How should I manage my medications for multiple sclerosis (MS)?

Here are some ways to help you manage your medications for multiple sclerosis (MS): Ask your doctor whether generic drugs, which are less expensive than brand-name drugs, may be used to fill your prescription. Ask if the generic drug differs from the brand-name drug in terms of efficacy. Also ask your doctor for booklets or other literature on the use and possible side effects of prescribed drugs.

If you are receiving drugs from more than one doctor, no one physician will have a complete list of your medications. Avoid scattering your prescriptions among several pharmacies. Instead, pick one that fits your needs and stick to it.

That way, a complete record of your prescriptions and drug allergies will be on file in one place, and your pharmacist can easily check that a new prescription does not adversely interact with a medication you are already taking. Also find out if the medication(s) you are taking could have an adverse reaction with any over-the-counter drugs that you use. Start a new medication as early in the day as possible.

If you have an adverse reaction, it will be easier to reach the doctor. Before filling the prescription, get specific dosing instructions for each drug. Clarify with your doctor such phrases as "three times a day" or "every 8 hours."

Does this mean you should take the medicine three times between 8 a.m. And bedtime, or does it literally mean every 8 hours? If the prescription you get from your doctor looks like Greek to you, you're not far off.

Many of the abbreviations used are Latin, stemming from a time when Latin was the international language of medicine. To help you remember what b.i.d. , t.i.

D, and q.i.d. Stand for, think of it this way: be is bi (two); t is tri (three); and q is quad (four). If you have trouble removing childproof tops from your medication bottles, ask your pharmacist to replace them with regular covers.

Be sure to find out what you can and cannot do to make taking your medicine easier. If you use a medicine dropper to give liquid medications by mouth, release the liquid slowly into the cheek. Be careful not to point the dropper into the throat, which might force the medication down the windpipe.

If you have difficulty swallowing a pill or tablet, place it in a teaspoon of applesauce or butter it lightly. The pill will be much easier to swallow. Ask your pharmacist the best way to store medications -- a high-humidity bathroom cabinet usually is the worst place to put them.

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