Bit of an update to my assessment.
Saw a spasticity specialist Wednesday who went through all the current options open to me at the moment which included Sativex, however she did not think that Sativex was the best option to immediately go with, as she didnt think it’s success rate was as good as some other meds that are available, but she did say that it’s still an option if the meds she suggested dont work. She took into account that I’ve tried already Baclofen , Gabapentin & Pregabalin without success, so basically she wants me to try Clonazepam at a low dose at night, then after doing some blood test in about a 2 weeks time she said to start on Tizanidine, again on a low dose to start with.
Looking further down the road she said theres a Baclofen pump, which in her opinion was far far better than Baclofen in tablet form, I think this option though is a long way off at the moment.
Also mentioned was FES treatment for my dropped foot if needed.
Although a little disappointed not to try Sativex straight away, I’m more than willing to try the other meds first as it gives me the opportunity to say in the future that I’ve tried & ticked all the box’s in regards to NICE guidelines.
Even though Sativex is available on the NHS here in Wales for MS it seems as though all other cheaper options need to be tried first.
I really cannot understand why anyone who is diagnosed with MS is not immediately put in contact with a spasticity specialist from the start, after all spasticity/spasms are probably the most common symptoms of MS.
Maybe it’s just the way my local MS clinic works ?
So anyway, I’ll try these new meds see how things go and take things as they come.