A Doctor's Travel Tips - National Multiple Sclerosis Society

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A Doctor's Travel Tips

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In this article

Dr. Barbara Giesser, a neurologist who has specialized in MS care for over 20 years, offers advice about how to travel safely and comfortably.

What should I do if I have an exacerbation while traveling?

The first thing to remember is what an exacerbation is. It’s a worsening of old symptoms or the appearance of new ones that lasts at least 24 hours. This is important because stress, heat, and/or fatigue (all of which easily happen while traveling) could cause a temporary symptom flare, which should clear by the next day. If symptoms persist:

  • do you have any signs of infection?
  • new bladder symptoms?
  • a fever?
  • symptoms of flu or a cold?

If there is an infection, have it treated. Your flare may be a pseudoexacerbation. 

In the event of a true exacerbation, seek medical evaluation, preferably by a neurologist. If you have a predictable response to steroids and you’ll be traveling in an area with limited medical help, your physician may give you a prescription for a 12 week supply of oral prednisone to take with you just in case.

I’m packing my injectables in an insulated carry-on bag, but suppose I can’t freeze my gel pack?

Avonex, Betaseron, and Copaxone (before they are reconstituted) can stay at temperatures that don’t exceed 86º for a total of 7 days. Ice can usually be obtained on airplanes, trains, and in hotels. Remember to pack clean plastic bags for ice holders.

Do I need a note from my neurologist to get through airport security with my needles?

Some airports, particularly overseas, may have more stringent security standards. It’s safest to have a doctor’s note certifying that you are on injectable prescription medication. Tours or cruise lines may require a “fitness to travel” letter from your doctor.

What do you recommend for diarrhea? Motion sickness? Or Third World travel?

Over-the-counter anti-diarrheals, such as Kaopectate, Pepto-Bismol, or Imodium, work well. The biggest problem from diarrhea is dehydration. If you are traveling in less-developed areas, it’s wise to pack some electrolyte-rich “sports” drinks. Persistent diarrhea, or diarrhea accompanied by fever or abdominal pain that lasts more than a day, needs medical evaluation. Over-the-counter Dramamine works for motion sickness, or your doctor may give you a prescription for Antivert (meclizine). The Centers for Disease Control posts vaccination recommendations for everywhere in the world. Also see our page on vaccinations and MS.

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