Which multiple sclerosis drug is good to start with?

New paradigm: People vary and may have different needs and symptoms, here is a generic approach. Young females desiring children might start with copaxone, and should never use augabio. If the MRI is showing many lesions, and relapses are frequent, choose either tysabri (natalizumab) or Gilenya if a blood test jcv is done. Tecfidera may be a good general starting item, but too early to judge. Older injectables less used.