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Summaryofevidence-basedguideline:Complementary and ...

SPECIAL ARTICLE. Summary of evidence-based guideline: complementary and alternative medicine in multiple sclerosis Report of the Guideline Development Subcommittee of the American Academy of Neurology Vijayshree Yadav, MD, ABSTRACT. MCR Objective: To develop evidence-based recommendations for complementary and alternative Christopher Bever, Jr., medicine (CAM) in multiple sclerosis (MS). MD, MBA, FAAN. Methods: We searched the literature (1970 March 2011; March 20112 September 2013. James Bowen, MD. MEDLINE search), classified articles, and linked recommendations to evidence. Allen Bowling, MD, PhD. Bianca Weinstock- Results and recommendations: Clinicians might offer oral cannabis extract for spasticity symp- Guttman, MD toms and pain (excluding central neuropathic pain) (Level A). Clinicians might offer tetrahydro- Michelle Cameron, MD, cannabinol for spasticity symptoms and pain (excluding central neuropathic pain) (Level B).

Complementary and alternative medicine (CAM) therapies are nonconventional therapies used in addition to or instead of physician-recommended therapies. CAM use is prevalent in 33%–80% of patients with MS,1-10 particularly among those who are female, have higher education levels, and report poorer health.1-4,11 This document summarizes

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  Medicine, Alternatives, Complementary, Therapies, Complementary and alternative medicine

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