Should you take one of the disease modifying drugs? The pros of choosing to take medication

By Merely Me, Health Guide Monday, March 16, 2009
One of the first things you will hear from your doctor or neurologist after you get your diagnosis of Multiple Sclerosis is the suggestion to think about taking one of the MS disease modifying drugs to slow the progression of your disease.  In fact, I was sent home with cardboard suitcases fille...
Anonymous
Nathalie
3/16/09 3:42pm

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.   

Merely Me, Health Guide
3/16/09 4:32pm

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!

 

 

Anonymous
Anonymous
3/16/09 4:23pm

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.

Merely Me, Health Guide
3/16/09 4:38pm

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.

Anonymous
steve
3/16/09 8:51pm

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.

Merely Me, Health Guide
3/16/09 9:53pm

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! 

Anonymous
Jen
3/20/09 1:49pm

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.

Merely Me, Health Guide
3/20/09 5:37pm

Hey Jen

 

So good to see you...thank you so much for your comment and sharing of your experience.  I think it is really good to hear all sides of this topic.  I am glad that things are working out so well for you with the meds.  Feel free to share anytime.  You help others when you do.

Anonymous
matt
4/30/09 3:10pm

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

Anonymous
suzanne
1/31/10 5:35pm

hi Matt have you ever thought of trying the swank diet? also proffessor george Jelineks recommendations on diet and lifestyle change?really you must look into this.It is so important to try this diet it will help you enormously.what have you got to lose? bestest wishes suzanne. 

1/31/10 8:01pm

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.

Anonymous
Frannie
6/ 4/13 10:19pm
I was diagnosed with relapsing remitting MS on Valentines Day of this year. To be honest, in my heart, I knew that I had it. I became suspicious last summer when my feet started tingling. There were times they were numb as well. Went to the GP, told him my paternal grandfather had MS & my cousin was diagnosed with it 2 years previously. GP was pretty dismissive. I should have insisted to see a neurologist. Fast forward to Nov 10, 2012. Woke up and my left hand to my shoulder was "dead"...couldn't feel my arm and hand at all. I would try to fish something out of my left jacket pocket and couldn't feel the contents in the pocket. That was scary. The vertigo New Year's Eve was terrifying. I knew the MRI would be bad, but there was always hope & denial. A week after it was confirmed I had MS, the neurologist (who has a bedside manner like a hockey puck) literally slid a pamphlet across his desk and said,"Time is a factor." My fear father, who watched his own dad go from a very strong, self-sufficient man, into a shrivelled shell from the 1960's to his death in 2000. Dad asked what the prognosis was, and the neurologist shrugged his shoulders and said, nobody knows. My mother piped up & asked which drug he recommended and he said, they are all similar, just do your research and decide. He emphasized that it would a. Only slow the disease down by 30% b. the drugs will not make me feel any better, but in fact they make ppl feel ill and c. There is no cure. Of course I knew there was no cure. God only knows how long this disease was eating away at the myelin. After research & discussing it with GP I chose Betaseron. I really don't know why I went with that one. We knew Copacone was out right away as I already struggle with depression and at times anxiety, so when we saw that shots can give ppl a rapid heart rate $ anxiety after the injections, we thought the was out. I really did not want to inject intramuscularly, so I said, Betaseron it is... The day after I started I had a fever of 102. My body (and still does at times) ached & the exhaustion...that is still the worst. A co-worker said once, "didn't u have a good noght's sleep?" I laughed out loud. I explained that the classic 8 hours doesn't make it better...I had the kind of tired that only someone with a chronic disease would understand. The Betaseron gives me night sweats, headaches, and body aches & pain. There are injection site issues...they leave about a toonie sized red mark & they are itchy!! I guess it is a small price to pay. To be honest, I couldn't live with myself if I did nothing. My dad watched his dad deteriorate with NOTHING. In a disease that is the boss, where the future is uncertain, I have to chose to DO something!! I feel better knowing, that despite the effects, for now it's all I've got, and it's a helluva lot better than grandpa ever had. I think at minimum it is psychologically better for me to take the medication. I just pray that my disease doesn't stampede out of control. I feel fortunate to live in Saskatchewan where the provincial government pays for almost all of it. As a single mother, that was a huge relief, a giant burden was lifted because costs are covered. The remaining 9% is covered by my work medical insurance. Overall, yup, my quality of life has suffered a bit. But at least there are options I can explore. I hope my story helps someone.

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By Merely Me, Health Guide— Last Modified: 06/04/13, First Published: 03/16/09