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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.
A MyMSTeam Member asked a question 💭
August 15
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A MyMSTeam Member

Your primary is ok to speak to if that is your only doctor but a neurologist is best to speak to about this. If it is a severe flare , 1000 mg of solumedrol for 3 or 5 days through I.V is usually given. You would have to take a large quantity of pills to be equivalent. I hope you feel better soon! If you feel like it isn’t helping , go to the ER.

August 15 (edited)
A MyMSTeam Member

Thank you! How do you handle the steroid headaches and inability to sleep? Plus the increase in BP?

August 15
A MyMSTeam Member

Yes I have found that it works. Sometimes i need double the mg of prednisone. I have and recommend the solumedral (sp). I V drip. I have been receiving it ( I V infusions since 1997. I have found that I V solumedral works better than prednisone. I'm here for you to talk to. Good luck Tricia Collier

August 15
A MyMSTeam Member

My legs have been tingling, burning feet, jelly like legs and extreme weakness, severe brain fog etc and I need immediate help, what would your suggestions for meds be dear friends? My primary put me on Presnisone but my blood pressure has spiked to 150/86 and severe headaches. Day 1 - doing a 7 day taper via my primary. Help please.

August 15
MyMSTeam

Great question! For severe MS flares, corticosteroids like high-dose IV methylprednisolone (a steroid similar to prednisone) are typically the go-to treatment. They work by reducing inflammation and can help speed up recovery.

Here's what to know:

- IV steroids are usually the first-line treatment for significant flares
- Show Full Answer

Great question! For severe MS flares, corticosteroids like high-dose IV methylprednisolone (a steroid similar to prednisone) are typically the go-to treatment. They work by reducing inflammation and can help speed up recovery.

Here's what to know:

- IV steroids are usually the first-line treatment for significant flares
- Oral steroids like prednisone may be used after an acute attack is under control
- Acthar Gel is another option for those who don't tolerate steroids well That said, steroids do come with potential side effects to be aware of, including:

- Weight gain
- Weakened bones
- High blood sugar

As one MyMSTeam member shared, when they knew steroids were coming, they adjusted their diet for three months afterward to help manage the extra weight.

It's also worth knowing that even with steroids, recovery can take time. Ultimately, a neurologist should guide the decision on which steroid treatment is best for the severity of the flare.

August 15

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