From alt.support.mult-sclerosis Wed Jan  1 14:14:37 1997
From: hwright@tpgi.com.au (Howard Wright)
Date: 31 Dec 1996 01:27:01 GMT
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Imuran and/or methotexate experiences
Status: O
X-Status: 

I'm sorry about the delay with this  response.  I have been having a
bout of DMS (dead modem syndrome), which has kept me off the net for a
while.

I have been using methotrexate for a bit over 6 months, first at 5mg per
week and then at 7.5mg per week.  I have not noticed any effect at all,
good or bad. I certainly haven't had any unpleasant side effects.
Unfortunately there hasn't been any beneficial effect either.  I am
continuing to go downhill.  My specialist tells me that it may be as
long as 12 months before I can tell whether there is any benefit.

There are a couple of no-nos if you do take methotrexate.  They are:

1.  Avoid too much alcohol.  I limit myself to two glasses of wine per
day and have not had any problems.  Too much booze and methotrexate
means no liver.

2.  Avoid aspirin.  The combination of aspirin and methotrexate can
intefere with blood platelet function and can increase the risk of
bleeding.  If you need a pain killer take paracetamol

3.  Avoid co-trimoxazole based antibiotics (Bactrim, Septrim etc.  These
are the average GPs first response to UTIs) These antibiotics work by
inhibiting folate uptake as does methotrexate. The combination can be
too much.

I have been having regular blood counts and liver enzyme tests.  All
have been OK so far.

Methotrexate has been used for several years for severe cases of
rheumatoid arthritis.  You may find some information on the RA newsgroup
or websites.

Regards,  Howard.


From alt.support.mult-sclerosis Tue Jan  7 15:41:10 1997
From: ewoldt@omnifest.uwm.edu (Elizabeth Ann Woldt)
Date: 6 Jan 1997 09:06:29 -0600
Newsgroups: alt.support.mult-sclerosis
Subject: Re: betaseron experiences
Status: O
X-Status: 

Joan, I don't know if you got my experience?  What exactly do you want to
know?  I've been on Beta for almost 3 years.  At first, got the "usual"
side-effects: aches and headache the day after the injection, relieved by
takingt Tylenol at the time of injection, then about 4 hours later.

These, for the most part, went away after 2-3 months.  I say "for the most
part", because I do experience that again, now, if I'm really tired when I
inject, or am otherwise not feeling well, like last month whe I had the flu. 
Also notice the headache if I inject during my menstrual cycle, but I'm not
sure if it's because of the Beta, or because of the cycle....

Now, 3 years later, I've had only one minor exacerbation; my MRI shows
definite improvement in numbers of new placques (much fewer).  I had a n MRI
done when I started, and another about 6 months ago.

Remember, Beta isn't supposed to take away or reduce any current disability;
only to stop the level and intensity of exacerbations.  I believe it has done
that.  Ann

From alt.support.mult-sclerosis Wed Jan  8 17:26:12 1997
From: longri@asterix.helix.net (Richard Long)
Date: Tue, 07 Jan 1997 07:03:36 GMT
Newsgroups: alt.support.mult-sclerosis
Subject: The Lowdown on Cladribine
Status: O
X-Status: 

(forwarded from Jackie Ferguson)

 My MS was progressing in a "lurch" when I heard about cladribine.
The  more I read, the more enthusiastic I became.  Plus, I talked with
a  young lady who had taken clad., and encouraged me to take it
because I  WAS progressing! 

 I took the clad. from Aug. '95 to Feb '96.  It was
 given intravenously (about l hour) in my doctors office (my doc's
 subspecialty is oncology) ... and they almost always administer the
 drug, because it is FDA approved for hairy cell leukemia, etc.---
NOT FDA APPROVED FOR MS --- oncologists have the most experience with
it.  

I took it Mon through Fri, one week/mo for 6 months.  For a total of
30  doses.
 
 Side effects? There were no obnoxious ones that I could discern ...
no loss of hair, no nausea, vomiting or diarrhea or headaches.  I felt
fine throughout.
 
Make no mistake:  It is a high powered drug ... and potentially could
immunosuppress you so completely that it could be fatal.  That's why 
the oncologist monitors your blood very carefully ... in my case, he
delayed  treatment on a few occasions ... even so, I developed
"profound  neutropenia" (neutrophils -- type of disease fighting white
blood cell --  fell <500.  So I stayed at home ... avoided company,
and followed other instructions of my doctor (was even put on an
antibiotic  prophyllactically).  But nothing bad happened (that's why
I can tell  you about it!).
 
