Octevus as a first DMT for Multiple Sclerosis?

Posted by heyheyhi @heyheyhi, Jul 21 7:59pm

I'm 63 and diagnosed about 20 years ago with Multiple Sclerosis.. Have had a relatively slow decline. Can still run maybe a mile if I had to do it but I'm at point of have a noticeable limp in right leg. I don't have an EDSS score so -- just trying to provide context. I use supplements, physical therapy, exercise.

Octevus is a clearly a different class of drug and the first time I've thought about starting DMT. I've set up an appoint w neuro. Just wondering (A) Will my age be a problem (B) Would insurance likely force me to try copazone or some inferior drug first (C) I'll have to transition to Medicare at 65, does anyone have experience with Octevis being covered under Medicare. Thanks for any insight!

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Becky, Volunteer Mentor | @becsbuddy | Jul 21 11:22pm

@heyheyhi Welcome to Mayo Clinic Connect! I couldnt answer your question even if I wanted to, but we have many members with the disease and they’ll probably come to your help.
You mention that you use supplements, PT, and exercise. No medications? Does it worry you to not be on medications?
By any chance, do you mean ocrevus?

heyheyhi | @heyheyhi | Jul 22 11:18am

In reply to @becsbuddy "@heyheyhi Welcome to Mayo Clinic Connect! I couldnt answer your question even if I wanted to,..." + (show)

Yes ocrevus (sorry). Yes I've worried about not being on a DMT and periodically reviewed drug pipeline for MS. Its not because I believe in "natural" remedies. I have another health issue (not auto immune) for which I INSISTED on the most aggressive (injectable) drug therapy. I was simply unconvinced that pre ocrevus drugs actually halted MS progression. Ocrevus seems to operate differently and I'm encouraged by it.

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