Starting Mavenclad!

[CatsandCars]

I've been on Ocrevus since early 2022, and I really do believe that it's a great drug. But when I started it, I could walk around the block, and my relapses were what now seems pretty mild.

After starting it, I quickly developed so much spasticity (pelvic and hip flexor pain) that it was interfering with my ability to walk any real distance. I wound up with a baclofen pump at month nine. At 13 months I had the worst relapse I've ever had, which took me the better part of a year to get over.

I know there are a lot of things that could have caused me to get worse, the main one being the stress of the pandemic and losing both my dad and my wonderful grandma (not to Covid) in 2021. It could be related to age, old damage, menopause, etc., but my brain keeps coming back to the timing. In addition, I'm getting tired of my immune system being suppressed. I can live with it being a constant, but I would rather not, as I have a ton of anxiety about things like family holidays with the unvaccinated, eating in restaurants, weddings, concerts, etc. I feel like I'm holding my husband back from doing a lot of things we used to enjoy. With Mavenclad you eventually get to enjoy a period without the immunosuppression, and hopefully (God willing) a more well-behaved immune system without MS activity.

I've been batting this one around for some time, wishing I had the nerve to do it because there can be scary adverse events, but then my husband pointed out that everything is scary when it comes to DMTs (although Mavenclad is considered an immune reconstitution therapy, or IRT). My next Ocrevus infusion was supposed to be in late July, and I know it takes a while to put a new med into motion. So today I finally called my MS neurologist and talked to him about it, and he agreed it would be a good fit, so I'm going to do it! I'm so excited! He's sending me the form in the mail, along with an order to get my tests done. If the paperwork/insurance goes through okay, I could start it as soon as late July when my infusionwas due. 😁

Wish me luck!

[Helpmeup]

I know how difficult it is to make that decision to switch DMTs. It sounds like you are really looking forward to the change and the positive possibilities that come with it. There have been some great posts about how well Mavenclad works. Hope it does wonders for you. Good luck! 🤗🤗🤗

[CatsandCars in reply to Helpmeup]

Thanks so much! 😊

[Xvettech]

hope it works well!

[Greentime]

you have been through a lot. I truly hope the change goes well in the short and longer term. 🤗

[CatsandCars in reply to Greentime]

Thanks, Greentime!

[Robsmom]

Good luck with the Mavenclad. My last Ocrevus infusion was last July, but I'm not taking any DMT. So far, so good. I suffer with spasticity and hip flexor tightness, but I never knew it could have been from the Ocrevus. 🤔

[CatsandCars in reply to Robsmom]

It's tricky, Robsmom, because I don't really know if it's from the Ocrevus. There's no place I can find that says Ocrevus causes it. There are anecdotal reports of a lot of people (but a very small percentage) getting a lot worse with their walking after Ocrevus. A fancy university MS specialist told me I'm on the right medicine with Ocrevus, but it doesn't feel like it to me. I'll probably never know why the spasticity got so bad so quickly, but since I had a relapse too, I feel better switching.

[Robsmom in reply to CatsandCars]

Yes, if I had a relapse I would probably look for something different too. I went on Ocrevus after my worst relapse that affected my speech. I never had another relapse afterwards. My walking has gotten worse over those 14 years, but I chalked it up to the spasticity and age. I'll be 70 on my next birthday.

[whwiechm]

I have been on Ocrevus for about five years with no problems at all. I have heard that it does no good for people over age 65 or so, which I am, however I am reluctant to stop the infusions in fear of a relapse which Ocrevus could have stopped. In MS mzany relapses become permanent. This is my conundrum. Any thoughts are welcome.

[CatsandCars in reply to whwiechm]

Hey, whwiechm, if you're doing well on the Ocrevus, and you aren't seeing low Immunoglobulin G on your bloodwork, and aren't having infections, I can see why you would be reluctant to stop it. My doctor says that sometimes people who are older and doing really well can switch to something like Aubagio, or another moderately effective treatment that's less risky, but then you're walking away from a drug you've been doing really well on. Maybe you could just tell your neuro that you're basically happy with Ocrevus and not really looking to make a change right now, but you would like to know more about under which conditions older people should consider switching to a safer but less effective drug?

