What is your ACB?

ACB = anticholinergic burden Barts-MS rose-tinted-odometer: ★ “I had no idea oxybutynin and other anticholinergics affected cognition to such an extent” is the standard response I get when I discuss the impact of the most commonly prescribed drugs for MS-related bladder problems (urgency and frequency). The older the bladder drug the more likely it is to cross the blood-brain barrier and affect...

To botox or not to botox

That is the question: Whether ’tis nobler in mind to sufferThe slings and arrows of bladder instability,Or to take arms against a sea of troubles,And by opposing end them? –Shakespeare a’la NDG Bladder botox treatment If you suffer from bladder dysfunction, ask yourself why put with the dry mouth from Vesicare and Co., when a few injections of botox per year will do? It works...

#MS-Selfie: infections and how to self-manage your bladder

In response to a comment from one of our readers, I am starting a series of posts called #MS-Selfie, which is derived from the term self-management. These posts are a long read but will help you manage your own MS. Over the last few weeks, many of my posts have focused on MS-specific mechanisms underlying why pwMS become disabled and how DMTs can delay, or prevent, this damage from occurring. The...



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