Relapsing-remitting Multiple Sclerosis Has in Medicine / Internal Medicine — 34yo Woman | Neurology | SMLE Q#18356

SMLE Question #18356

Medicine / Internal Medicine Neurology

Objective: OBJ-NEURO-MS-PAIN-001

Last updated: February 2026
A 34-year-old woman with relapsing-remitting multiple sclerosis has been stable on teriflunomide for 1 year with no relapses. For several months, she has had diffuse burning and tingling pain throughout her body that worsens at night. She denies weakness, vision changes, sensory loss, bowel symptoms, urinary urgency, or incontinence. Neurologic examination shows no focal deficits or spasticity. Which medication is most appropriate to add for her pain?

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