A member asked:

What's the most effective medication for secondary progressive multiple sclerosis? my dr has me on copaxone (glatiramer) for almost a year now and it's not helping

2 doctors weighed in across 2 answers

Multiple sclerosis: With the exception of Novantrone (mitoxantrone) and steroids there is no other approved therapy for secondary progressive ms. The new oral therapies and old injectable platform therapies are only effective in relapsing ms (slow down number of relapses over time) not effective in progressive ms. Physical therapy, ampyra, (dalfampridine) muscle relaxer and other medications could be used to improve symptoms of ms.

Answered 6/30/2014

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Sorry, but: Dr gaya is quite correct, as we do not have lots of choices for secondary progressive ms on the market. The american academy of neurology has expressed the lack of benefit for Copaxone (glatiramer) in spms, and studies have shown no value. Some research studies on rituxamab, ocrelizamab, and maybe laquinamod, suggest hope. Anti-lingo 1 might be of benefit. Perhaps seek out a research study.

Answered 6/24/2014

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