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Fluctuation in Symptoms & Exacerbation
Information
There is a marked difference between
a fluctuation in symptoms and an exacerbation (flare up). A
fluctation or increase in symptoms occurs because of factors such as
stress, fatigue, heat, and infection. The severity varies, and when
the particular factor is eliminated, the symptom(s) revert to its
usual level. Fluctuations can occur throughout the day, whereas,
exacerbations last at least 48 hours. There is no need for
Solumedrol (steroids) when fluctuations occur.
An
exacerbation is when inflammation occurs in various areas of the
body. The classification of an exacerbation is when symptoms worsen
and/or new symptoms develop for a period of 48 hours. It is
imperative when new symptoms develop that the patient contact their
physician to schedule an appointment for neurological
evaluation.
During an exacerbation, it is helpful for the
patient to maintain adequate rest, moderate their stress, and keep
clear of infections to help recovery.
Solumedrol is the
medication prescribed to the patient during an exacerbation for a
period of three to five days, usually followed by a tapering dose of
Prednisone. The following is a listing of possible side effects of
steroids:
Short-Term Use
Insomnia
Stomach upset
Heartburn
Allergic reaction
Fluid retention
Acne
Long-Term Use
Weight gain
High blood pressure
Diabetes
Osteoporosis
Cataracts
Hardening of the arteries
Steroids can be used more
than once per year to treat exacerbations. However, the more
frequently steroids are used, the less effective they become. While
some physicians and patients opt to not treat an exacerbation with
steroids, it has been shown that steroids greatly reduce the
duration of an exacerbation.
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MS Central Support © 2002, 2003, 2004
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