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Real members of MyMSTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
March 19
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How can you improve fatigue and weakness in secondary progressive MS when you're taking Adderall but not currently on MS disease-modifying therapy?

Fatigue and weakness are challenging symptoms in SPMS, but there are several approaches that may help beyond your current Adderall:

Talk to Your Doctor About MS Treatment Show Full Answer

How can you improve fatigue and weakness in secondary progressive MS when you're taking Adderall but not currently on MS disease-modifying therapy?

Fatigue and weakness are challenging symptoms in SPMS, but there are several approaches that may help beyond your current Adderall:

Talk to Your Doctor About MS Treatment Options

Since you're not currently on MS medication after Copaxone, discussing disease-modifying therapies with your neurologist could be important. Treating the underlying MS may help reduce fatigue caused by disease activity in your brain and spinal cord.

Consider Additional Fatigue Medications

While Adderall helps some people, other medications like modafinil or amantadine have shown benefit for MS fatigue. Your doctor can discuss whether adding or switching medications might work better for you.

Lifestyle Strategies That May Help:

- Regular exercise (tai chi, yoga, water-based activities) can improve both energy and strength
- Stay hydrated - better hydration is linked to lower fatigue
- Keep cool, as heat can worsen fatigue for many people with MS
- Eat a nutritious diet avoiding heavily processed foods and excess sugar
- Check if you have low vitamin D or B12 levels, as supplementing these can help fatigue
- Review all your medications with your doctor - some drugs for bladder, mood, or pain can increase tiredness Address Weakness Specifically

Physical therapy can be particularly helpful for weakness. A MyMSTeam member shared that after six months of physical therapy, they became much stronger despite still having MS-related balance issues. Mobility aids like rollators or canes can also help on difficult days.

Since fatigue and weakness often go hand-in-hand, managing your fatigue more effectively may also improve the weakness you're experiencing.

March 19

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