I recently had a CBC taken and my neurologist indicated that my blood count is 200 and can't drop any lower. I will be retaking the test and possibly switching to Aubagio. What can I expect? I started out taking a Avonex then Tecfidera and I've also tested positive for the JC virus.
I suspect your neurologist is telling you that your absolute lymphocyte count dropped to 200, not your blood count. This is very low. I would recommend stopping Tecfidera, if your neurologist feels this is safe, and waiting until your absolute lymphocyte rises back above 800 before you start the Aubagio. If it takes too long for your lymphocyte count to return to normal, you may need to start another DMT while your lymphocyte count is still low. This will then require ongoing monitoring
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Professor of Clinical Neurosciences
University of California San Diego