Doctor insights on:
Treatment For Multiple Sclerosis
Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more
Getting exciting: Original meds included self-injectables, such as betaseron, avonex, compaxone, and rebith. Later, tysabri (natalizumab) infusions, and 2 oral meds, Gilenya and aubagio. We now know that vitamin d supplements provide added benefit. No one med fits all, but most effective drugs currently are Gilenya and tysabri (natalizumab), and these work best of the current crop. ...Read more
No unique answer: MS has many forms, many phases, individuals respond in all sorts of different and at times unpredictable ways so there is no BEST drug to tell you about. Latest research suggests the use of interferons and immunomodulating drugs is what best manages this disease. Unfortunately, there are plenty of problems with that approach but your doctor will discuss all the options with you. ...Read more
All are permanent: all treatments for MS are not curative, in order to stop or slow down the progression of the disease, you have to take them indefnitely. I hope this answers your question, not sure what you mean by permanent. If you mean that the treatments "permanently" stop progression, only possibly if you keep using them. I like tysabri (natalizumab) despite the side effects. I see MS lesions literally disappear. ...Read moreSee 1 more doctor answer
Complex : We do not know the exact cause of this autoimmune disease that attacks brain and spinal cord, but do find that both heredity and environment play roles in susceptibility. We are gaining new medicines which are far more potent (altho maybe risky), which can control the disease far better. The most potent available include tysabri (natalizumab) and gilenya. No cure yet, but stay tuned, it is close. ...Read more
My opinion: For what it's worth, each ms patient is unique and not all meds fit each person. Yet, you want a potent effective medicine, and nowadays we have lots of choices. Must consider risks and side effects. Most effective meds in descending order would be tysabri, (natalizumab) gilenya, tecfidera, rebif, betaseron, aubagio, copaxone, and lastly avonex. No perfect med exists commercially.. ...Read more
How can putting off treatment of multiple sclerosis by a few months after initial diagnosis (because of a temp. loss of insurance) impact prognosis?
My experiences: Every MS patient is different, and experiences a varied and unique disease presentation, but we strongly suggest starting disease modifying agents as soon as diagnosis is confirmed to prevent disability. That said, delay of a few months may be trivial in your case, but, drug companies have programs for those without insurance, and no real reason to delay treatment. Discuss with your neurologist. ...Read moreSee 1 more doctor answer
For someone who is 40 years old, what are the long term detrimental impacts of interferon treatment for multiple sclerosis?
Interferon: The real question you should be asking is "what are the detrimental effects of not taking interferon for treatment of ms". Ms can be a deadly disease and medications are chosen and recommended by physicians after a careful consideration of risks versus benefits. Ask the prescribing physicians for information that will help you look at both sides of this issue. ...Read moreSee 2 more doctor answers
How is the treatment for multiple sclerosis? Will my tinnitus (caused by multiple sclerosis) go away after i treat it?
Hard to predict.: If you have Multiple Sclerosis, you should be using specific MS medication, and do NOT understand why you are using ginkgo, which is totally useless for any neurological disease. Tinnitus may be due to inner ear issue and best to evaluate using audiological/ otological testing. ...Read moreSee 1 more doctor answer
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