A patient with multiple sclerosis needs pharmacologic treatment for spasticity to begin strengthening exercises to improve walking ability. The nurse anticipates that which medication will be ordered for spasticity?
a. Baclofen [Lioresal]
b. Dantrolene [Dantrium]
c. Diazepam [Valium]
d. Metaxalone [Skelaxin]
A
Baclofen is used to treat spasms associated with multiple sclerosis. It has no direct muscle relax-ant effects, so it does not reduce muscle strength. Dantrolene works well to reduce spasms, but it also has significant effects on muscle strength. Diazepam is not the first-line drug of choice, but it could be used because it does not reduce muscle strength. Metaxalone is not indicated to treat spasms caused by multiple sclerosis.
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