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How are paroxysmal symptoms in multiple sclerosis (MS) treated?

Treatment for paroxysms in multiple sclerosis (MS) depends on whether or not they interfere significantly with your normal routine and comfort, or whether they are minor annoyances that can be taken in stride. Your healthcare team will want to rule out causes other than MS for the symptoms before prescribing treatment. Things that may be examined are dental problems with tooth or facial pain, hormonal imbalances with “hot flashes,” or diabetes with foot or hand pain. Very effective treatments are available that can be used for a period of weeks or months to address and control the symptoms, and then may be tapered and stopped in some cases.
 
Most of the effective medications for paroxysmal symptoms come from the antiseizure drug group or the tricyclic antidepressant drugs like Neurontin, Keppra, Tegretol, Elavil, or Deseryl. Many of these effective treatments can be used in far lower doses (with fewer side effects) than the therapeutic dose for the condition for which they were initially used. 

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.