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Multiple Sclerosis Centers of Excellence


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Multiple Sclerosis Therapies

Treatments for MS focus on controlling the immune system and managing symptoms. The current goals for MS care are to reduce the frequency of relapses and to slow the progression of the disease by using a drug therapy approach called disease modifying treatments (DMTs). It is also important for people to work with their Health Care Providers to find the best approach to address MS symptoms like extreme fatigue, bladder problems and muscle spasms. MS symptoms can be managed with conventional medication, complementary and alternative medicine, physical therapy, mobility devices, and other self-care approaches. At this time, there is no cure for MS, but research continues to make great advancement in the understanding and treatment of this disease. Through the VA, Veterans have access to a multi-disciplinary team approach to treat MS.

The Multiple Sclerosis Emerging Therapies Collaborative is committed to developing and disseminating timely, evidence-based resources to persons affected by multiple sclerosis and health care professionals, in order to promote optimal, individualized treatment of the disease by facilitating effective communication and medical decision-making.

For more information visit their website at

MS Disease Modifying Therapies Chart -
permission to use the adapted chart
from the MS Association of America

National MS Society MS Disease Modifying Medications - download booklet
Current as of January 2015. The online brochure is updated with breaking news as required. If you download this booklet, periodically check for the updated online version at the National MS Society website.

Making the Decision to Use DMTs for Multiple Sclerosis 
James Bowen, MD, Medical Director,
Multiple Sclerosis Center--Swedish Neuroscience Institute, Seattle, WA

Monoclonal Antibody Treatment in MS
John Rose, MD, Chief of Neurology--VA Medical Center, Salt Lake City, UT

Acute Attacks
Multiple Sclerosis Treatments for Acute Attacks (Relapses) 
Marsha L Tarver, PhD, MA--VA Puget Sound Health Care System – Seattle, WA

Corticosteroids and Plasma Exchange Treatments for MS Acute Attacks
James Bowen, MD, Medical Director, Multiple Sclerosis Center--Swedish Neuroscience Institute, Seattle, WA

Monitoring for Cardiotoxicity in Patients with MS Post-Mitoxantrone Therapy: An Update 
Mitchell Wallin MD, MPH, Washington, DC VA Medical Center
Ruth Whitham MD, Portland VA Medical Center
Kathy Tortorice, Pharm D, Pharmacy Benefits Management, Hines VA Medical Center