Reference no: EM133862543

Assignment:

Milk thistle is an herb that contains a compound called silybin. Some people claim that it helps your liver work better and can help treat liver disease. But just as there isn't enough evidence that liver detoxes work, there isn't enough to show that milk thistle or extracts make your liver healthier.

1. If a female patient with multiple sclerosis wants to become pregnant, what are the risks, family planning advice and treatment, etc? What is the best advice to give to her?

2. Is there a role for methotrexate and azathioprine in the treatment of remitting-relapsing multiple sclerosis?

3. Do steroids have a role in preventing or ameliorating the relapses in relapsing-remitting multiple sclerosis?

4. Has cyclophosphamide a role in decreasing the rate and number of relapses in relapsing-remitting multiple sclerosis?

5. Is there evidence of the efficacy of cyclic pulse cyclophosphamide therapy in the treatment of relapsing-remitting multiple sclerosis?

6. Glatiramer acetate and interferon-beta are recommended by some people for the treatment of multiple sclerosis. Which drug should I use for a patient with a 2-year history of relapsing-remitting MS.

7. 1. Most neurological books available to me say that high-dose IV dexamethasone can be used in acute relapses of multiple sclerosis (MS). What is the recommended dosage and regimen for this drug?

2. I understand that depot preparations of betamethasone (Depofos) can also be used in acute relapses of MS, as well as treatment for idiopathic Bell's palsy. If so, can you tell me the recommended dosage and regimen for this drug?

8. What are the most common causes of chronic meningitis and what investigations must be done?

9. What is Hib meningitis?

10. How often is tuberculosis a cause of chronic meningitis in comparison to other causes?