Aaron Boster on YouTube has some great videos on aging with MS and the various considerations with DMTs. He has videos on the pros and cons of other meds, too. I just found this one by searching for Aaron Boster YouTube. He runs an MS center in Ohio, and I think his information is very reliable.

youtu.be/uUN9qPoMj14(Not working as expected?)

[Linda3579 in reply to whwiechm]

Hi whwiechm, I understand your conundrum. I am 77. Of late I have had a few infections and a bad bout with Covid that put me in the hospital. My neurologist still thinks Ocrevus is a good choice for me. I’m just not sure of what to do. I wish I had some good thoughts for you. It seems as if we need a crystal ball. Wishing you the best.

[falalalala]

I hope it works well for you!

[CatsandCars in reply to falalalala]

Thanks, falalalala. So do I!

[donna0329]

Sending (((Positive Vibes))) your way! Best of luck with Mavenclad! 😇🙏🙂🤞😽👍

[CatsandCars in reply to donna0329]

Thank you, Donna0329! It's always kind of scary to switch, but I am hopeful that this could help me. You never know until you try, right? 😊

[Scout4x4]

Good Luck, It is great to hear these types of story's so we know where to turn.

[CatsandCars]

Thank you, Scout 4x4!

[mrsmike9]

Good for you for following your good sense! I wish you much luck and success. Let us know how it goes for you.

[CatsandCars in reply to mrsmike9]

Thanks, mrsmike9. I appreciate that, and I will keep everyone apprised. I know there have been others who have posted about Mavenclad, but not a ton, and everyone is different.

[CatsandCars]

I just wanted to emphasize to everyone that I'm not slamming Ocrevus. It's a convenient and highly effective medication that's really life-changing for a lot of people. For all I know, the wosening symptoms could be from something else, and the Ocrevus could have kept it from being worse. But the timing and the relapse does give me doubts that it's right for me. 😊

[Linda3579 in reply to CatsandCars]

I agree with you CatsandCars. It’s a good drug that’s helped many people. I’m not sure if my severe Covid bout was worse because of the Ocrevus or not. It’s a bit of a guessing game. I think the fact that you are feeling good about switching to Mavenclad is a very good sign!

[Goldilockssearching]

best wishes. I look forward to your updates on how your experience is. also if you notice a difference in walking/spacicity. I often wonder. 🤨

[CatsandCars in reply to Goldilockssearching]

Thanks, Goldilockssearching. I hear you.

[lbenmaor]

I hope it works well.😀

Leslie

[CatsandCars]

Thank you, Leslie! 😊

[bxrmom]

I hope it works well for you! Please keep us updated!

[CatsandCars]

Thank you, bxrmom, I will!

[carolek572 CommunityAmbassador]

I hope that it all works out for you, CatsandCars ! It’s tough to do but you know what is best for you. 🤗

[CatsandCars]

Thank you, carolek572. I'm hoping that I do, anyway! 😊

[AquaZumbaFan]

Wishing you all luck CatsandCars! It sounds like you have given this careful consideration, and that all of your people are on board so that is great!

[CatsandCars in reply to AquaZumbaFan]

Thank you, Aqua Zumba Fan!

[Tazmanian]

Good luck and I'm sorry you had problems with ocrevus I just changed my dmt to kesimta because my mri changed

[CatsandCars in reply to Tazmanian]

Thank you for your good wishes. I'm sorry you had changes on your MRI, Tasmanian. I really hope Kesimpta works out for you!

[kdali]

Might be the last DMT you'll ever need 🙏

I had a 9mo gap between Ocrevus and Mavenclad, in which my legs were improving and my baclofen was reduced. I had to stop baclofen for 6mo the first year, and 3mo the 2nd year (so far, I'm not done with my reboot yet). My restart was on the lowest dose and sufficient, unless I had been doing something "impossible" 🤣

GL!

[CatsandCars in reply to kdali]

Thank you, kdali. If you hadn't shared your experience with Mavenclad and introduced me to Gavin Giovannoni's blog, I would probably still think that Mavenclad was poison because you can't handle it with your hands wet! I won't blame you if things go wrong ,😅 but I'm grateful that I learned more about it!