 I noticed my MS started to stabilize after 2-3 months.  I then began
a  course of intensive physical therapy ... was taught how to walk
again --- imagine!!!
 
 I continue exercising daily.  Try to do 1 hour at least.
 Most recently I have been working on Tai Chi for my non-existent
balance (what's that?).  I reserve judgement on Tai Chi ... I still
need bilateral support for balance.  At least it's been ages since I
fell.
 
My quality of life?  I'm driving my car again ... short distances to
my hairdressers, Dr's. offices and now, department stores! (Thanks for
hand  controls, Amigo's & Lifts, and a very supportive husband!
I walk around the house either "solo", using a cane or a 4 wheeled
walker.  I walk outside for short distances ,,, walking a block is
even "pushing" it.
 
Clad is expensive @$500.00/dose and most insurers won't pay for it.
Multicenter trials should be ending soon.  I really think the results
will be good and FDA approval should follow.
 
Just wanted to say it like it is.  Having MS is no fairy tale, and the
treatments can have nightmarish consequences.
 
I am happy that I took the clad... but each of you who is considering
it, has to really think about it.  Risk versus benefit.  Something
really good could happen, and something very very also.
 
I'd love to hear from each of you what you decide?  I don't get to the
MS group as often as I'd like.  I do check my email almost daily
(below).

I posted this group in particular because you expressed an interest in
clad.


 
Jackie Ferguson. RN, MS2
jackferg@worldnet.att.net
 
     ---------------------------------------------------------------
 REPOST -- due to FAQ
 Subject: Re: Cladribine
 Date: Fri, 22 Nov 96 17:45:06 +0000
 From: Jackie Ferguson <jackferg@worldnet.att.net>

 RE: Getting Information on Cladribine:-
 
 1,  Contact your local chapter and the NMSS, ask for the Information
 Resource Center.  The number of National is:1-800-fightms.  They can
 also give you the phone number of your local chapter.
 
 2.  Go to the source!  Cladribine (AKA as Leustatin and 2CdA
 [2-chloro-deoxyadenosine]), is manufactured by Ortho Bio Tech, Inc.,
 pharmaceuticals.  They will provide a wealth of information.  I 
recently called and received a packet of info on clad., including a
summary of studies 1&2, a copy of the Lancet artical "Cladribine in
the Treatment of CPMS", July 2, 1994, package insert of the drug
itself, and a voluminous number of articals in a large envelope,
"information yourequested" ... includes press releases from the NMSS,
several scientific and Medical Professional articals (because I
requested it). If weight is a measure of the quantity of info. sent,
first class postage was $3.00.

Can assure you the information was top quality and specific to my
questions.
 
I spoke to Katherine Hsu, R.Ph., "Drug Information Specialist,
Clinical Affairs".  She called back promptly, when I left a message in
her mail box.
 
Write or call to: Ortho Bio Tech., 700 U.S. Highway 202, PO Box 670,
Raritan, NJ 08869-0670 or call 800-325-7504 or 908-704-5311.
 
All the best to my MS compatriots.
 
 Jackie Ferguson, RN, MS2
jackferg@worldnet.att.net

PS I'd love to hear from each and every one of you ... this is a
tough,hard decision ... do what's best for *you* ("To thine own self
be true"

Regards,

Richard Long

Burnaby, B.C.
Canada

Where it's probably raining.It usually is.


From alt.support.mult-sclerosis Fri Jan 17 17:57:54 1997
From: LaVonne Murphy <mscansd2@worldnet.att.net>
Date: Thu, 16 Jan 1997 00:46:43 -0800
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Phase I/II study of vaccine for MS
Status: O
X-Status: 

jack dalton wrote:
> 
> I just happened to find this article on "Business Wire" which states
> that Connective Therapeutics, Inc(NASDAQ:CNCT) announced on 9 Jan 97
> that it had initiated a multicenter Phase I/II clinical study of its
> therapeutic vacinne for multiple sclerosis.
> 
> It will be a double-blind, placebo-controlled study involving about 100
> progressive multiple sclerosis patients.
> 
> They hope to confirm positive results (6 out of 6) from the pilot
> study. The results were published in the journal "Nature Medicine" Oct
> 96. No adverse effects were attributable to the treatment.
> 
> I really hope this is as good as it sounds. I see no NIH of NMSS
> involvement. I hope someone can validate this company and their study.
> 
> I have a mild case of RR MS and I am taking Avonex. I regard it as a
> delaying tactic and feel something like this is what is desired/needed.
> Additional comments and info is requested.


