Aa
A
A
Close
1842804_tn?1319759911
concentration difficulties
Hi,
As a continuation on cognitive problems in MS (my main concerns) I wanted to ask: what meds did you try for that? As it is often connected with fatigue, my neuro gave me provigil (didn't really work for me and gave me awful headaches when weaning off) and ratilin (slightly better but also ends with headache).
It seems most of meds I take give me headaches (I also have migraines). Are there any other medications for that? It's very annoying not to be able to stay focused for any extended period of time.
As usual thank you for any suggestions!

Hugs,
Kasia
Cancel
5 Answers
Page 1 of 1
572651_tn?1333939396
Hi Kasia,
May I suggest rehab for you?  There is specialized cognitive training that can and usually does help with concentration.  There was just a big presentation on trials that proved it works that was given at the ECTRIMS conference in Amsterdam.  At least I think that's where I just read about it.  LOL

The therapist can work with intervention techniques and skills to help you develop new or different ways to increase your attention and concentraiton.  

Also, don't shy away from getting exercise. It is known that regular exercise is important for mental sharpness and helps with physical and mental fatigue.

best, Lulu
Comment
Cancel
572651_tn?1333939396
Comment
Comment
Submit Comment
1842804_tn?1319759911
Thanks Lulu!
I'll look into that and see what's out there.
Comment
Cancel
1842804_tn?1319759911
Comment
Comment
Submit Comment
152264_tn?1280358257
Tried Provigil, tried Ritalin, ended up on Strattera and it's been a perfect godsend for me! (I did not have trouble with Provigil and Ritalin--they helped a lot, although Provigil had an uncomfortable late-afternoon "letdown" effect for me), but after a year or two they did not work so well.)

Strattera is marketed as an ADD med (it's a norepinephrine reuptake inhibitor, nonstimulant) and it does not help a great deal with fatigue, but it fixed my concentration/reading problem. The source of my attention/concentration problems is actually a low-level chronic dizziness of unknown cause. Not MS, presumably. But I do have highly abnormal brainstem evoked potentials, and I can't help but think that's related to my concentration/attention problem (solved by Strattera!) Horribly expensive med but it has no side effects for me and I've been taking it for 7 years.

Good luck finding something that works for you.
Comment
Cancel
152264_tn?1280358257
Comment
Comment
Submit Comment
152264_tn?1280358257
P.S. I have low-level migraine activity, though no headaches to speak of, and that is what I attribute my dizziness/brainstem problems to, in the absence of any explanation whatsoever from multiple neurologists and ENTs over 12 years.
Comment
Cancel
152264_tn?1280358257
Comment
Comment
Submit Comment
338416_tn?1420049302
When I was having cognitive problems, I asked to be put on Aricept.  It really seemed to help.

Recently I've learned that Aricept binds itself to certain receptors in the brain.  These receptors change in composition.  I'm not sure exactly what that means, but it sounds like the receptors can't 'improve' because of the changes.

At any rate, they've developed better drugs for cognitive problems, and my neurologist is ready to put me on them!  But aside from memory issues, I think I'm doing okay.  I probably need another neuro-psych exam to see if I've gotten better or worse since my last one.
Comment
Cancel
338416_tn?1420049302
Comment
Comment
Submit Comment
Your Answer
1842804_tn?1319759911
Answer
Know how to answer? Tap here to leave your answer...
Answer
concentration difficulties
Submit Answer
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Multiple Sclerosis Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Neurology Answerers
667078_tn?1316004535
Blank
Durham, NC
987762_tn?1331031553
Blank
Australia
198419_tn?1360245956
Blank
Avatar_universal
Blank
739070_tn?1338607002
Blank
GA
1831849_tn?1383231992
Blank
Great Neck, NY