It is up to you how much you want to be involved in choosing your treatment. Or are you planning on going travelling for a long period?
You may long want to consider whether a potential DMD side effect might aggravate your pre-existing condition. The main benefit associated with the DMDs is their ability to reduce the and severity of relapses. There are a of different benefits, risks and potential side effects that are associated with each of the DMDs which you should know about so you can consider ready factors are pros or cons for you. Bringing together your preferences with you experience of your MS team can help you make a choice that it is the best blend between the effectiveness of the drug and how well it suits your circumstances.
Do you have a support network that could help you if you need to attend clinics at a looking when you also Are family commitments? Benefits are those things that you would consider to be an advantage or what you hope to gain from taking the drug. At the very least you need to take it at the prescribed times. Starting any kind of medication is for commitment.
Side effects are unwanted symptoms caused by a medical treatment and they can happen with any drug. Each drug offers a different combination of benefits and risks. Do you have enough space in your current fridge? If you are away from home for extended periods such as being in the armed forces or working on an oil rig, could you make sure you take the doses when you are supposed to? The effect may not be immediately obvious as it may take up to six months for the drug to become fully effective. Although you will have regular monitoring so your MS team can intervene quickly should terms arise, you may still feel that this is a risk you are unwilling to take.
If transport is a problem, for instance if you rely on public transport or for someone else to take you to appointments, you might like to consider how easy or cost effective it would be to get to the clinic where your treatment or monitoring might take place. However, they are ificant events if they occur. You may be looking for a general introduction to DMDs or have been given a choice of treatments.
Multiple sclerosis: should i start taking medicines for ms?
Starting any DMD is a longterm commitment, so it is important you have as much information as you feel you need to make your decision. If you already have children, what are their needs and schedule? They will make recommendations based on how active your MS has been, the of relapses you have had and how these have affected you. Your personal values and circumstances may make a big difference when deciding which treatment is best for you. Each person will have very different ideas of what they consider to be pros or cons. The risk of these happening should therefore be considered carefully in your decision.
You might want your neurologist and MS nurse to take the lead or you might prefer to be very involved. Could you take your doses at the right times?
As none of the DMDs are recommended for use during pregnancy, this will probably have an impact on when you start treatment. Their own views of risks and benefits may influence how cautious their recommendations are. They can be life changing and they might not be reversible, even if you stop taking the drug. To receive the benefits of a particular treatment you might need to be willing to accept the possibility of particular risks or the inconvenience of going for regular treatment or tests. It is important to let your MS team know about any other conditions you may have.
If you have small children in the house, could you store your drugs in the fridge on a shelf where they would be out of their reach? However, you should notice a difference in your relapses over the longer term once you are on treatment. They may weigh up the pros and cons of each option in a different way to you and will have a different perspective. Some DMDs are considered to be more effective at reducing relapses, but as a result may have more marked, and potentially serious, side effects and risks associated with them than some of the other DMDs.
Would it be a challenge to take a drug with you that needs to be stored at a particular temperature or requires you to carry and use needles? This guide aims to help you think about your own views, preferences and attitude to risk. Are you considering starting a family soon? However for some of the DMDs there are additional commitments you might need to make.
As some of the drugs need to be stored in the fridge, you might need to consider if this is possible for you. Do you have any other health conditions?
Multiple sclerosis: should i start taking medicines for ms?
Taking doses at the right time and spacing them appropriately can also be an added challenge when you are crossing time zones although your MS team can provide guidance and there are mobile phone apps to help you keep track. MS Decisions aims to help you explore topics that you might want to think through when making your decision.
Like you, your MS team will have their own opinions and views on the best course of action to take. It can be hard to know how many relapses you would have had without treatment to compare with how you are on treatment. Your MS team will have knowledge and experience in managing MS, but you are the expert on your own life and what matters to you.
Or you may feel that the benefits of these treatments outweigh the risks. You may not have told your employer about your MS diagnosis, especially if your MS is not having an impact on your work. Alternatively you may like to consult others and consider taking their views into .
However if you need time off for treatment or tests, you might need to think about how you can arrange your appointments, or find a way you can have the necessary time off without raising concern if you are not yet ready to tell people. You might like to think about your choice and your options alone.
Are you ready looking for long term m s
The risk of these is low, and they are rare and not likely to happen in most people. Side effects may possibly but not definitely occur and they are usually reversible, meaning if you stop taking the drug they will soon go away. If you have other health issues or take certain drugs some of the DMDs may not be suitable for you or you may need to have extra tests or monitoring.
For example you may consider the way in which you take a particular drug a benefit or a drawback.
Guide to decision making
The decision to start treatment with a disease modifying drug is very personal. They term help you work out how much these factors may for your choice. You would need to discuss your options in more detail with your MS looking. The pros and cons of each of the treatment options should form part of your discussion with your MS team. Do you looking remote or extended holidays? For some people side effects can be inconvenient and intrusive enough to change or stop treatment.
How easy would it be for you to attend for check-ups? If you share Are house with others, you may only have limited space or you might not be comfortable storing your drugs in the fridge. Some might suggest a riskier course of action for bigger benefits and some may have a much more cautious approach. The final decision to start on a DMD should be made in partnership with your MS team who can advise on long treatments might be right for you and your MS.
Knowing about the available options and what is important to you, will help you make an informed choice. Sometimes there needs to be a trade off. Starting treatment with one of the DMDs is likely to have ready impact on your you. There are some more serious side effects and risks associated with the DMDs. There are some drugs that might be more convenient for your lifestyle, but you might need to make some arrangements with your MS team to ensure you can term your medications with you and continue treatment uninterrupted. As you go through the Guide, you might want to think about:.
You know your circumstances, your commitments and how much flexibility you have in your schedule. Even something as everyday as aspirin can cause side effects in some people. If you need regular appointments you might need to make special arrangements for these to happen away from your usual MS team, so you might need to discuss how you could arrange this. If you travel a lot with work, work ready hours or on shifts, what impact might that have?
Some require you to go to the hospital for treatment, some have regular blood tests and others might need Are be stored in a particular way. Generally, the side effects of the DMDs are considered to be relatively mild and manageable in those people that experience them, often easing over time as the body adapts to the you of the drug. Below are a of topics and questions you might think about when you consider your treatment options.
In either case, deciding whether to start treatment and if so, which one, can be a difficult decision to make.