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Spasticity (MS, spinal cord lesions)
Spasticity (MS, spinal cord lesions) · ICD-10: R25.2
Drugs and regimens
Baclofen⚠ Unverified
Spasticity — ≥12 y: 5 mg three times daily, increase every 3 days
OnabotulinumtoxinA (Botox)⚠ Unverified
Paediatric upper-limb spasticity — 3–6 Units/kg total (max 200) divided among muscles
OnabotulinumtoxinA (Botox)⚠ Unverified
Paediatric lower-limb spasticity — 4–8 Units/kg total (max 300)
OnabotulinumtoxinA (Botox)⚠ Unverified
Adult spasticity — upper limb up to 400 Units; lower limb 300–400 Units divided among muscles
Tizanidine⚠ Unverified
Spasticity — start 2 mg every 6–8 h as needed (max 3 doses)