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7 Cards in this Set

  • Front
  • Back

Pathology of ms

Demyelination of focal areas

Features of ms

Weakness


Numbness


Tinglingling


Urinary urgence


Blurry vision


Tests for ms

Mri ( most accurate) with gadolinum to see active ms


Evoked response potentials (slow,abnormal)


Csf (mild pleocystosis) protein level should not exceed 100mg/dl


Elevated iGg index(oligoclonal bands)


Tx of ms

Disease modifying agents


Interferon beta 1a


Interferon beta 1b


Glatiramir acetate (co polymer 1)


Fingolimod


Dalfampridine


Decreasing acute exacerbations


Interferon beta 1b


Mitoxantrone(cardiotoxic)


Also


Methotrexate


Ivig


Azathioprone



Which drugs not used in first time tx of ms

Mitoxantrone


Cyclophosphamide


Natalizumab

Which drugs stop exacerbation of ms

Glucocorticoids


Plasma exchange

Which drugs are. Used to treat the complications of ms

Spasticity beclofentizanidine,diazipam for


Trigeminal neuralgia


Carbamezepine ,gabapentin,pregabalin,tca antidepressants


Bladder hyperactivity oxybutynin


Urinary retension bethanechol


Fatigue amantadine,fluoxetine.


Erectile dysfunction. Sildenafil acetate