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https://www.everydayhealth.com/mult...uidelines-ms-treatment-start-treatment-early/
“Everyday Health” said:Current disease-modifying therapies may help delay disease progression.
New guidelines published online on April 23 in Neurology, a journal of the American Academy of Neurology, now say that most people with MS should begin taking disease-modifying medication early in the disease process. Although current medications can’t cure MS or undo damage that’s already occurred as a result of MS, it is possible to slow down the progression of the disease in some people.
The last guidelines for MS treatment were released in 2002 when there were only a few medications available. The treatment landscape has changed dramatically since then, according to Cleveland Clinic’s Alexander Duart Rae-Grant, MD, a fellow of the American Academy of Neurology and the lead author of the new practice guidelines.
“We now have 17 FDA-approved medicines, and it’s much more complicated, but much more exciting, in terms of what we can do for people with MS,” Dr. Rae-Grant says.
“Everyday Health” said:“Still, we have accumulated evidence that we can more actively suppress the inflammatory part of this disease,” he says. “We also have evidence that by preventing new lesions in the brain and spinal cord we are more likely to decrease the long-term chance of a person with MS becoming disabled.
“Everyday Health” said:“On the other side of it, we need to put more emphasis on understanding the mechanisms that cause gradual progression of the disease and developing novel approaches to that part of MS; so far we haven't had great answers for that.”