Over the past two decades, there has been considerable progress in the treatment of multiple sclerosis. There are now several therapeutic options available to patients. Your doctor will discuss these treatment options in detail and recommend treatments that are appropriate for your care. The following medications are available for patients:
Injectable Disease Modifying Therapies
- Betaseron (interferon beta 1b) – subcutaneous injection taken every other day.
Avonex (interferon beta 1a) – intra muscular injection taken once weekly.
- Rebif (interferon beta 1a) – subcutaneous injection taken 3 times per week.
- Copaxone/ Glatopa(glatiramer acetate) – subcutaneous injection taken 3 times a week or daily.
Oral Disease Modifying Therapies
- Gilenya (fingolimod)) – pill taken once a day
- Tecfidera (dimethyl fumarate) – pill taken twice a day
- Aubagio (teriflunomide)– pill taken once a day
- Mayzent (siponimod) – pill taken once daily
- Mavenclad (cladribine) – pills taken as two treatment courses over 2 years. Each treatment course consists of 2 treatment weeks, one month apart
Infusion Disease Modifying Therapies
- Tysabri (natalizumab) – Once a month infusion
- Ocrevus (ocrelizumab) – Once every 6 months
- Lemtrada (alemtuzumab) -5 infusion days – one year later 3 infusion days – additional infusions as needed
For Management of Acute Relapses
- Intravenous methylprednisolone (Solumedrol) is used to treat relapses or exacerbations. It is given for 3 to 7 days with the premise that treatment decreases the duration and severity of the present attack.
- Intravenous methylprednisolone may be given on a once monthly basis as an addition to a baseline medication.