Would switching from fingolimod to siponimod make any difference? What about all the other potential treatments for smouldering MS? What would you recommend?
Just to mention that this patient is not eligible for simvastatin trial MS-STAT2 as requirements include:
1. diagnosis of SPMS min 2 years
2. no dmts (apart from siponimod)
In any case, recruitment closes tomorrow 31 August (web enquiries already taken down so would have to make quick contact direct with centre)
UK patients only.
Can you say what kind of dosage of alpha-lipoic acid would be suitable?
Just to mention that this patient is not eligible for simvastatin trial MS-STAT2 as requirements include:
1. diagnosis of SPMS min 2 years
2. no dmts (apart from siponimod)
In any case, recruitment closes tomorrow 31 August (web enquiries already taken down so would have to make quick contact direct with centre)
UK patients only.
Can you say what kind of dosage of alpha-lipoic acid would be suitable?