Jack

Dr Shapiro talked of this study at our Annual Meeting a couple of months 
ago.  NMSS has indeed put some money into this study being done in 
Portland, Or.  Many of us hope this vaccine helps those with progressive 
MS because there is nothing but Sx control to assist them so far.

Berlex and Biogen are also testing their products for progressives I 
beleive.  Berlex has had the test underway for about a year and we should 
be hearing some results in about another year.

The vaccine, if it proves effective, will not be tested completely for at 
least another 4 to 5 years.  After the Phase II test there must be a 
Phase III with many folks in the study (like 300-500).  After each phase 
the data must be put together and analyzed.  Remember that all 
participants are not started on the same date.  They are started as soon 
as a certain (determined by the protocol) number are found and then 
others added to the test so that sometimes the test takes more than a 
year and a half or two years before data comparison can be completed.

God knows that the folks who are progressive need some intervention worse 
than you and I do.  Yet it is easier to study and test folks who are RR 
and less risky.  So here we are.  We have stuff available to try and 
those with the most need do not ... yet.  But Cladribine looks close 
though it is not effective for all either.

                 L

From alt.support.mult-sclerosis Fri Jan 17 17:59:12 1997
From: coker@airmail.net (STramp)
Date: 16 Jan 1997 03:14:48 GMT
Newsgroups: alt.support.mult-sclerosis
Subject: Interesting Info on how Beta Interferon works
Status: O
X-Status: 

Pardon posting this twice, but my first subject looked like I was asking a
question, not answering one...

I found the following passage in a wonderful mass market science book
titled "The Edge of the Unknown: 101 Things you don't know about Science
and no one else does either" by James Trefil. Great book, can't say enough
good things about it. On of the chapters is the question "Why Doesn't Your
Immune System Attack Your Own Cells?" It goes into MS and what it does
with a good description of how the beta interferon drugs (Betaseron and
Avonex) work. There is also some info on forthcoming research. I know when
my wife first started taking Avonex we both wanted to know what it was
doing. We found this information very enlightening and helpful. I hope
everyone else feels the same. Sorry about any copywrite violations, but
I'm sure the people at Houghton Mifflin are cool. If not, well, sorry
guys. (Everyone should buy the book anyway, it is really great) I quote
directly from the book from here on. 


