That is why I don’t like at all fingolimod
I have personally suffered the rebound effect 2 times, a major one left me pretty bad and did not recovered fully from it.
I agree with barts if there is any way to not to follow nhs guidelines ….. go for it. Many neurologists go by the book, put you off fingolimod with no plan B, praying for the better they leave you on “God’s” hands ( must say i am not a beleiver) .
Yes fingolimod may stop relapses but creates f… mess afterwards. It is about time doctors stop prescribing this drug.