What about just treating for the brain fog and mental clarity? What would you suggest?
12 hours ago
That's a really important question, and it's completely understandable to want clarity on this. The short answer is: it's complicated, and it's not a hard rule for everyone.
Some doctors do consider scaling back or stopping disease-modifying therapies (DMTs) as patients get older, but the reasoning involves weighing Show Full Answer
That's a really important question, and it's completely understandable to want clarity on this. The short answer is: it's complicated, and it's not a hard rule for everyone.
Some doctors do consider scaling back or stopping disease-modifying therapies (DMTs) as patients get older, but the reasoning involves weighing several factors rather than simply hitting a certain age. Here are some of the key reasons why doctors may consider stopping DMTs in older adults:
- DMTs may become less effective as the immune system naturally declines with age
- Side effects can increase with age, including higher risks of infections and other complications
- Multiple medications taken at older ages can lead to drug interactions and make managing treatment harder
- Clinical trials rarely include people over 55, so there's limited data on how well DMTs work in older adults However, stopping DMTs is not without risk. Even one relapse at an older age can significantly worsen disability, and the ability to recover from relapses declines with age.
Guidelines suggest that people over 60 with no recent relapses and no new lesions on MRI *may* consider stopping — but it's highly individual. It's worth having a deeper conversation with your neurologist about your specific situation before making any changes.
12 hours ago
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