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Yes, many people with MS do eventually discontinue their DMT, and at 74 with a neurologist's recommendation, this is actually a well-recognized conversation to be having. Many MyMSTeam members have been in the same position.

There are several reasons why stopping a DMT can make sense for older adults:

- DMTs may become Show Full Answer

Yes, many people with MS do eventually discontinue their DMT, and at 74 with a neurologist's recommendation, this is actually a well-recognized conversation to be having. Many MyMSTeam members have been in the same position.

There are several reasons why stopping a DMT can make sense for older adults:

- DMTs may become less effective as we age
- Side effects can become harder to manage over time
- The immune system naturally slows down with age, which may mean fewer relapses
- Managing multiple medications becomes more complex Guidelines from the Consortium of Multiple Sclerosis Centers suggest that people over 60 with a prolonged period of no relapses and no new lesions on MRI may consider stopping their DMT. At 74, this aligns well with current thinking.

That said, there are some important things to keep in mind:

- Even one relapse at an older age can significantly increase the risk of worsened disability
- Regular follow-up appointments and MRIs are still important after stopping
- Stopping doesn't have to be permanent — if disease activity returns, treatment can be restarted

Since your neurologist has already recommended this, it sounds like your specific situation has been carefully considered. Continuing to stay closely monitored is the key next step.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

Is It Safe for Older People With MS To Stop Taking a DMT?