b'weakness,sensorychanges,visualimpairment Tobrieysummarizerelapsemanagement:orwalkingissuescandisruptnormaldaily 1.TherecoveryfromanMSrelapsemaybelife.Priorstudies,suchastheOpticNeuritis thesamewithorwithoutsteroidtreatment.TreatmentTrialhaveshownthathighdose Steroidsmayleadtoafasterrecovery,IVmethylprednisolone(Solumedrol)was however.superiortolowdosesoforalmethylprednisolone(Prednisone)intermsofspeedingtherecovery 2.Highdosemethylprednisoloneistherstfromarelapse.IntheU.S.,relapsesare linetreatmentofchoice.traditionallytreatedwiththreetovedaysof 3.SinceoralandIVroutesofadministrationIVmethylprednisolonewithorwithoutan appearequallyeective,onecoulduseIVoralsteroidtaper.Studieshaveshownthathighdosesoforalsteroidsmaybejustas methylprednisolone1000 mgperdayforeectiveastheintravenousroute.Ifonewere threetovedayswithorwithoutanoraltoconverttheusual1000 mgofIVmethyl- steroidtaper.Alternatively,onecouldtakeprednisoloneoverintoapillform,theequivalent oralmethylprednisolone600to1250 mgwouldbe1250mg. perdayforthreetovedayswithorwithoutThisstudylookedatusingabouthalfof asteroidtaper.thatbigoraldose,600 mgperdayforthree 4.Ifsteroidsarecontraindicatedorineective,days.Thegoodnewsisthattheeffectson optionsincludeACTH,IVIG,orplasmarelapserecoveryweresimilar. exchange.Order Your Copy ofRISE UP AGAINST MSYour Buide to the SIMPLE FUNDRAISER EVENT that anyone and everyone can do.SiBn up for a fun balloon challenBe that also helps people withmultiple sclerosis. The lonBer your balloon stays up in the air,the more funds Bo to people with MS. The proceeds Bo to the Multiple Sclerosis Foundations free proBrams and services to help people live at their best with MS.Call 800-225-649555 msfocusmagazine.org'