Case scenario

Melissa is a 28 year old usually fit and healthy female, who presents to her doctor with a history of 3 days of right leg weakness and paraesthesia accompanied by poor concentration and coordination. She has no known allergies and her only regular medicine is Levlen, a combined oral contraceptive. She is a non-smoker, consumes alcohol occasionally, denies use of illicit substances and has no significant previous medical history. All observations and general bloods were within normal limits. Her doctor referred her to a neurologist for further review.

From the neurological examination, Melissa demonstrated decreased power, lack of proprioception, ataxic and decreased sensation for her right lower limb. An MRI of brain and spine was performed and showed multiple lesions with distribution and appearances indicative for multiple sclerosis.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Discuss the clinical subtypes of multiple sclerosis (MS)
  • Discuss recommendations for the pharmacological management of MS
  • Recognise that medicines used to treat MS are used for different stages of the disease
  • Summarise the role of the pharmacist in managing a patient with MS.

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