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Description
It works by blocking the opioid receptors for six hours, then it wears off in six hours that its working, it creates endorphins and it stimulates anti inflammatory cytokines When the medication wears off, the opioid receptors are then flooded with the anti inflammatory cytokines and the opioid receptors So we like to dose it at bedtime so that your patients are ready to go in the morning but about ten percent of the patients experiencing insomnia
It works by calming overactive nerve activity in the brain
To mitigate this, initial dosing of exenatide usually starts low (5 g BID) then increases to 10 g BID after a month
The most common reported effects were mild injection-site reactions and occasional headaches
This will have an impact on stop loss insurance, so be sure to figure that in as well
Your neurologist can assess your specific MS status to determine risk versus benefit for your situation
