Doctor insights on:
Pregnancy And Multiple Sclerosis
Hard to Say: The exact causes of multiple sclerosis (MS) are unknown. It's believed to be an autoimmune disease where the body's immune system attacks its own tissues. In MS, this process destroys myelin, the fatty substance that coats and protects nerve fibers in the brain and spinal cord. ...Read moreSee 2 more doctor answers
A disorder causing usually episodic loss of myelin (demyelination) which disrupts function of central nervous system. Can lead to nerve damage because nerve requires myelin to function best. Classically relapsing and remitting or chronic and progressive. The former is characterized by transient neurological episodes of dysfunction separate in time and in space ...Read more
Complex: Treatments have dramatically changed over past few years. The older self-injectables are rapidly being discarded in favor of the newer orals and infusible agents, which seem easier to use and more effective. But, no one drug is the answer for everyone, and decisions are based on tolerance, co-morbidities, question of pregnancy. Maybe you are candidate for tysabri, techfidera, gilenya, aubrigio? ...Read moreSee 1 more doctor answer
Several meds: We have 3 oral meds which are rapidly replacing the self injectable products due to efficacy, tolerability, and ease of use. Most potent drug is tysabri, closely followed by gilenya. Aubagio, equivalent to injectables, but is oral. Tecfidera, taken twice daily, is intermediate. Interferon needle injections being used far less frequently. Copaxone injections safe for pregnancy. Talk to doctor. ...Read more
Why?: I'm confused, why should this be a secret? If one has ms, it needs to be treated and controlled. There are tests that help confirm, but a non-physician would not have access to mri's or spinal fluid analysis. There are no drugstore diagnostic kits like for pregnancy. If there are good reasons for confidentiality, your doctor can keep this private. ...Read more
My wife is 37 and has multiple sclerosis. She wants to get pregnant but i'm afraid that stopping her medication will do her harm. Is it safe?
Multiple sclerosis: It is a concern. Removing certain medications can increase the relapse rate immediately after stopping the medication (immune reconstitution syndrome). This is not seen with the older "platform" therapies. Copaxone is category b for pregnancy. Nevertheless, all my patients have opted to stay off medication during their pregnancies. Good thing is relapse rate is reduced during 2-3rd trimester. ...Read moreSee 2 more doctor answers
Might be difficult: In a friend who is being treated and controlled with potent meds, you might think they look completely normal. If undiagnosed, they might display inordinate fatigue, get confused with poor memory, have bad balance, trouble with visual loss, weakness in legs, etc. This is a complex area for most physicians, and an ms specialty focused neurologist is critical. ...Read moreSee 2 more doctor answers
If you're pregnant or planning to get pregnant, there are many things you can do to give your baby a healthy start: Regular prenatal visits along with laboratory testing, ultrasounds, prenatal vitamins and immunizations (like the flu shot and whopping cough booster). Now's the time to eat healthy, stay hydrated, and ...Read more
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