Use MS Relapse Treatment and Symptom Control to guide the working diagnosis and next step; let the main risk or management issue drive escalation, treatment choice, and follow-up.

Clinical data suggests that ACTH is roughly equivalent to standard high-dose corticosteroids in knocking down a relapse.; When an individual deals with back-to-back infections, it is often a sign that their bladder is not emptying fully, causing urinary retention.; In those scenarios, initiating intermittent self-catheterization is frequently necessary.; To calm that sudden bladder urgency, we routinely prescribe standard anticholinergic medications, such as oxybutynin or tolterodine.; While a few select individuals might respond better to it, ACTH generally triggers more unwanted side effects.