Treatment of Primary-Progressive Multiple Sclerosis (PPMS)
Currently, there’s no cure for MS. While many long-term therapies are approved for use in RRMS, they’re not effective in slowing progression in people with PPMS. There is one medication called ocrelizumab that is approved for PPMS as well as relapsing forms of MS. Immunosuppressants are commonly used in relapsing forms because they decrease inflammation. Since PPMS does not involve significant inflammation, these drugs may not be recommended. In addition to treating the disease, treatment focuses on relieving symptoms.
Targeted therapies may help symptoms such as bladder and bowel dysfunction, erectile dysfunction, and spasticity. Over-the-counter and prescription medications can help relieve aches and pains. Your treatment depends entirely upon your symptoms and your overall health.