"The Immune System is designed to protect us from all manner of foreign
invaders. To do its job, it produces a wide variety of cells, the most
important being B and T cells (the letters stand for bone marrow and
thymus, respectively, where the cells are made). These cells have
structures called receptors on their outer surfaces that act as keys that
fit locks on molucules of invading organisms. It is this molecular
recognition that is the central event in the immune response.
Under normal circumstances, every cell in the body sports bits of protein
on its surface, carried there by other specialized molecules. These
displayed proteins play the same role in the body as a password does in
the military. Passing T cells sense these proteins and leave the cell
alone. We say the T cell ³recognizes self.² Autoimmune diseases like
multiple sclerosis and rheumatoid arthritis occur when something goes
wrong with the password recognition system and the immune system starts to
attack healthy tissue.
One of the great problems in immunology has been to understand exactly how
the immune system recognizes self -- why it will attack cells in a
transplanted liver, for example, but leave the patientıs own liver alone.
The immune system generates billions of different receptors, and the
immune response is triggerd when one of them fits an invader molecule.
This diversity of molecular keys is produced by a basically random mixing
of bits of protein, so it is extremely unlikely that your immune system
would produce no T cells that could attack your cells. However, the system
tests the T cells before they are released from the thymus into the body.
Because the thymus is replete with self cells, any T cell that sports a
key for your cellıs lock will inevitably bind to a nearby cell. If this
happens, the T cell stops growing and eventually dies. Thus the only
mature T cells that emerge from the thymus are those that do not react
with self cells.
We do not know in detail why T and B cells that have been selected for
their ability to ignore self cells suddenly start to attack them. One
popular theory is that viruses trying to gain entry present to the immune
system molecules that mimic those of the hostıs body. This process could
prime the system to attack any cells bearing similar molecules, even self
cells.
As is so often the case in modern medicine, dealing with autoimmune
diseases requires a detailed understanding of what is happening at the
molecular level. In Multiple Sclerosis, for example, B and T cells attack
the sheathing that surrounds nerve cells in the brain and spinal cord.
First one set of molecules on the membranes of T cells sticks to
corresponding molecules in the walls of blood vessels, triggering the
production of proteins that create a small hole in the vessel wall. This
allows the T cells to get through the vessel wall and into the brain.
There they encounter triggering molecules on the surface of nerve cells
and innitiate the immune response. The net effect is that the other cells
from the immune system, as well as the T cells themselves, cooperate to
destroy the sheathing around major nerve cells.
Understanding the basic process involved in MS as the molecular level has
allowed scientists to begin to develope a multipronged attack on the
disease. The basic idea is to take each step in the chain of events
outlined above and find a molecule that will block it. One technique is to
use drugs that block the processes that bring bits of protein to the
surface of the nerve cells. In fact, the first approved therapy for MS (in
1993) involved the use of a drug called beta interferon, which prevents
production of the molecules that carry the proteins. Without the carriers,
there are no proteins for the T cell to recognize on the cell surface, and
the disease is blocked. 
Other strategies, now under development, would block the disease process
at other points. For example, scientists are working to develope decoy
molecules that would lock to the molecules that normally bring proteins to
the cell surface, preventing those molecules from displaying self proteins
that would trigger T cells. Another strategy involves finding molecules
that will prevent T Cells from sticking to the walls of blood vessels by
making molecules that occupy the ³sticky spots² on the T Cells or on the
vessel walls. Think of this strategy as covering up Velcro patches on the
T cell or the blood vessel -- patches that would otherwise stick to each
other. Finally, we can try to develop antibodies that will attack some of
the molecules that actually damage the nerve sheathing.
This long list of possibilities illustrates the way medicine is likely to
proceed in the future. First we will understand the basic molecular
workings of the disease process, then find molecular strategies for
blocking it. Iıve concentrated on MS here, but I expect to see this
strategy adopted across the board in the future."

From alt.support.mult-sclerosis Sat Jan 18 11:34:58 1997
From: LaVonne Murphy <mscansd2@worldnet.att.net>
Date: Thu, 16 Jan 1997 20:45:21 -0800
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Alpha interferon
Status: O
X-Status: 

Bettyest wrote:
> 
> Does anyone uses Inferon "n" (Alpha Interferon) for m.s. can anyone send
> me some information?


Hi Gang

I have seen several posts on Interferon Alpha lately so went on an 
information scavenger hunt.  You may want to print this out and read it 
with your dictionary close by.  That's your part of the information hunt.

There are four types of Interferon Alpha on the market and it is not the 
same drug as Interferon Beta (two forms).  Alpha has been proven 
effective on Hairy Cell Leukemia, AIDS-related Kaposi's Sarcoma (sarcoma 
is another form of cancer), Genital and Anal Warts and Chronic Viral 
Hepatitis.  It is classified as immunomodulator; antieoplastic; 
antiviral; orphan drug.

Actions: "...Has a broad spectrum of antiviral, cytoxic, and 
immuno-modulating activiey (i.e., favorably adjusts immune system to 
better combat foreign invasion of antigens and viruses).  Antiviral 
action: reprograms virus-infected cells to inhibit various stages of 
virus replication.  Antitumor action:...  Immunomodulating action:  
enhances phagocytic activity of macrophages and augments specific 
cytotoxicity of lymphocytes for tartet cells.  IFN is species specific 
but not virus specific; it partially inhibits viral replication and is 
immediately produced at site of viral entry by any cell; thus, the immune 
system and interferon system of defense are complementary."

It is another injectable.  There is no recommended dose for MS in the 
book, called _Nurses Drug Guide 1997_, for MS.  Also I could only find 
two of the four types listed.  This could be because only the two are FDA 
approved in the US, but I don't know that for sure.

Side effects are many.  Blood has to be watched carefully and liver 
studies are frequently required (also blood work).  There seem to be an 
overabundance of GI side effects; nausea, vomiting, diarrhea, etc.

