My sister has highly active MS which was well-controlled with Gilenya (2yrs). She is 28 yrs old now so her neuro mentioned if she’d like to be a pregnant in the future Gilenya is not an option for her and recommends Lemtrada cause it’s an induction therapy.
After this discussion my sister decided to switch to Lemtrada. Her neuro told she needs a washout time, when her lymphocytes count reach the lower range of normal level (4-8 wks).
I read this strategy might be risky cause after washout of Gilenya 10% of patients has a severe rebound. I do not know what is the good strategy. I think it is a simple Russian roulette…
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