How does a person know whether symptoms they are experiencing are just an exacerbation due to a previous relapse or a new one; do they have to be new symptoms that you haven’t had before for it to qualify as a relapse?
I suppose the only way to know for sure would be to have an MRI scan, but I can’t imagine they are going to do that each time, so there is the danger of putting symptoms down to MS which may in fact, be completely unrelated.
2008 Loss of colour vision (a few months)
2010 Severe depression & anxiety (9 years ongoing) - Fluoxetine 40mg / Bisoprolol 2.5mg
2010 Optic Neuritis (18 months)
2016 - present : Double vision (3 years ongoing) - managed by prism in glasses
2017 - present : Neuropathic Pain (ongoing) - 100mg Gabapentin
2017 - present : Constant need to pee (ongoing)
2017 - present : Fatigue (ongoing)
As I understand it, the purpose of DMD’s is to reduce the number / severity of further relapses but they can’t do anything about damage already done from previous relapses. So apart from managing the symptoms, all those listed above (if they are attributed to MS) have already happened, so basically can’t be made better by taking DMD’s.
I understand the argument for taking medication just in case, to ward off more serious relapses in the future - but it feels rather like locking the stable door after the horse has bolted. It’s the damage already done and the symptoms in the here and now that are causing the problems.