I Am 58,white Male Dx With Msa By Mayo XXXXXXX

Posted on Sat, 13 Oct 2018

Question: I am 58,white male dx with msa by mayo XXXXXXX of 2016.my bp is usually 101/64 sitting. my speech is slurred, my balance is off. I went to hospital dx afib I have a supra pubic catheter. what can be done for it?

Follow up: Dr. Dr.Raju.A.T (6 minutes later)

im in a wheelchair. first cane then walker, now wheelchair. id consider alternative.

Answered by Dr. Dr.Raju.A.T (2 minutes later)

Brief Answer:
Catheter for the bladder and medications for other

Detailed Answer:
Hi,

Thanks for your query.

Multiple system atrophy (MSA) is a progressive degenerative disorder with bad prognosis. The disease itself cannot be slowed or reversed. The management involves managing symptoms and complications with specific medications.

BP can be improved with epedrine, mododrine and droxidopa. BP stays normal or picked up as long as one is on medication. BP drops down once the medications are withdrawn.

In people with worsened bladder functions unable to be managed with medications, only resort is a catheter.

I am sorry to provide you a disappointing fact.

I would like to know what medications you are on along with dosages. I shall give a thought into what might help you better and get back to you.

Waiting for your response,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.Raju.A.T (1 hour later)

levothyroxine 25mcg
riluzole 50mgx 2
omeprazole 20mg
amiodarone 200mg
finasteride 5mg

siemet 25/100 2, 3 times a day LOWERS BP
D3 1000 IU
MULTIVITAMIN 2000MG
UBIQUINOL 2000MG

Answered by Dr. Dr.Raju.A.T (16 hours later)

Brief Answer:
Medications are fine

Detailed Answer:
Hi,

Thanks for the info.

The medications are fine. You can continue on the same.

Titration of these medications can be considered based on signs and symptoms.

As, I said before there is no cure for this condition but can be managed well with above medications.

Wish you good health.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T