Multiple sclerosis

G35 · Neurological

Clinical description

Multiple sclerosis. ICD-10: G35. Brain, nerve, and coordination conditions — may affect concentration, safety, or stamina.

ICD-10 classification¹

Work & claim impact

Hover highlighted terms for claim context · ? for more info

Document how symptoms limit material duties — attendance, stamina, cognition, safety, and reliability.

Functional capacity Diagnosis trap

Claim note: Insurers test occupational incapacity — document how it blocks material duties , not the diagnosis label ↗ alone.

Examples

For Multiple sclerosis: cannot perform [your core duty] because brain fog and poor concentration.
Duty link (cognitive): cannot perform client analysis workshops because brain fog and poor concentration.
Migraine days: cannot sustain screen work or travel to site visits — not merely "headaches noted".

Diagnosis trap Symptom → duty Material duties Incapacity Diagnosis vs duty Functional capacity builder · Language map

Category context

Brain, nerve, and coordination conditions — may affect concentration, safety, or stamina.

Common symptoms (story builder)

Hover for a plain-language explanation · + adds to your health story.

Brain fog Poor concentration Dizziness Headaches Memory problems

Relevant specialists & assessors

Treating and assessing roles commonly involved with this condition on SA income-protection claims — click a role to see what they do.^†

General Practitioner (GP) Medical doctor Primary care doctor — first point for sick notes, referrals, and ongoing treatment. What they do → Neurologist Specialist Brain, spine, nerve, and seizure disorders — migraine, MS, neuropathy. What they do → Neuropsychologist Mental health Tests memory, attention, and executive function — useful for cognitive injury claims. What they do → Occupational Therapist Allied health Assesses daily and work functioning — ADLs and return-to-work capacity. What they do → Radiologist Diagnostics Interprets X-rays, CT, MRI — reports often support MSK and neuro claims. What they do → Independent Medical Examiner (IME) Assessor Assessor Insurer- or employer-appointed assessor — not treating doctor. What they do →

Full clinicians & practices directory →

Linked medications (SA)

Generic active ingredients, registered brand formulations, SA strengths, and typical dosing — cross-linked to medication pages.^†

Pregabalin

2 SA brands Schedule 5 ℹ

Calcium-channel modulator for neuropathic pain and generalised anxiety — sedation and dizziness common.

Brands: Lyrica (pregabalin), Pregabalin (generic)

SA strengths: 25 mg capsule · 75 mg capsule · 150 mg capsule · 300 mg capsule

Typical SA dosing: Often titrated 75 mg BD to 150–300 mg BD for pain/anxiety per tolerability.

Gabapentin

2 SA brands Schedule 5 ℹ

Anticonvulsant used for neuropathic pain — requires renal dose adjustment.

Brands: Neurontin (gabapentin), Gabapentin (generic)

SA strengths: 100 mg capsule · 300 mg capsule · 400 mg capsule

Typical SA dosing: Titrated in divided doses; typical maintenance varies widely by indication.

Topiramate

1 SA brand Schedule 5 ℹ

Anticonvulsant used for migraine prophylaxis — cognitive slowing and weight loss possible.

Brands: Topamax (topiramate)

SA strengths: 25 mg tablet · 50 mg tablet · 100 mg tablet

Typical SA dosing: Migraine prevention often titrated to 50–100 mg daily.

Sumatriptan

1 SA brand Schedule 5 ℹ

Triptan for acute migraine — use at headache onset; cardiovascular screening applies.

Brands: Imigran (sumatriptan)

SA strengths: 50 mg tablet · 100 mg tablet

Typical SA dosing: 50–100 mg at onset; repeat once after 2 h if needed per script limits.

Methylphenidate

6 SA brands Schedule 7 ℹ

Stimulant for ADHD — appetite suppression and insomnia; controlled prescription.

Brands: Ritalin (methylphenidate), Ritalin LA (methylphenidate LA), Concerta (methylphenidate ER), Medikinet LA (methylphenidate LA), Rubifen (methylphenidate), Attenta (methylphenidate)

SA strengths: 5 mg tablet · 10 mg tablet · 20 mg tablet · 10 mg LA capsule · 20 mg LA capsule · 30 mg LA capsule · 40 mg LA capsule · 18 mg ER tablet · 27 mg ER tablet · 36 mg ER tablet · 54 mg ER tablet

Typical SA dosing: IR (Ritalin/Rubifen/Attenta): 5–20 mg mane and/or lunchtime titrated; LA (Ritalin LA/Medikinet LA): 10–40 mg mane; OROS ER (Concerta): 18–54 mg mane per response.