I am going to quote again for the CNS side effects because they run right 
along side MS Sx.  "Adverse side effects/CNS: depression, nervousness, 
anxiety, confusion, dizziness, fatigue, somnolence, insomnia, altered 
mental states, ataxia, tremor, paresthesias, headache."

I would ask your MD what this drug might do for you.  It's action seems 
to be basically antiviral and antitumor (but selective).  I would guess 
that it's action may be somewhat like Cladribine because of the hairy 
cell leukemia connection but that is only an assumption.

                             L

***********************************************************
"Either we have hope within us or we don't; it is a dimension of the 
soul,
and it's not essentially dependant on some particular observation of the
world or estimate of the situation.  Hope is not prognostication. It is 
an
orientation of the spirit, an orientation of the heart; it transcends the
world that is immediately experienced, and is anchored somewhere 
beyond its horizons..."
                                                                         
      
            Vaclav Havel

From alt.support.mult-sclerosis Tue Jan 21 14:14:20 1997
From: gells@ultranet.com (Doug Geller)
Date: 19 Jan 1997 22:51:23 GMT
Newsgroups: alt.support.mult-sclerosis
Subject: Off of Avonex
Status: O
X-Status: 

After 6 months of once-a-week playing doctor and self administering Avonex 
the verdict is in. 
I've been progressing at least as fast as I was prior to starting Avonex. And 
the use of Avonex might have sped up the progression a hair... who knows. I 
know I was off the day of/day after drug administration.

I know I can't do simple things anymore like getting my butt off the toilet 
after a dump. I used to have no problem with that. Even standing long enough 
to get my pants up has become a problem.

At least my concern with needles is as thing of the past. Subcutaneous vs 
IM...  who cares?? A half-inch needle versus an inch and half needle?? Who 
cares?? They're both cake. Exeedingly simple. Like a game of darts. Painless 
and inconsequential.

It's the MS that's scaring me now. Time for Copaxane I guess. My neuro's 
scared of Cladribine.
 
     _/_/_/   _/_/_/_/ _/       _/       _/_/_/
   _/        _/       _/       _/      _/
  _/ _/_/_/ _/_/_/   _/       _/      _/_/_/
 _/   _/   _/       _/       _/           _/
 _/_/_/   _/_/_/_/ _/_/_/_/ _/_/_/_/ _/_/_/
                Doug Geller
            gells@ultranet.com


From alt.support.mult-sclerosis Sun Jan 26 18:22:21 1997
From: LaVonne Murphy <mscansd2@worldnet.att.net>
Date: Fri, 24 Jan 1997 21:40:18 -0800
Newsgroups: alt.support.mult-sclerosis
Subject: Avonex news
Status: O
X-Status: 

Hi Gang

Had a chance to talk to the rep for Avonex from Biogen today.  Asked 
about antibodies to Avonex.  He said there will be a paper presented in 
April at some big meeting for neuros.  The study has, so far, shown that 
people do develop antibodies to Avonex, about 20% as compared to the 30% 
taking BetaSeron.  They do not know why the difference yet.  Also the 
study has proven that even if antibodies develop to Avonex, the drug is 
still effective.  They don't know why this is either but one of our 
favorite neuros here said that it's probably because the Avonex is closer 
to the interferon beta that our bodies produces that is the BetaSeron.  
Understand that the last sentence is an educated guess and not fact - 
yet.

Now some other good news for those having problems with being 
underinsured and/or having large co-pays for Avonex.  Call the customer 
information line number (1-800-465-2255) which is open M-F 8:30 am to 
8:00 pm Eastern Time.  Ask for Nova Factor.  Your call will be forwarded 
and Biogen will pay for the call to Nova Factor.  Explain your situation 
and they may assist you, depends on your need.  I do not know if Nova 
Factor will find financing for someone who has NO insurance for 
medications.  This place apparently, from what I could pick up from the 
part of the conversation I heard (came in in the middle, sorry), finds 
sources of financing from different people and companies to pick up some 
of the $ for the underinsured.

Hope this is of help to some of you who have had to make the decision not 
to use Avonex because of finances.

