MS CHRONICLE ® Volume 10, Issue 2 April 2008 A Publication of Multiple Sclerosis Resources of Central New York, Inc. ® Message from the Executive Director: Spring is finally here! As I write this The 10th Anniversary MS Dinner of Hope though, the weather is rainy and cold. A was held on April 1 at the Empire Room, typical start to springtime in Central New President, Bill Jackson as our sole “Crusader for a Cure” and our volunteer Plans are underway for many educational award went to my daughter Kimberly for her programs this Spring. We are focused on tireless efforts and commitment to MS offering the best educational programs with Resources. Bill Jackson has been the the most up-to-date information to you. driving force of MS Resources and we were Specific flyers will be mailed to you so happy that on the 10th Anniversary we regarding locations, topics and speakers. could bestow this honor upon him. It was a We hope that you will join us for at least one wonderful night and we thank all our guests, program and bring a family member or sponsors and volunteers. Special thanks to friend along to gather information. Liz Ayers and Lucy Paris for all their help. Is there a campaign underway where you See you at a Service Program this Spring! work, such as the United Way or SEFA? You can designate MS Resources as your charity of choice. We do receive donor designation funds from these sources. Check with your HR Director to find out how you can designate MS Resources on Many thanks to everyone who participated in the Syracuse Walk. Though the weather was inclement in the morning, we still had 425 walkers! That’s great, we are so grateful to each and everyone of you. Also special thanks to all our volunteers, without you we would not be able to pull off this event so easily and to all our event sponsors, we applaud your continued interest and Recovery from Optic Neuritis
discomfort. This treatment can also help
you recover your vision faster, but it doesn’t
The prognosis following optic neuritis is
appear to affect the extent to which you will
generally good. Most people regain normal
vision 2 months, and as long as 6 months,
costeroids have also been found to reduce
after an episode of optic neuritis. People
the risk of developing MS in the following 2
with MS or neuromyelitis optica, however,
year period in those patients who have MRI
may experience recurrent attacks of optic
lesions (Beck et al., 1993). Corticosteroid
neuritis after they have recovered from the
therapy is administered by vein for 3 days.
initial episode. Other people without any
After IV therapy, an oral prednisone taper is
underlying conditions also may have recur-
given for several weeks (Beck et al., 1993).
rent optic neuritis; these people have a better
prognosis for their vision in the long term
than do people with neuromyelitis optica
(Beck, Cleary, & Backlund, 1994; Beck &
Trigeminal Neuralgia
The affected optic nerve becomes pale after
Trigeminal neuralgia is probably the most
optic neuritis and the affected pupil may not
characteristic acute pain associated with
react as well to light. Although visual acuity
MS; it affects 1 to 2 percent of people with
returns close to normal, residual visual sym-
the disease. It occasionally occurs on both
sides of the face (bilateral), but it is more
people with optic neuritis can have some
common on only one side of the face (uni-
lateral). It is due to a plaque, with demye-
people may experience decreased contrast
lination or scarring of the fifth cranial nerve.
sensitivity, defective color vision, subtle
It is very important to recognize trigeminal
visual field defects and reduced brightness
neuralgia and to differentiate it from facial
sensitivity. Some practical strategies in
pain caused by dental caries or periodontal
dealing with these visual problems will be
outlined in the next section (Beck et al.,
gone multiple tooth extractions before the
diagnosis of trigeminal neuralgia was finally
made. The treatment of trigeminal neuralgia is aimed at reducing abnormal firing along the fifth cranial nerve. Carbamazepine (Teg-retol) is frequently used to treat this con-dition. This drug can be effective in higher
doses, but sometimes the side effects (leth-
argy, mental cloudiness) can become intole-
Treatment of Optic Neuritis
rable. The most frequently reported side
Acute Treatment of Optic Neuritis
effect is fatigue, which also can be extreme-
Optic neuritis usually gets better on its own.
Corticosteroids help reduce inflammation in
manage trigeminal neuralgia include preg-
the optic nerve to reduce ocular pain and
clonazepam (Klonopin), baclofen (Lioresal),
Multiple Sclerosis and Depression
rontin), amitriptyline (Elavil) and opiate an-
Depression is very common in people with
MS. In fact, symptoms of depression severe
that amitriptyline was more effective in
affect up to half of all people with MS at
azepine. If trigeminal neuralgia is due to an
exacerbation of MS, treatment with IV ster-
Depression may be the result of a difficult
situation or stress. It is easy to understand
neuralgia, with frequent attacks during the
how having MS, with its potential for pro-
course of the disease. Misoprostol (Cyto-
gressing to permanent disability, can bring
tec), a long-acting prostaglandin-E analogue
(prostaglandins are thought to influence ner-
ve transmission; an analogue is a product
that is similar to the original) has been found
destroy the insulating myelin that surrounds
to be safe, and may be effective either alone
nerves that transmit signals affecting mood.
