We are now in process to set up Kisunla treatments for my husband. A few reasons for Kisunla for us:
*It's once a month infusion vs. Leqembi is every 2 weeks; Kisunla is less time and inconvenience
*There is an MRI after every infusion to check for ARIA so once a month is better than twice a month
*According to what I've read, if Kisunla successfully clears away the plaques, you can stop the treatment before the 18 months. Leqembi I believe you have to do the entire 18 month treatment regardless.
*My dad died of Alzheimers 20 years ago so I've seen this road up close. If we can get a day, a week, a month or a year more of my husband being stable and "with us", my husband and family think it's worth the risks.
*I believe the ARIA risks are managed well and if anything is found, treatments are stopped immediately. Other than that, most side effects are somewhat mild from what I've read (some headache, nausea, etc.).
*If the treatments are not tolerated well, we can stop any time.
*5 years ago, there were no treatment options at all for AD/Dementia. We have two amazing options now that are only available in the early/mild stages. Once you move out of the early/mild stage, there are no options. For us, why not take the ONLY treatment option available? Otherwise, there is nothing anyone can do to prevent the decline from happening.

It's a difficult choice for each person and family. God bless everyone going through this. May you find wisdom and clarity, peace and comfort.