                  L

 
_______________________________________________________
Not one of us knows what effect his life produces, and what he gives to 
others;
that is hidden from us and must remain so, though we are often allowed to 
see
some little fraction of it, so that we may not lose courage.
                                   Albert Schweitzer



From alt.support.mult-sclerosis Sun Jan 26 18:24:22 1997
From: LaVonne Murphy <mscansd2@worldnet.att.net>
Date: Fri, 24 Jan 1997 21:58:57 -0800
Newsgroups: alt.support.mult-sclerosis
Subject: Myelin Transplant Study
Status: O
X-Status: 

Hi Gang

Please understand that this study is in the very early stages and, *if it 
works*, will not be available to the general bunch of us for several 
years!!!  Any spelling errors are mine.  This memo comes from the 
Research and Medical Programs Dept. of the NMSS.

"News About Transplants to Replace Missing Myelin"

"INFORMATION
The January 1997 issue of _Nature Medicine_ contains a paper on the 
research of National Multiple Sclerosis Society grantee Ian Dumcan, 
PhD(University of Wisconsin-Madison) and colleagues, describing success 
in inducing new myelin to grow in the spinal cords of genetically mutant, 
seriously debilitated laboratory animals whose bodies are incapable of 
making normal myelin.  Myelin is the insulating material on nerve fibers 
which is destroyed by the immune system in multiple sclerosis (MS).  One 
goal of MS research is to find ways to replace lost myelin to improve 
nerve function in people with the disease.

These experiments involved injecting immature myelin-making cells 
(oligodendrocytes) into areas of the spinal cords of a small number of 
the mutant animals.  The transplanted cells manufactured myelin and 
wrapped it aroung nerve fibers both in the vicinity of the transplant 
sites and farther away from the sites.  In spite of the new myelin 
growth, the animals experienced no clinical improvement.

These preliminary experiments add to evidence in animal models suggesting 
transplanted myelin cells may be useful in the future for treating humans 
with multiple sclerosis, if the immune attack underlying the disease can 
be stopped and the many complications of this invasive procedure can be 
resolved.  Other research approaches include stimulating natural myelin 
repair processes.  The national Multiple Scoerosis Society supports many 
research projects in these areas to advance the goal of repairing myelin 
and restoring function in people with multiple sclerosis."
-------------------------- 
_____________L__________________________________________
Not one of us knows what effect his life produces, and what he gives to 
others;
that is hidden from us and must remain so, though we are often allowed to 
see
some little fraction of it, so that we may not lose courage.
                                   Albert Schweitzer



From alt.support.mult-sclerosis Thu Jan 30 16:16:38 1997
From: dxe@cassidy.sbi.com (Dan Ellsweig (Enterprise Management))
Date: 29 Jan 1997 12:00:40 GMT
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Beta for Chron Prog?
Status: O
X-Status: 

In article <5cirip$3ut@omnifest.uwm.edu>, cpbeck@omnifest.uwm.edu (Constance P. Beck) writes:
|> Ann,
|> 
|> Thanks so much for sharing your experience with betaseron. I still don't know
|> how to make this decision, especially after reading the comments from Lyndsy
|> in Madison about three mser's who are no longer walking after trying beta or
|> avonex.....
|> 
|> Well, it figures that not only do we have to deal with the uncertainties of
|> our ms, but the vagaries of various therapies.  My, this is a challenging
|> experience!
|> 
|> Constance

Greetings

I have some personal experience with betaseron and CPMS. 

My wifes neuro got her in the program early on as she was still
ambulitory. We followed the betaseron regimin for a year and a half.
The MS continued to progress and there was no indication that the
betaseron was effecting the progression of the disease.

Personally, it is not worth the cost or the effort. 

Dan
-- 
******************************************************************************
Dan Ellsweig    **   Salomon Inc.               **  dellsweig@sbi.com
                **   Route 3   Rutherford, N.J. **  (201) 896-6162
                **   Enterprise Management      **  (800) 800-7759 PIN 221370
******************************************************************************

From alt.support.mult-sclerosis Sun Feb  2 14:01:12 1997
From: "Kathy G." <Frostypoo@AOL.COM>
Date: Thu, 30 Jan 1997 12:49:57 -0500
Newsgroups: alt.support.mult-sclerosis
Subject: Re: 4AP
Status: RO
X-Status: 

In a message dated 97-01-30 02:04:36 EST, cattails@FLASH.NET (Ann Manasreh)
writes:

<< Sorry, I can't find the thread about 4AP.  Someone wrote in about a time
 released formula that was obtained from an Atlanta MS center.  Could you
 please re-post or e-mail the info to me?  My neuro has asked for a copy
 of the message. >>

Hi Ann,
I am the one who is taking 4AP.  It is supplied by the Shepherd Center
Apothecary in Atlanta, Georgia  (phone 404-350-7743).