Depression is also a side effect of some
Surgical intervention may be required if the
drugs used to treat MS, such as steroids.
pain becomes persistent and disabling and
does not respond to management with oral
Everyone at one time or another has felt
invasive (without actually entering the body,
invasive (entering the body), or chemical. It
feeling of sadness becomes intense, lasting
involves destroying the nerve cells and ad-
for long periods of time and preventing a
jacent root, either permanently or tempo-
person from leading a normal life. This is
rarily. Temporary chemical destruction of
depression, a mental illness that, if left
the nerve may be accomplished with an in-
untreated, can worsen, lasting for years and
jection of glycerol into the affected area.
causing untold suffering. It is important to
Radio-frequency thermal rhizotomy (inter-
recognize the signs of depression, which
ruption of the nerve) can be effective and
may eliminate the need for high doses of
radiation to deaden the affected nerves, and
its benefits may last for weeks to several
Feelings of hopelessness or worthlessness
months. This procedure is performed by a
mended when all other measures have been
unsuccessful. It may need to be repeated.
negatively affecting your life—causing
MS and Pain-It’s not unusual to experience
difficulties with relationships, work issues or
physical pain when you’re living with MS.
family disputes—and there isn’t a clear
In addition to the common causes of pain, we’ll talk about pain management options, including things you can do to reduce pain’s
Once you decide to seek medical help, start
with your primary care doctor. He or she
medicines or another illness are not causing
your symptoms. Your doctor may prescribe
treatment or refer you to a mental health
Options for Managing Spasticity-Managing
thorough assessment so that an effective
coordination and energy level. We’ll discuss several treatment options that can help foster freedom of movement through
Several antidepressant drugs are available,
reduced muscle tension and stiffness.
Antidepressant drugs are most effective in
Augusta MS Center, Associate Professor of
treating depression in people with MS when
WebMD. Multiple Sclerosis and Depression.
Teleconferences The Role of Exercise in Managing MS-It can improve stamina, increase energy, and help RSVP required. you cope with stress. Find out why exercise One number for all-1-800-823-1880. Call today to set up a reminder call so you don’t is so essential to managing your MS and
miss the teleconference. Or simply call in
how to get started on a training program of
on your choice of teleconference nights to
Dr. Karla Ledoux-Coton, Neurological
Specialties, University of S. Florida Medical
Live Webevents
“What’s on the Horizon for MS Research”
happening in MS Research? Join us for this
Wednesday, May 28, 2008 8PM EST
Hit the Books! Understanding the Research
help you achieve balance and live your life
in full. Each educational session, hosted by
an MS expert, will focus on a new topic and
helpful tips and a fresh outlook. Throughout
the year-long series of monthly webevents,
Specific Flyers for each program will be
with relapsing MS, will lead interactive
mailed directly to you. Please RSVP by the
relevant topics. Please visit the above website to register and receive more information. Brought to you by EMD Serono, Inc. and
Upcoming Service Programs Support Group Information
Interested in sharing experiences about MS,
May 8, 2008 – Holiday Inn – Utica Business Park, New Hartford NY
come with family or friends to a meeting.
“Alternative Therapies in MS” with Sandy
Syracuse Area-
complementary therapies used in treating
Fayetteville-Manlius Area-
7164 E. Genesee St., Fayetteville 7PM-8:30PM Activities Room
May 15, 2008 – Barbagallo’s Restaurant – Molloy Rd, East Syracuse NY Madison County Area-
Healthcare, Microwave Filter Co., Carbone
Romano’s Review – *New place*
A Book review of “Don’t Leave Me This
Auburn/Cayuga County Area-
You’ll Be Sorry)” by Julia Fox Garrison
Denny’s Restaurant – Grant Ave. 7PM Coffee, etc. on your own.