It's great that your spasticity improved! I'll be following your progress and hoping everything continues to go wonderfully for you!

[kdali in reply to CatsandCars]

Yikes, yes, don't blame me 🫣 I'm glad you took the time to learn about it! I mentioned my spasticity bit to you because you're on baclofen, and want to encourage you to monitor how you're doing if case you're a freak like me who needs to crank down the dose. Thank you! 🥰

Let us know when day 1 happens! 🎉 I'm excited to hear about your journey.

[CatsandCars in reply to kdali]

If I start feeling like a noodle, I will now know what's going on. 😁 I actually had to stop taking oral baclofen months ago because it suddenly started making me feel super impaired and my docs couldn't figure out why, they just did labs (all normal, thankfully) so just wrote it off as "cog fog"?! Anyway, thankfully I have the pump, too, or I would really be hurting. So...very good to know that it may need to be adjusted, God willing!

I will absolutely let you know when I start, kdali! Thanks again. 😊

[Raingrrl]

Good Luck with Mavenclad! I was considering it when I had so much trouble from Ocrevus but my neuro at the time discouraged the switch.

Let us know how it goes!

[CatsandCars in reply to Raingrrl]

Thanks, Raingrrl! I will definitely let you know how it goes.

[MSFlea]

Wishing you the best of luck with the Mavenclad!🧡 I do so hope it works well for you!

[CatsandCars]

Thank you, MSFlea. I appreciate that!

[Xvettech]

Best of luck with the Mavenclad!

[CatsandCars in reply to Xvettech]

Thanks, Xvettech!

[Sabs2]

congrats on starting Mavenclad! I just finished my second week of the second year so I am supposedly finished with all DMT! We will see. I am almost 72 years old so it’s possible I may have aged out of MS anyhow I went from Aubaggio to Mavenclad. so I had to do a kind of system cleanse to make sure all the Aubaggio was out of my system before I could start the Mavenclad. That was a very yucky process, but survivable. Taking the Mavenclad is relatively easy- five days one week, wait three weeks , five days another week- then wait a year and repeat then you’re done. I don’t know anyone else who has taken it so I feel like a trailblazer. I know that’s not true. Otherwise it wouldn’t have been approved. The idea of not having to worry about coming up with the money for meds is very exciting for me. I’m wishing you good luck. 😆

[CatsandCars in reply to Sabs2]

Hi, Sabs2. So you had to drink a bunch of yucky stuff to clear the Aubagio? I've heard of that and it doesn't sound enjoyable, but at least it doesn't end in a colonoscopy like other times you have to drink a bunch of nasty stuff. 😂

It sounds like Mavenclad was pretty simple for you, which is great! I hope it works for you. And you're kind of a trailblazer, anyway! Thanks for your good wishes.

[Linda3579]

Hi Catsandcars

Congratulations on making a DMT decision. I know that’s scary. I have the same anxiety about social events, time with the grandchildren, eating out etc. I am due for an O infusion but am trying to decide what to do. It’s very stressful to always be worrying about not having a good immune system I had Covid a few months ago and ended up in the ICU. I will look into Mavenclad. I wishing you the best of luck. I think you are making a good choice.

[CatsandCars in reply to Linda3579]

Thanks, Linda3579! I don't know if you're familiar with this video or not, but it explains a little bit about how Mavenclad works.

youtu.be/EZV-8QSThqw(Not working as expected?)

This link takes you to a blog about cladribine (Mavenclad's generic name). It's a little technical, but towards the end it gets more understandable. The blog's author, Gavin Giovannoni from Bart's in London, has had extensive experience using it, while it was only approved in the US in 2020. So he's definitely an expert worth reading!

gavingiovannoni.substack.co...

[CatsandCars in reply to Linda3579]

Sorry, I forgot the Mavenclad/cladribine link at the end of my post, but I fixed it.

[Linda3579 in reply to CatsandCars]

Thank you.

[MSbeGone]

I wish you well and hope you receive exactly what you are looking for. Good luck.

[CatsandCars in reply to MSbeGone]

Thank you! 😊