I have an appointment with my MS specialist but it’s not until sept 4th and the MS hug has been intolerable. It’s been happening every day. Some days the hug feels like I’m going to die for about 5 min to 5 hours and others it is a pain that makes me feel tight and short of breath all day. This times it’s been several days straight. Is there anything to treat this that has fast control? Should I go to the ER? I’m just not sure what to do from here. This is awful :(
Please ask your primary care doctor to prescribe a treatment for this symptom while you wait for your neurological visit in September.
I would suggest trying gabapentin first (up to max dose of 900 mg three times a day) and if this is not tolerated or helpful try oxcarbazepine next (up to a maximum dose of 600 mg twice a day)
Your Primary care doctor can look up how to start and titrate up the dose. Your pharmacist can explain the potential side effects, but low starting doses of each medication is tolerated by most people.
Revere (Rip) Kinkel MD
Professor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
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