And why should you not join in the discussion, whammel?
Acually, your post raises an interesting point (and one that could run and run, or drop stone dead).
If you treat a symptom, are you treating the disease that caused it, or just alleviating the symptom?
Some would say that a lot of the time, all doctors really do is to treat the symptom.
This has come up before in the context of the DMDs. If we assume that they reduce the frequency of relapses, what are they actually doing? Sure, they do not replace damaged myelin, so it is now an argument verging on the philosophical as to whether altering the course of the disease is treating the disease, or treating one of its primary symptoms.
No, I am not going to pretend that I have a quick answer to that one, but if we look at your list of medications used “off-ticket” then the question of treating symptom or disease comes right back. I have no intention of even trying to work through the whole list, but have just spotted a couple.
Gabapentin/pregabalin. These are not prescribed as “MS treatments” but as treatment for “neuropathic pain”. OK, so the neuropathic pain may well be caused by MS (certainly is in my own case), but it is the pain that is being treated, not the MS.
Immodium. This is prescribed as a treatment for diarrhea. Again, the diarrhea may be caused by MS, but it could be caused by other things (a combination of curry and lager comes to mind), so we are back to treating the symptom, rather than the cause of that symptom. Immodium is an interesting one, in that - a) it is supposed to cross the blood-brain barrier and come straight back out again, and - b) as an opioid, it could potentially interact with LDN.
Personally, I find the interactions interesting, in that the “prescriber’s bible” (the BNF) list the interactions between one drug and another - but not the interaction between two given drugs in the presence of a third (let alone the potential interactions when a cocktail of drugs is taken). Seeing that I take a cocktail of medication for my heart condition, I tend to raise the question with another Health Professional every time a new item is added to the prescription. The answer is always “NO”, and I always treat this as “We don’t know of any”, which is not the same thing.
I suppose that this should really be the subject of a separate thread - if anyone else wants to join in.
Geoff