Treatment of fatigue in multiple sclerosis. A systematic review of the literature.
Fatigue National Multiple Sclerosis Society
Adapted from MacAllister and Krupp 10.

Multiple sclerosis fatigue treatment. Combining sensible exercise with a balanced diet can help you maintain a healthy weight and get the energy you need. Multiple Sclerosis News Today. Making sure you get proper rest scheduled into your day as well as learning to prioritise tasks can make fatigue easier to manage.
The most commonly used agents for pharmacological treatment for fatigue in pwMS include amantadine modafinil and pemoline 9. Amantadine and modafinil are among the most commonly used medications for fatigue associated with MS. There isnt an FDA-approved drug to treat MS-related fatigue.
Management and Treatment Are there non-medical treatments for MS-related fatigue. Treatment of fatigue is best approached in a multidisciplinary fashion that incorporates nonpharmacological interventions as well as medication. There are lots of things you can try to manage your levels of MS fatigue.
Lessening MS fatigue without medications The NMSS and the Cleveland Clinic both suggest fatigue-reducers such as exercise physical therapy and relaxation therapy. Occupational therapy to simplify tasks at work and home and conserve energy use. A 2012 study found that taking 100 milligrams of aspirin twice per day significantly reduced MS-related fatigue.
A number of studies have shown that regular exercise usually with some aerobic cardiovascular component helps with MS-related fatigue. While there are currently no FDA-approved treatments for MS-related fatigue there are management strategies that can help lessen the symptom including. Fatigue is common in people with multiple sclerosis MS and symptoms of fatigue are often reported as the most debilitating symptoms of the disease.
Amantadine Gocovri an antiviral drug that may help with MS fatigue. But your doctor can give you certain kinds of medicine if they think theyll help. Both medications have been studied with positive results in controlled clinical trials.
Physical therapy to develop a regular exercise program to prevent deconditioning. Regular exercise is also good for balance endurance weight loss and well-being. Treatment of fatigue in multiple sclerosis.
Some strategies to manage fatigue include. It is important to use the principle of energy conservation. A systematic review of the literature Fatigue is common in people with multiple sclerosis MS and symptoms of fatigue are often reported as the most.
There are non-medical treatments for fatigue related to MS. They include amantadine Gocovri and modafinil Provigil two drugs used off-label. Drowsiness a common side of effect of several antispasmodics including cyclobenzaprine and the benzodiazepines may be perceived or reported as fatigue.
Thats called an off-label use. Physical or occupational therapy which can teach ways to simplify or more easily perform daily tasks Regular exercise which can build endurance and reduce fatigue long-term. Fatigue is one of the most frequent symptoms of multiple sclerosis MS and one of the main reasons for underemployment and early retirement.
A systematic review of published literature examining pharmacological and psychosoc. However there are few reports of interventions for fatigue in MS. Unfortunately the exact cause of MS-related fatigue is often unknown or there may be multiple causes.
Treatments for Fatigue in Multiple Sclerosis Evidence Maps on Treatments for Fatigue in MS A broad range of fatigue interventions for multiple sclerosis MS exists including drugs exercise cognitive behavioral therapy self-management strategies and non-invasive brain stimulation. If you try the tips in this article and nothing works there are medication options to help reduce fatigue. Clinical decision-making flow chart for treating fatigue in MS.
The mechanisms of MS-related fatigue are unknown but comorbid disorders play a major role. Anemia diabetes side effects of medication and depression should be ruled out. Physical therapy to learn energy-saving ways of walking with or without assistive devices and performing other daily tasks.
However important questions remain regarding efficacy. A number of studies have shown that regular exercise usually with some aerobic cardiovascular component helps with MS-related fatigue. Medications used to treat symptoms of MS have the potential to cause fatigue.
There are non-medical treatments for fatigue related to MS. Regular exercise is also good for balance endurance weight loss and well-being. Pain medications or anxiolytics may have a similar effect.
Fatigue is common in people with multiple sclerosis MS and symptoms of fatigue are often reported as the most. The best way to combat fatigue related to your MS is to treat the underlying medical cause.
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