Here is My Question:
I’ve read elective abortion can cause increased relapse. Is this true if the patient is on and remains on Tysabri? Also, do you think medical verses surgical abortion is safer?
Amazingly, there is very little written on this subject. Most of the literature is based on outcomes of pregnancy after certain drug exposure or relapse risk post-partum.
There is one study from Italy in 2018 looking at 188 pregnancy terminations/abortions mostly in the first trimester. Risk of relapse and new MRI activity was mildly increased after pregnancy termination, particularly in those who stopped disease modifying therapy or with disease activity (relapses or MRI activity) in the year prior to pregnancy termination.
I would expect people with MS to do very well if they continue Tysabri before and after pregnancy terminations.
Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.