So...at this point, my very knowledgable neuro (I see her at an MS Center) says 'no' Ocrevus for me. She has several RRMS patients who are experiencing positive results. Of the many PPMS patients she sees, only 2 were 'in a place' she felt Ocrevus might do some good...she didn't go into detail, except to say neither had had any marked difference in progression.
She believes the best results with Ocrevus are/were seen within a certain age group, with a limited number of relapses & lesions. In other words, she doesn't think Ocrevus is a 'one size fits all'... she has seen very little evidence for using it with SPMS. (she sort of went off on a rant about the trials & results, etc...& I laughed & said, "Can I quote you on that?" She gave me an emphatic "No!"
We had a good discussion about medications, SPMS, & age. I'm a 69 yo female with mild -moderate weakness on my left side. Sometimes worse if I overdo, get hit with too hot/cold weather, or bouts with fatigue. I use a cane or walking stick if I'm tired or going to be on my feet for an extended period of time. Also have mild cognitive issues. Most of the time... I'm in good health & have few 'serious' issues. However, here's this SPMS diagnosis!! I told her, I'm grateful & relieved the progression has been slow...& yet, I question whether or not I should be doing or taking SOMETHING to insure that doesn't change. That's the BIG question, it appears! We had a brief conversation about Gilenya ... I see her again in September.
For now, I suppose I'm going to keep doing what I'm doing... eating healthy, just started a new Senior Circuit exercise training class, lose some weight, lower my cholesterol...stay mindful of my other health issues and... live one day at a time!!
Those of you taking Ocrevus... I still look forward to reading about your experience.
Susan