Here is My Question:
I have RRMS but a mild form. My neurologist/MS specialist doesn’t believe a DMD will benefit me. All symptomatic medication has given me all the side effects and seem to be sensitive to them.
Decision to treat or monitor off a DMT is a case specific decision. In most circumstances treating is favored as the DMTs are preventative rather than restorative. The best time to use DMTs is early in the disease course for that reason. The decision when to come off therapy is challenging given the unpredictable nature of the disease. Prolonged periods of disease quiescence may indicate that the inflammatory phase of the disease (the phase we are best able to treat) has passed and the patient is unlikely to benefit from DMTs any longer. Any decision to come off therapy with a monitoring plan should always be done in coordination of your treating physician.
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
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