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progressive forms of MS and the International Progressive MS Collaborative, of which the Society is a member, plans to do all it can to speed the development of those treatments. Current clinical trials include natalizumab (Tysabri), fingolimod (Gilenya) and ocrelizumab.


MAKING CHOICES


When we consider treatment now, in particular the possibility of switching therapies, we weigh the safety and efficacy of our older, injectable disease- modifying agents against the seeming convenience and perhaps superior efficacy of newer agents. The sequencing of therapies is a new consideration, as well, as the effects of medications like natalizumab and fingolimod on the immune system may be prolonged.


Questions about new therapies may mean longer or more


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frequent appointments with neurologists to discuss their risk-benefit ratios. Additionally, people with MS may choose to see an MS specialist, or be referred to one by a general neurologist, for treatment recommendations.


However, the most encouraging part, in addition to the fact that treatments for MS may be getting more effective, of course, is that the research pipeline is full. Thanks to those who are committed to research funding, science is able to continue searching for the cure, and on that search, discover medications that will keep this disease as quiet as possible. To follow progress on potential MS therapies, sign up for MS eNEWS at www. nationalMSsociety.org/signup, or visit nationalMSsociety.org/ research.


MEGAN WEIGEL IS A DOCTOR OF NURSING PRACTICE AND MS CERTIFIED NURSE WHO HAS BEEN CARING FOR PEO- PLE WITH MS FOR 12 YEARS IN FLORIDA.


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