What is the effect of smoking, alcohol and drugs on someone with MS?

Although smoking can cause other problems and diseases, it is not known to aggravate any particular feature of multiple sclerosis (MS). Alcohol will aggravate some existing problems, but only temporarily. The use of alcohol in moderation is not harmful, but the person with MS should recognize its side effects.

Alcohol can cause mild balance disorders, so those with this preexisting symptom should drink less. Since alcohol causes urinary frequency, those with bladder control trouble will have aggravation of symptoms. A person with weak legs may tend to have swelling of the feet.

In addition, alcohol might cause dizziness, lightheadedness, or fainting. Marijuana, cocaine, and other drugs have the same effects on the person with MS - no better, no worse - as on the general population.

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