Multiple sclerosis in adults: management : guidance (CG186)

National Institute for Health and Care Excellence - NICE
Publication date:
08 October 2014


This guideline covers diagnosing and managing multiple sclerosis in people aged 18 and over. It aims to improve the quality of life for adults with multiple sclerosis by promoting symptom management, comprehensive reviews and effective relapse treatment.

The guideline does not cover disease-modifying treatments. These are covered by the technology appraisals on the multiple sclerosis page of the NICE website.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Social care practitioners
  • Commissioners and providers
  • Adults with multiple sclerosis and their families and carers

Is this guideline up to date?

We checked this guideline in October 2018 and we are proposing an update to the recommendations on multiple sclerosis diagnosis, symptom management and rehabilitation.

Guideline development process

How we develop NICE guidelines

This guideline updates and replaces NICE guideline CG8 (November 2003).

This guideline was previously called multiple sclerosis: management of multiple sclerosis in primary and secondary care.