The purpose of 4AP (4-aminopyridine) is to increase conduction of neural
signals in the brain.  I have found that it helps greatly with my locomotion
and fatigue. The pills are formulated in 10mg time-release capsules taken
twice a day. According to my neurolist the FDA is still testing this drug,
but it should be approved in the next three years.  Shepherd Center has over
1300 ms patients.  Please note that this is now an orphan drug so it is not
covered under insurance.  It costs aprox. $800 per yr.
You can get more specifics on the drug through the NMSS.

I have been taking this medication for over two years with excellent results.
 There have been some serious side effects with the medication but I haven't
had a problem.  I would suggest that your doctor consult one of the
neurologists at the ms center at Shepherd to find out more about their
success with this drug.
Good luck,   Kathy G.

From alt.support.mult-sclerosis Tue Feb  4 16:15:53 1997
From: ahalko@cc.helsinki.fi (Aapo Halko)
Date: 3 Feb 1997 16:46:23 +0200
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Trauma - Experiences / information request
Status: RO
X-Status: 

When I was five years old (1968) I fell from the upper bed on my head. The
drop was 150cm. I was two weeks in hospital after that.

When I was 15 (1979) I experienced my first ms symptoms: numbness in hands
and legs. I had a lesion in the spinal chord. These symptoms subsided in
three months.

In 1986 I had Uhthoff's symptom, a gray area in the vision during
exercise.  

In 1990 left arm and leg started to get spastic progressively. From 1993
also my right side started the same progression. Again these symptoms are
caused by a lesion in the spinal chord.

I have always been heat sensitive. I have had no problems with my bladder. 
I have no relatives with ms.

My guess is that the trauma made a 'hole' for ms to get in. Without it I
could be healthy.

-- 
Aapo Halko  <aapo.halko@helsinki.fi>              *         |_
     http://www.helsinki.fi/~ahalko/ms.html       *    ___  O o
A www page that collects MS links on the Internet.*

From alt.support.mult-sclerosis Wed Feb  5 10:14:03 1997
From: Mike LaFrance <mike_lafrance@MINDLINK.BC.CA>
Date: Sun, 2 Feb 1997 20:10:12 -0800
Newsgroups: alt.support.mult-sclerosis
Subject: MS Crossroads Makes Consumer Reports
Status: RO
X-Status: 

Congratulations Aapo Halko!  Just reading Feb 1997 Consumer Reports article
on finding medical help online.  I will quote directly

      "Conversely, some of the best sites we found were maintained by
private individuals. We found links to a wealth of useful material on
multiple sclerosis-help with daily life, news on experimental drugs and
treatment, clear lay language descriptions-on MS Crossroads
(http://www.helsinki.fi/~ahalko/ms.html), a site run by a Finnish
mathematician with MS."

Does being published in an American consumers' magazine help with tenure? <bg>


Dawn LaFrance

From alt.support.mult-sclerosis Wed Feb 12 18:52:56 1997
From: Gerry Gold <gerry@YORKU.CA>
Date: Mon, 10 Feb 1997 16:48:39 -0500
Newsgroups: alt.support.mult-sclerosis
Subject: Re: MS support group
Status: RO
X-Status: 

Carol -- I am 51 end have lost the ability to walk and freely use my
fingers. But I still teach and enjoy doing it together with publishing and
going to meetings. Guess I would rather enjoy life as long as it's
available! Jerry

Gerald Gold Department of Anthropology York University, North York,
Ontario M3J 1K3 CANADA tel. 416 736 2100 [Th. 11-3:00 except for a lunch
break] res. 416-225-8760 [early evening only]

Dictated entirely with IBM VoiceType Dictation under OS/2

From alt.support.mult-sclerosis Tue Feb 25 15:16:28 1997
From: Gerry Gold <gerry@YORKU.CA>
Date: Fri, 21 Feb 1997 14:31:48 -0500
Newsgroups: alt.support.mult-sclerosis
Subject: Re: greetings from internet newby
Status: RO
X-Status: 

continuing work... With MS

1.  11 years ago our chair recommended that I
accept long term disability and stop teaching. My decision then and now is
that I will stop when I am ready.

