i am a caregiver only, but this has to be a tough decision for anyone really facing it. I can see the concerns both ways. I pray someday drugs will be available with less side effects and a more provable track record. This is a great article for anyone having to make the decisions now or in the future. I hope they read it and keep up with the latest information too.
Well I hope you stay tuned as I am also going to be writing from the other perspective of someone who is not taking any of the MS drugs.
You are so right...this is an incredibly hard decision with no easy answers. Everyone is different and they will respond to the meds differently.
I do appreciate your comment and I hope you come back to read more.
When BR was diagnosed with MS, it was yet another six months before we knew that it was not the run-of-the-mill relapse remitting MS. For the first year, he did the daily Copaxone injections.
So when he got that second MRI 6 months later that showed no lesion progression, the doctors were at a loss to explain why he had gone from a 1.5 to 8.0 on the EDSS over the same period of time. Even if Copaxone was keeping the lesions at bay, it wasn't helping the disability. This is typical for primary progressive MS.
Copaxone isn't cheap. If the insurance hadn't covered it, we probably would have passed. The data on the long term reduction in attacks just isn't convincing for someone in his late 40s.
Hey Steve!
Oh so good to see you. And I am very appreciative of your comment. This is so true that not everyone has relapsing remitting MS and sometimes you won't know for quite awhile. The more I read and research, it really does seem that MS is simply this umbrella term for different entities. Is it one disease or many? They just don't know who is going to benefit from these meds and who is not.
I am so glad you have offered this perspective. I am hoping others will share their opinions and experience as well.
Like I said...I will be posting more on this topic...hopefully tomorrow!
Hi Merely---
I commented on Lisa E's post about Copaxone, so I assume it's only fair to comment here: I like to present what I have personally experienced and not be biased about taking or not taking medication. Everyone is different and MS is SO subjective. What works for me might not work for someone else. Here's the comment, changed slightly for this post:
I'm trying to take a little hiatus from all of the "MS talk" because it can really start to become consuming. But I came here just to comment because I have had such a good experience taking an interferon med.
I take Betaseron. Not many people I know take this. I have had an excellent experience in terms of reducing my relapses. I went from yearly relapses (with endurances of 6-12 weeks) with increasing severities---all coming to a head with a year of out-of-control MS in 2005--- to a recent remission of nearly 2 years and a watered-down relapse (significantly less debilitating) this past year, due in part to a disease-modifying drug.
I absolutely love my neurologist (3rd and final one until he retires) and his aggressive approach to treating MS. I have side-effects (mild flu-like symptoms and site reactions) from the Betaseron, but the positives far outweigh the negatives and I will do whatever is in my power to slow the progression of my multiple sclerosis. I've experienced a few too many SEVERE relapses to be ambivalent.
heres my take!!!!! i have ms since 2001, i did see a ms specialist for 2 years then he retired. since then i just see my family doc. there is nothing at all to change what we got, i feel there is nothing a ms doc (neuroliguist) can change. all the times i went to him , and said hey doc i feel this wrong,, this hurts,, what about this and that and he said matt you have ms theres nothing i can do. look they can give you meds for spazms ,pain and what not. i dont waste my time or money on them the family doc takes care of all my meds i need thats it... heres one i had about 20 lesions on spinal cord/brain since on copaxone everything has stayed the same ,,, so maybe it is doing something...most of the drugs for ms are long term,3/5 years down the road, some work for him but not her...everyone is different... i think the drug manufactures take advantage of us,,, i just got my refill for copax today 1900 bucks copay is 700 what a >:_) rip.. it went up 200 bucks in 1 month, im thinking of not taking anymore and roll the dice.. i no people that took medes and still ended up in wheelchair,and cannot look after themselves.... im done just being point blanc folks. docs cannot help the disease, just get ur meds and move on.... love ya all take care matt
Hi Matt
I identify with your feelings about the drugs. I was on Avonex for 10 years. Don't know if it really worked. I still had a major flare last year. My MS has progressed anyway...now to secondary progressive. Last October I decided to "roll the dice" and try something outside of the box. (see my post "Out on a Limb"). So far so good. This week I get my first refill at approx $100 for 3 month supply. That really beats $700 copay. I have seen/felt improvement and plan to continue.
I was diagnosed in Dec 07 and when still in shock when the drugs were mentioned to me. My neurologist wasn't very friendly and just told me they were once a week, every day or 3 times a week. Nothing more was offered and so I picked once a week since I am not a big fan of injections. I have since changed my neurologist.
Still, I have now been taking Avonex for almost 14 months and I can't say it gets any easier. I have skipped some weeks, just unable to face giving myself yet another needle. Sometimes I end up bruising really badly because my hand is shaking so much as I am inserting the needle into my leg, or the stress headaches are so strong before the injection that I can barely see straight. Recently, I was told there were patches that could be worn up to 2 hours in advance that would numb the injection site... I use them now and if kept on long enough, they numb me enough to make the needle less painful.
I don't know if Avonex has helped me. I still walk, but not very far. I can do my groceries or go shopping. I can drive - except the morning after my shot. I limp sometimes but other times, I walk ok. My cognitive results are looking good still. I just don't really know if it's doing me any good but I'm too scared not to take it So as long as I have an employer that covers my meds, I'll take it. Once they stop - then I will stop taking it as the price is just too costly to pay.
I was diagnosed just two months before you! I am currently not taking any of the MS drugs. I have opted to wait. I will be posting a second article this week about how I made my personal decision. One thing I know for sure is that...nothing about MS is easy.
Have you had any MRI's to compare yet? The one thing I would be interested in if I were taking any of the MS drugs would be clinical evidence that it is working in that...the MRI's didn't change much. I would also compare the number of exacerbations that you had before the drug and now. It really is hard to tell because I am sure you wonder how bad things would be without the drug. I am not sure if anyone can tell you that.
As far as cost...there are financial assistance programs and some from the drug companies themselves. So if this drug is working for you and you were in danger of not being able to afford it...I could give you some information on that.
I am so glad you commented. Please stay tuned for my next article and...I hope you write more about your experience and especially with taking one of the MS drugs.
Thank you for reading and commenting!