Here is My Question:
How long do I have to wait after my last infusion of Ocrevus to switch back to Tecfidera??
The answer to this depends on the MS disease response (not MS symptoms) to the Ocrevus as well as your immune system response (determined by blood testing). In general, combination treatments are not overwhelmingly better than mono therapy in MS, but we can see increased risk with combination therapy (ie, PML). By monitoring the immune system through blood testing over time, your physician can determine when your b-cells are returning (typically after 6 months).
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
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