Starting meds

New diagnosis and before diagnosis
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Hello.
A few months ago I was diagnosed with highly active relapse remitting MS. I am 21 and was told the cladribine/ mavenclad would be the best for me currently. This or Kesimpta. I was told this by the doctors at the private consultation, however, when i went to my NHS doctor i was told that private doctors give you more aggressive treatments?
I am unsure if I should start on cladribine as my MS is highly active? I have never taken drugs for MS and have no major disability? I was told my body is very good at repairing itself, hence why i seem well despite the heavy lesion load on my MRI, lesions down to T12

So my question is, should i start with cladribine? It was recommended by two private doctors
Or start easy with Brabio, which i was told by my NHS doctor?

I read recent studies and saw that there was better outcome with individuals that started on a strong DMT, I am a medical student and do not wish for MS to take over anytime soon so was thinking cladribine to start?
Please help because i am completely unsure of where to start and where to go after 2 years?
I thought Kesimpa

Thank you very much!!

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You should definitely go on the most effective DMT asap to avoid permanent disability. Have they offered Tysabri? If you’re JCV negative, it would seem a good option or Lemtrada. Read Bart’s MS blog and follow Prof. Gavin Giovanonni on Twitter and his blog. He would suggest Lemtrada or stem cell treatment.

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Oh my goodness, get on the most effective treatment you can as fast as you can. Doctors can be a bit casual about preserving CNS function when it’s your CNS and not theirs. It’s no good trying to play catch up once the damage is done: the only show in town is to stop the damage happening.
Good luck.

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