How is Multiple Sclerosis treated?

There are many issues for the patient and physician to consider in treating multiple sclerosis. Goals may include:

• improving the speed of recovery from attacks (treatment with steroid drugs);
• reducing the number of attacks or the number of MRI lesions; or
• attempting to slow progression of the disease (treatment with disease modifying therapies or DMTs).

An additional goal is relief from complications due to the loss of function of affected organs (treatment with drugs aimed at specific symptoms).

Most neurologists will consider treatment with DMTs once the diagnosis of relapsing remitting multiple sclerosis is established. Many will begin treatment at the time of the first multiple sclerosis attack, since clinical trials have suggested that patients in whom treatment is delayed may not benefit as much as patients who are treated early.