory process associated with MS.

Interferon betas have a history of causing a variety of adverse effects. Redness and moderate pain at the injection site are common, as are flu-like symptoms such as fever, chills, achiness, and exhaustion, as well as abnormalities in liver function. Blood must be drawn for safety testing every few months while someone is receiving interferon. Depression and abnormalities in the menstrual cycle are possible adverse effects.

Glatiramer acetate is a synthetic protein that resembles a component of myelin in structure. This is injected beneath the skin once a day.

Glatiramer acetate is expected to function by stimulating the immune system to create more anti-inflammatory immune cells, which will assist to lessen the inflammation found in MS.

Glatiramer acetate has a number of adverse effects, including redness, itching, and swelling at the injection site. A small percentage of patients may also develop a transient "post injection response," which includes flushing, racing heart, faintness, and shortness of breath.

All of the interferons and glatiramer acetate are injected (shots). Patients and family members can learn how to inject these drugs through education programs.

Natalizumab is a monoclonal antibody that is administered once every four weeks through intravenous (via a vein in the arm).

Natalizumab works by preventing lymphocytes, which are immune cells, from accessing the central nervous system (brain and spinal cord)

Natalizumab has been linked to an uncommon, severe, and potentially deadly brain illness called PML (progressive multifocal leukoencephalopathy)

Mitoxantrone is a chemotherapeutic medication used to treat relapse MS and secondary progressive MS that has worsened. Every three months, it is administered as an intravenous infusion. This medicine can only be administered in a limited number of doses during the course of a person's life due to its high toxicity.

Mitoxantrone suppresses the immune system and lowers the total amount of immune cells that may be causing inflammation in MS patients.

Mitoxantrone has a slew of negative side effects, including cardiotoxicity

Treatments for Symptoms

Multiple sclerosis can cause a variety of symptoms because the inflammation and damage caused by the disease can disrupt normal nerve communication in the brain and spinal cord. Some of them may be temporary, while others may become permanent. Symptom management necessitates effective communication between the patient and the MS physician, perseverance, and, in many cases, the skills of many doctors. The basic aims of symptom management are to keep people independent and improve their quality of life.

Although drugs are available to help with a variety of symptoms, they may only be part of the solution. Physical therapy and occupational therapy, for example, are frequently effective in restoring and maintaining normal function. Specialist consultations with urologists, psychiatrists, and pain management experts may be very beneficial. Changes in mobility may necessitate the consultation of an orthotics specialist as well as a physical and occupational therapist.

The best technique for long-term management of multiple sclerosis is a coordinated, comprehensive, multidisciplinary approach to MS therapy.

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