Multiple Sclerosis and Covid-19
Every day we are learning new things about Covid-19, a new strain of the Coronavirus that has only been around for a few months. At this point, is does not appear that simply having Multiple Sclerosis (MS) puts you at higher risk of getting Covid-19. However, being on certain medications for MS, which are called Disease Modifying Therapies (DMT), may increase your risk.
The immunomodulators generally do not affect your body’s ability to fight infection. These medications do not put you at higher risk of getting Covid-19. These medications are commonly referred to as“injectables” and include Copaxone (glatiramer acetate) and the interferons - Betaseron, Rebif, Avonex, Extavia and Plegridy.
Tysabri also does not put you at higher risk for infection with Covid-19. However, spreading out the infusions may help you fight the Covid-19 virus if you become infected.
Some of the oral medications can affect your ability to fight the infection. These medications include Tecfidera, Gilenya and Aubagio. If you are not showing any signs of Covid-19, it is generally recommended that you continue these medications. However, if you have any signs of illness, you need to contact your neurologist to get instructions on how to proceed with your medication.
Lastly, some of the medications suppress your immune system and do put you at higher risk of catching Covid-19. These include Lemtrada, Mavenclad and Ocrevus. If you are due for an infusion (or to take the pills for Mavenclad) in the next several weeks, talk with your neurologist before your next dose is due. Depending on your situation, your neurologist may recommend postponing your infusion for a few weeks.
If you are showing symptoms of Covid-19, have MS and are on DMT, please call your neurologist for guidance. Do not stop your medication without first discussing with your doctor. Symptoms of Covid-19 include fever, dry cough and shortness of breath.
People with MS on DMT need to be extra cautious. Social distancing is required to keep you healthy. Do not go out in public places and do not use public transportation. Modifications may be needed so that you can work from home. Wash your hands for at least 20 seconds throughout the day, especially after touching surfaces that are not clean. Do not touch your face.
Your neurologist is here to guide you through this time and keep you healthy. Please reach out to your doctor. Many of us are able to do TeleHealth visits over the computer or over the phone to address your concerns about MS, your medication, and any symptoms you are having.