2. The implicit and explicit
understanding of my colleagues is that I am here to work but that there
are some things which I had better not do...

3. I get a great deal of
satisfaction from my work and I have concluded that no other arrangement
would be as satisfactory.

In 1988 I was working with MS although it was
largely invisible. In 1996, working with MS, I use a wheelchair and other
assistive devices but this has not caused any problems with my colleagues
or with students. .... Perhaps because it happened over an extended period
of time and because attitudes toward disability have changed. Good luck
Carolyn!/Gerry

Gerald Gold Department of Anthropology York University, North York,
Ontario M3J 1K3 CANADA tel. 416 736 2100 [Th. 11-3:00 except for a lunch
break] res. 416-225-8760 [early evening only]

Dictated entirely with IBM VoiceType Dictation under OS/2

From alt.support.mult-sclerosis Thu Mar 20 16:22:31 1997
From: Wayne Longman <WLongman@MSN.COM>
Date: Tue, 11 Mar 1997 13:51:46 UT
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Methotrexate
Status: RO
X-Status: 

ssnip>My husband has just started treatment for his CPMS with Methx.  Has
>anyone had any *good* results using Methotrexate?  snip

Hi

I took Methotrexate for nearly a year

I had developed weakness in my arms as well as weakness in my left leg.  I was
told that Methotrexate did not help on problems below the waist but was
sometime effective for arm troubles.

I was very happy with the drug.  I had only minor side effects.  I took 10mg
once a week.  On what I referred to as "my poison day" I tended to be a bit
nauseous and achey.  I had blood studies done on a regular basis - all results
were normal.  My hair did not fall out or, as more common, become thinner.

I lived in Canada when I was on Methotrexate  When I moved to the US the new
neuro was reluctant to order methotrxate because he was unfamiliar with the
drug. He referred me to a rheumatologist to supervise the drug for me.

I stopped taking the drug only because it was necessary to be accepted on a
Betaseron clinical trial.

I had a signiificant improvement in arm strength and I did not  experience any
facial numbness whiole I was on the drug.  Facial numbness is a problem of
mine. Not painful but really annoying.  So far no facial pain.  My arm
streength has not deteriorated to the extent it was before I went on
Methotrexate

Anna Longman

From alt.support.mult-sclerosis Thu Mar 20 16:24:52 1997
From: Jackie Ferguson <jackferg@worldnet.att.net>
Date: Mon, 10 Mar 1997 18:37:08 -0500
Newsgroups: alt.support.mult-sclerosis
Subject: Re: Cladribine Trial Results in NJ
Status: RO
X-Status: 

Arlene Horowitz wrote:
LaVonne Murphy wrote:
Jackie Ferguson wrote:

I'm sending this post to the group to share my experience of taking
Cladribine from August 1995 to February 1996 (done intermittently for a
total of 30 doses).

My neurologist ordered the cladribine because I was showing steady
progression.  Around the 3rd month into Rx my MS seemed to stabilize.
At about that time I began P.T., for a backache.  We worked on my gait,
because my body mechanics was all eschew.

I continue to exercise ... About an hour most days.  I exercise against
resistance (use weights, etc.), stretching exercises are among my
favorite.  Now, I'm on a self imposed high protein diet ... (why?  It's
good muscle food).

Before, I could hardly walk ... I mean I had "graduated" to using a
scooter in the house.  Now I'm ambulatory at home, and when I go out I'm
able to walk short distances using bilateral support (4-wheeled walker
or 2 canes).  I'm driving again, and have the gratification of the
independence that goes with it.

I'm doing better than I've done in the past 5 years.  I mean practical
strangers will come over to me and comment on this.  

In short, I feel good, luck good .... and this is an obvious reality. 
Needless to say, emotionally I'm right up there.

I guess I'm making a few points:

1.  The cladribine appeared to stabilize my MS (annecdotal report).

2.  P.T. and a daily routine of regimented exercise has been a powerful
adjunct to the cladribine. 

3.  I honestly believe that my high protein diet (over 100 Gms/day) has
been a tremendous building block as I improve my musculature.

I needed to share this with you.  (I too am disappointed about the
results of the clad. study). 

Jackie Ferguson


