Doctor insights on:
My daughter has lost her job and we will not be able to afford her next shipment of copaxone, (glatiramer) Any OTC medications she can take instead?
Contact prescriber: Copaxone (glatiramer) is a specific combination of biologic agents used for treating MS (L-alanine, L-Lysine, L-glutamic acid and L-Tyrosine) . Try discussing with her prescribing doctor - there may be a way to get a short supply of her meds at a discounted price for a while. ...Read more
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
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. ...Read moreSee 1 more doctor answer
I have started my medication in june (which is an injection of copaxone (glatiramer) everyday) I have yet to get my period?
Unusual reaction: Copaxone (glatiramer) does NOT usually affect hormonal function, and need to have your gynecologist assess this. Sounds like a co-morbidity rather than a direct relationship, but unique reactions can and do occur. If no explanation otherwise, perhaps not a bad idea to try a different disease modifying agent. ...Read more
I have had tingling/numbness in my finger tips since july 13 and i take copaxone (glatiramer). I wanted to know is there a medication to stop numbness?
Need a diagnosis: If the numbness is due to ms, you may be experiencing a relapse, and that could be treated with a steroid or acth. If the numbness is due to a peripheral nerve issue such as carpal tunnel, this could be treated directly. You need to discuss with your doctor and search out the etiology and then address with specific intervention. You see, ms can co-exist with other problems and these need eval. ...Read moreSee 1 more doctor answer
Was on many medications for confirmed MS (rebif, copaxone, gilenya, tysabri, (natalizumab) tecfidera) none helped control.. Is this typical of ms? Next step?
Unusual but possible: Visit an ms center.Get a more detailed answer ›
What medications can help the forgetfulness associated with ms. I takw copaxone (glatiramer) daily. No other medicatiins. Lab work chemistries and thyroid are ok?
Side effects: There are side effects related to the treatment of multiple sclerosis, as well as the effects of the disease itself on attention, concentration and memory. In some cases the addition of antidepressants will improve the cognitive effects and the low mood associated with the condition. A consultation with the psychiatrist could be very helpful. ...Read moreSee 1 more doctor answer
What are the side effects for taking oral MS drugs as opposed to copaxone (glatiramer) and all the other injectable drugs.
Complex : All ms drugs have potential side effects, and Copaxone has injection site reactions, lipoatrophy, an occasional chest/flushing reaction, and of course, the need to inject. All three orals are well tolerated in most folks, but tecfidera may cause severe nausea, diarrhea. Better tolerated might be Gilenya (fingolimod) or aubagio. Talk to neurologist about your best approach. ...Read moreSee 1 more doctor answer
I am ending using copaxone (glatiramer) after more than two years. I am going to try bd 12 (not yet available to australians). Should there be a waiting period before starting a new drug?
# OF INJECTIONS: Both Avonex and Copaxone are drugs of the 90's, and have helped numerous pts. Copaxone is injected daily, does have injection rxtns, yet is considered safer for pregnancy. Avonex is injected once weekly, but can cause flu rxtns, depression, thyroid and liver issues, and is not safe for pregnancy. Both are modestly effective, but many newer agents have better outcomes (tysabri, gilenya, (fingolimod) etc). ...Read more
Avonex (interferon beta 1a) v Copaxone: Avonex (interferon beta 1a) is an injection given to a muscle once per week. It is a deep shot. Copaxone is a superficial shot given under the skin every day. The retail costs of the medicines are about the same. They are both expensive; insurance coverage may be important. Avonex (interferon beta 1a) sometimes may cause flu-like side effect symptoms, copaxone may not. Both can cause irritation by the injection site. ...Read moreSee 1 more doctor answer
Variable.: Local injection site pain may last a few minutes, unless the area becomes infected or swollen. Dimpling in the injection site, lipoatrophy, occurs in up to 60% of patients, and may be permanent. Brief injection rxtns associated with chest pain, flushing, sweating, etc, are rare and benign and last about 15 min. Hypertension may occur, and, if so, may be permanent. ...Read more
See answer below: Most common side effects of Copaxone (glatiramer) are injection site reactions with redness or welts that can last a few days. Occasionally, patients will report severe chest pain that occurs once or twice a month and is limited to 3-5 minutes in duration. More rarely, patients will report flushing in the face followed by severe chills and incontinence that can last up to 3 hours. ...Read more
Variable.: Local injection site pain may last a few minutes, unless the area becomes infected or swollen. Dimpling in the injection site, lipoatrophy, occurs in up to 60% of patients, and may be permanent. Brief injection rxtns associated with chest pain, flushing, sweating, etc, are rare and benign and last about 15 min. Hypertension may occur, and, if so, may be permanent. ...Read moreSee 2 more doctor answers
NMO: In the old days, we thought that nmo was a variant of ms. Now we realize that it is very different, although may present the same way. Because it is so rare, there will never be enough people in an fda trial to approve a drug therapy. I have had success with rituxan (rituximab). Two men in this country are the leading experts on the topic, dean wingerchuck at mayo clinic and ben greenberg at utsw. ...Read more
Been on Copaxone a few years. Dr says when if it stops working he wants to move to oral MS meds. I am really nervous about these. Which r safest?
All: They all have different side effect profiles. Selection should be individualized and typically monitoring is done routinely to detect side effects early. They also come with the added convenience of taking a "pill" as opposed to injections. ...Read more
See answer below: Both are used in rrms with similar efficacy levels. Copaxone (glatiramer) does not need blood monitoring and is administered as a subcutaneous sc injection daily. Side effects include injection site reactions. Interferons need lab work monitoring, can be a weekly injection into a muscle (avonex), every other day sc (betaseron) or three times a week sc (rebif). Most commo side effects include flu-like symptoms. ...Read more
VERY DIFFERENT: Entirely different chemical classes, with distinct different mechanisms of action, and outcome data. Both seem safe, Copaxone (glatiramer) tho is injected daily, causes lipoatrophy, hypertension, and injection reactions. Tecfidera may be tough to tolerate due to flushing, nausea, diarrhea, stomach pain. Copaxone (glatiramer) relapse reduction is 29%, but tecfidera, drops 44-52%, oral twice daily, no needles. Talk to doc. ...Read more
- Talk to a doctor live online for free
- Does doxycycline reduce the effectiveness of birth control?
- Bendamustine and rituxan side effects
- Longterm side effects doxorubicin
- Ask a doctor a question free online
- Nexium with other medication
- How long between stopping amitriptyline and starting new medication?
- Does valtrex effect the kidney?
- Can i take thyrois medicine while on depo provera shot?