Here is My Question:
I was on Aubagio, then stopped because of high blood pressure (being treated for that still). Had an aneurysm in 2015 and worry about that. Anyway, my new neurologist says Aubagio cannot cause that. Not from what I read. He wants me to start Tecfidera, or at least consider it. But I'm thinking, shouldn't Aubagio be removed completely from my system before starting anything else? Seems to me, it is still in my system if I still have the high blood pressure. I never had that before Aubagio. I'm afraid of starting something else with that still in me!
I always use the elimination protocol when stopping Aubagio. The protocol is cholestyramine 8g by mouth three times a day x 11 days. I also recommend checking a teriflunomide/leflunomide level after the elimination to ensure the Aubagio is effectively removed. Rarely, I have had to repeat the elimination protocol (in every case, the second round removed the Aubagio).
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
KP Fontana and Riverside Medical Centers
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