I was diagnosed 4 weeks ago i was told by MS nurse to have immunisations which i have. Im confused because shingle jab is 2 course jab. Can I start treatment before 2nd jab?
Hi, I’m very sorry to hear of your diagnosis. I had to have the MMR jab and they typically don’t start treatment until after your second jab and a further blood test to see whether it has worked.
It’s a frustrating wait!
Ask your MS nurse. It may depend which DMT you are going to start.
Obviously it depends on the treatment offered and this is just a guess.
“It is recommended that anti-CD20-treated patients are immune to the VZV before starting treatment. Patients should also be offered the pneumococcal (Pneumovax) and VZV (Shingrex) component vaccines to boost immunity before treatment. Antibody response, but not T-cell responses, to neoantigens (new vaccines) is blunted in patients on anti-CD20 therapies. Therefore, patients on such therapies can receive inactivated vaccines and mount a partial response to them. Live attenuated vaccines are not recommended for these patients. “