A 45 yearold male patient with a history of RRMS came into you clinic for an appointment
A 45 yearold male patient with a history of RRMS came into you clinic for an appointment. He is currently maintained on intramuscular interferon β-1a. He is concerned that his multiple sclerosis is getting worse. He describes that in the past eight weeks, he experienced occasional episodes of 2-hour events of blurred vision and leg weakness. These symptoms usually last 2-3 hours and after that they fully disappear. He describes that these events are very sporadic and happened after different activities, such as playing tennis, using the sauna in a friend’s house, and grilling outside during a garden party.Given this information, which of the following would be the most appropriate action at this time? Initiate methylprednisolone 1,000 mg/day for 3 days to treat acute exacerbation Switch his interferon β-1a to glatiramer acetate as it is losing its efficacy Initiate natalizumab as these are warning signs of a very aggressive form of multiple sclerosis…