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A MyMSTeam Member asked a question 💭
Norfolk, VA

I’ve been on Ocrevus for two years. Maybe 3🤔. I developed hemolytic anemia just over a year ago. If it were Autoimmune the Ocrevus would’ve been the treatment. I’m seeing a hematologist and we’re stumped.

August 12
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A MyMSTeam Member

Sorry to hear that, I hope they can figure out the cause for you.

August 12
MyMSTeam

That sounds really frustrating — being stumped alongside your hematologist is not a fun place to be. You're not alone in navigating unexpected complications while on Ocrevus.

Hemolytic anemia while on Ocrevus is not commonly reported, but it's worth knowing that some MS medications have been linked to it. A few DMTs have a Show Full Answer

That sounds really frustrating — being stumped alongside your hematologist is not a fun place to be. You're not alone in navigating unexpected complications while on Ocrevus.

Hemolytic anemia while on Ocrevus is not commonly reported, but it's worth knowing that some MS medications have been linked to it. A few DMTs have a known association with autoimmune hemolytic anemia, where the immune system attacks red blood cells. These include:

- Natalizumab (Tysabri)
- Glatiramer acetate (Copaxone)
- Mitoxantrone (Novantrone)
- Fingolimod (Gilenya) — rarely
- Interferon-beta-1b (Betaseron/Extavia) — rarely Ocrevus itself is not commonly flagged as a direct cause of hemolytic anemia, which makes your situation particularly puzzling.

Since Ocrevus works by suppressing B cells, it could theoretically complicate how your immune system responds in unexpected ways. It's really important not to stop or change your Ocrevus without consulting your neurologist, as some MS medications need to be carefully tapered.

Keeping both your neurologist and hematologist in close communication with each other may be the key to cracking this one.

August 12

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