When I saw this book on the public library’s
display shelf, I was amused by the title and
Syracuse Area Social Gathering-
looking author staring out from the cover. I
thinking (“Yeah, you’ll be REAL sorry!”),
Oswego County Area-
was about. It’s an easy-reading, inspiring
autobiography of thirty-something Julia,
who was having a regular, ordinary workday
when early symptoms of a cold send her in
search of some over-the-counter medicine
4th Annual Mission Steps Walk
from a co-worker. Before the day gets much
farther along, Julia experiences excruciating
pain in her head that she describes as waves
of white pain that take her breath away.
Sangertown Square on April 27, 2008. You
She’s rushed to the hospital, where she’s
informed that she’s had a massive brain
dollars to support programs and services so
hemorrhage, and that she will most likely
necessary in Oneida County. You also will
die, (the straightforward approach!) The
raise awareness about the disease of MS and
author writes this book in the second person,
its prevalence in the Oneida County area.
and that voice helps the reader feel the fear
Join us for this event held completely inside,
(Stroke victim or not, perhaps you can relate
free of rain, traffic and uncut curbs. Let us
to that otherworldly feel of stretchers and
all join forces and show our friends in the
Oneida County area who live everyday with
providers, and those names are, Dr. Jerk, Dr.
Pledge minimum is $30, walk ons welcome.
reflecting the obstacles and opposition they
each pose to her health’s progress. You
might be amazed at some of shenanigans she encounters, but then again, maybe not. Only
Dr. Neuro provides insight and hope; I think
that’s what this book imparts to the reader,
Announcement
Julia is a courageous spirit, and her story
compels us to find that same fighter spirit in
ourselves; to challenge our own health care
North Medical. Best of Luck Rose in your
providers to think beyond the pages of their
encouragement for us. This story will not
Memorial Donations
only have your empathizing with Julia’s
plight, but it will have you cheering her
the deceased on a slip of paper and send it in
(This book is not currently part of the MS
Resources library, but you can get it at the
acknowledgement to anyone in their family
announcing the donation. We are grateful to
Women’s Weekend Get-Away
program and special thanks to all the funeral
homes who display our envelopes at their
is scheduled for June 13-15th at the White
Eagle Conference Center in Hamilton, NY.
honor of someone or in tribute to a friend,
If you are interested in attending, please
request an application. Keep in mind that
special birthday, anniversary or special
only those returned applications will be
reserved a space, so get it back to us ASAP.
person’s name to be recognized and their
address and we will send our tribute letter to
interested; however our space is limited so
you need to act fast. We cannot hold a place
Lending Library
completed application. We will do whatever
updated with new books, videos, etc. There
is a listing on the agency website, however,
if there is a book or tape that you are looking
for and it is not listed, please contact the
will follow to those persons who have been
Office and we will see if we have it or if we
can order it for you. Books, tapes and other
application today. (Room availability based
materials may be checked out for a 4 week period. We can extend that if necessary.
10’s Campaign Coming this Fall
Are we still generating curiosity about the
Fall 10’s Campaign? We hope that we have
Details and entries will be announced at the
[email protected]
Flyers will be sent regarding the picnic in
Multiple Sclerosis Resources of Central New York, Inc. ® is a source of information concerning topics on Multiple Sclerosis. The information provided to you is derived from professionals in the field and do not represent our recommendations or opin- ions. We do not endorse any products, services or specific treatments. For the best advice for you, please consult your physician. Multiple Sclerosis Resources of Central New York, Inc. ® PO Box 237 6743 Kinne Street East Syracuse, New York 13057 Return Service Requested
PrCLARUS® Nodular/Inflammatory and Conglobate Acne Therapy MYLAN PHARMACEUTICALS ULC Date Table of Contents PART I: HEALTH PROFESSIONAL INFORMATION. 3 SUMMARY PRODUCT INFORMATION . 3 INDICATIONS AND CLINICAL USE . 3 CONTRAINDICATIONS . 4 WARNINGS AND PRECAUTIONS . 5 ADVERSE REACTIONS . 15 DRUG INTERACTIONS . 18 OVERDOSAGE . 20 ACTION AND CLINICAL PHARMACOLOGY . 21 STORAGE AND ST
New anti-smoking treatments: anything to get fired-up about? Janet Webb, BSc(Pharm), MSc Last December a systematic review summarizing recent evidence of effectiveness of smoking cessation strategies, compiled for the National Institutes of Health, was published in the Annals of Internal Medicine.[1] The authors concluded that pharmacotherapy, either with or without counselling, can signifi