Linked therapy

Session-based referrals — not medicines. Separate from linked medications above; still evidence for functional capacity and recovery. Therapy directory → · Not scheduled →^†

Physiotherapy (prescribed)

Physiotherapy Not scheduled ℹ

Prescribed rehabilitation for pain, injury, and mobility restoration.

Session formats: 30 min session · 45 min session · 60 min session

Typical plan: Usually 30–60 min sessions weekly to thrice weekly per referral.

Occupational therapy

Occupational therapy Not scheduled ℹ

Functional rehabilitation — workplace pacing, ergonomics, ADL retraining.

Session formats: 45 min session · 60 min session

Typical plan: 45–60 min sessions per treating plan.

Psychotherapy / CBT

Psychotherapy & counselling Not scheduled ℹ

Structured talking therapy (e.g. CBT) for mental health and adjustment.

Session formats: 50 min session · 60 min session

Typical plan: Typically 50–60 min weekly or fortnightly sessions.

Common causes or triggers

Typical precipitants seen in SA income-protection claims — hover labels for context; use ? for claim tips. ^†

Progressive disease course
Relapsing or degenerative patterns — capture specialist prognosis and duty impact at each relapse.
Source: ClaimBuddy curated
Trigger exposure
Migraine triggers include stress, sleep loss, hormones, and screen load — log contemporaneous attacks against work demands.
Source: ClaimBuddy curated
Multifactorial contributors
Genetic, environmental, and work factors often combine — build a chronology rather than a single cause label.
Source: ClaimBuddy curated

Comorbidities or complicating factors

Conditions that often overlap and amplify functional limits — pair with specialist reports and your functional matrix. ^†

Mood disorder
Epilepsy, migraine, and MS commonly overlap with depression — treat as additive functional burden.
Source: ClaimBuddy curated
Overlapping conditions
Check for mood, sleep, pain, or metabolic comorbidity that amplifies functional limits.
Source: ClaimBuddy curated

References for therapy

Guideline themes and evidence sources to pair with your treating plan — for claims context, not prescribing advice.^†

Migraine — acute and preventive management NICE NG150

Trigger diary, sleep regularity, and stepwise pharmacotherapy; occupational light/noise triggers matter for claims.

Open reference ↗
Adult ADHD — combined treatment NICE NG87

Stimulant or non-stimulant medication plus coaching/organisational strategies; document timing effects on duties.

Open reference ↗
Occupational therapy — work capacity ClaimBuddy curated / HPCSA OT scope

ADL and workplace pacing assessments; pairs with material-duty mapping in functional capacity evidence.
Independent medical examination (IME) context ClaimBuddy curated

Assessor is not your treating doctor — prepare material duties, chronology, and treating specialist reports separately.

References & footnotes

ICD-10 code and condition label follow WHO ICD-10 classification. WHO ICD-10
Work-impact notes describe functional themes insurers probe — pair with material-duty mapping in your claim file. ClaimBuddy curated
Condition–medication links are therapeutic associations common in SA income-protection claims, not mandatory treatment pathways. MIMS / SA package inserts; ClaimBuddy curated
Specialist and assessor roles are typical for this condition in SA income-protection claims — not an exhaustive list of who may treat you. ClaimBuddy curated
Linked therapies are common non-drug interventions — cross-referenced to atlas therapy pages; insurer funding may differ from clinical appropriateness. ClaimBuddy curated
Therapy references summarise guideline themes for claims context — not prescribing advice; pair with your treating clinician's plan. MIMS / SA package inserts; ClaimBuddy curated
Causes, triggers, and comorbidity notes are claims-context summaries — not diagnostic criteria; pair with treating records and specialist opinion. WHO ICD-10; ClaimBuddy curated

Where this data comes from

ClaimBuddy collates SA-market brand names and strengths for intake — always verify against your script and clinician.

WHO ICD-10 — Condition names and ICD-10-CM codes in the condition index.
SAHPRA — South African medicine registration context; brand products must be SAHPRA-registered to be dispensed.
MIMS / SA package inserts — Registered strengths, formulations, and typical dosing ranges for SA market products.
SA Essential Medicines List (EML) — Public-sector formulary context for commonly available strengths.
ClaimBuddy curated — SA brand name collation from intake presets, claim-frequency mapping, and work-impact notes — not a substitute for prescribing information.

Language map — diagnosis vs incapacity →

Sentrix Digital, Melbourne · ABN 29 203 554 753. Not medical, legal, or financial advice. Organisation and drafting only. Verify with treating practitioners, the PDS, and the trustee/insurer. Australian complaints: insurer/trustee IDR, then AFCA. · info@sentrixdigital.com · +61 (03) 9088 1341 · Admin login