Skip to content

    Multiple Sclerosis Health Center

    Font Size
    A
    A
    A

    Is Your MS Treatment Working?


    WebMD Feature
    Reviewed by Neil Lava, MD

    Multiple sclerosis (MS) is a complex, individual disease. No two people with this disease have the same symptoms, progression, or response to treatment. That makes a collaborative approach with your doctor even more important than usual. It's key to tailoring multiple sclerosis treatment just for you, and it's especially helpful if you need to make changes to your MS treatment along the way.

    "Become empowered to participate in your treatment decisions," says Barbara S. Giesser, MD, clinical director of the UCLA MS Program at the David Geffen School of Medicine in Los Angeles. "It's the single most important underlying principle, especially for a chronic, unpredictable condition such as MS."

    Recommended Related to Multiple Sclerosis

    Can Medical Marijuana Treat Multiple Sclerosis?

    You've had multiple sclerosis for a while now and tried a bunch of things to ease your pain or control those muscle spasms. But you're just not getting the relief you need. Is it time, you wonder, to pay attention to all the talk about medical marijuana? Could it be an option for you? It's possible. It's giving some relief to people like Zach, who asked to keep his full name confidential. He lives in Phoenix, AZ, where medical marijuana has been legal since 2010. Zach deals with tingling in his...

    Read the Can Medical Marijuana Treat Multiple Sclerosis? article > >

    How do you do that? By seeking information from reputable sources and communicating well with your health care providers.

    When MS Treatment Isn't Working

    Before you and your doctor take any steps to switch treatment, make sure you're taking your MS medication exactly as prescribed. "One of the most common causes of a poor response is simply not taking medications the right way," says Jack S. Burks, MD, chief medical officer of the Multiple Sclerosis Association of America.

    Whatever you do, don't just stop taking medications because you think they're not working -- or because you think you don't need them. Talk with your doctor about your concerns. Burks' patients sometimes say, "Gee, doc, I haven't had an attack in a long time, maybe I don't need these medications," to which he responds, "Maybe the reason you haven't had an attack is because you've been taking the medicine!"

    Each class of MS medication works in different ways. So be clear about what your MS medication is designed to do before deciding that it's not working. For example, disease modifying therapies (DMTs) slow MS progression. If you're also expecting them to control all your symptoms, says Giesser, you may be alarmed if that doesn't happen.

    Burks recommends starting with a basic question like this: "Given my situation, doctor, how do you decide whether or not my medication is working up to expectations?" Although a tall order, the best way is by looking at a wide range of factors from symptoms and function to number of attacks and MRI findings.

    1 | 2 | 3 | 4

    Today on WebMD

    nerve damage
    Learn how this disease affects the nervous system.
    woman applying lotion
    Ideas on how to boost your mood and self-esteem.
     
    woman pondering
    Get personalized treatment options.
    man with hand over eye
    Be on the lookout for these symptoms.
     
    brain scan
    ARTICLE
    worried woman
    ARTICLE
     
    neural fiber
    ARTICLE
    white blood cells
    VIDEO
     
    sunlight in hands
    ARTICLE
    marijuana plant
    ARTICLE
     
    muscle spasm
    ARTICLE
    Neuron
    ARTICLE