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MS – Flying and Travel Advice — SCE Neurology MCQ

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EasyMultiple Sclerosis & CNS InflammationMS – Flying and Travel AdviceSCE Neurology

A 30-year-old woman with known MS is planning a long-haul flight. She asks whether flying is safe with MS. What advice should be given?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Flying is generally safe for people with MS — advise adequate hydration, mobility during the flight (to reduce DVT risk given reduced mobility), medication timing management across time zones, and carrying medications in hand luggage with a medical letter

Flying is generally safe for people with MS. Practical considerations include: (1) DVT prevention (MS patients with limited mobility are at increased risk — compression stockings, calf exercises, adequate hydration, consider LMWH prophylaxis for very long flights if immobile), (2) medication management across time zones (particularly for timed medications), (3) carrying medications in hand luggage with a medical letter, (4) heat management (aircraft cabins can be warm — stay hydrated), (5) wheelchair/mobility aid arrangements with the airline, (6) travel insurance that covers pre-existing MS. A: Flying is safe. C: Long flights are also safe with precautions. D: Medical clearance is not routinely needed. E: DMTs should be continued.

Reference: MS Society Travel Guidance; NICE NG100 MS