b'enough medication to last a month if takenIworryabouthimdriving.Arecognition daily,thesemedicationsarenotrecom- problems common with MS?Alison R. mended to be taken every day as they loseBinns: Cognition problems are part of the MS their effectiveness and can be addictive ifsymptom cluster in about 60 percent of people taken daily. You mentioned having troublewho have the diagnosis but there is ample staying awake during the day. More than halfdata to show that cognitive issues are worsened of individuals with MS have an underlyingwiththeuseofsomecannabisproducts. sleep disorder that may be related to the MSMore and more prescribers are cautioning itself. I recommend you have a sleep studyindividuals whoinhalecannabisproducts done to see if that is the case for you. If youthat one or two puffs are generally enough to do and it is properly treated, your fatigue isrelax a spasm. Ash can be knocked off and likelytoimprove.Thatseconddoseofreignited when needed an hour or two later. It Provigil each day (if you take it) could preventmay be preferable to use an edible with a you from falling asleep at night, which wouldknown amount of THC in it to manage spasticity. perpetuate the fatigue.And yes,drivingshouldbeavoided while Dear MS Nurse,under the inuence of cannabis products as My partner has a medical cannabis card,individuals using it (as you relay your partner and he is smoking almost constantly whileis) would be subject to a DUI stop and ne or he is awake. He says it helps his spasticity.arrest. A medical card would not factor into a His cognition is worsening almost by the week.softer sentence if that happened.HHaavveeYYoouurrSSaayyWe welcome your questions, suggestions, opinions and feedback. Reach us at: editor@msfocus.org, call 800-225-6495, or use the contact form at msfocus.org.Ways You Can Help Us Help OthersDid you know you can donate your unwanted car, truck, boat, or RV to benet MS Focus? Contact carsforcharity.net or call 888-755-5435. They arrange to pick up your donated vehicle from anywhere and handle all the details. Your vehicle is sold and the money is donated to MS Focus. You will receive a thank you and donation receipt letter within a month. Its a great way to make an easy tax-deductible donation.47 msfocusmagazine.org'