A big thank you to my Mexican friends and hosts for such a wonderful experience at the annual meeting of the Mexican Academy of Neurology. Your hospitality and friendship were truly special, not to mention the food, tequila, weather and the Pacific ocean. As promised I have uploaded my presentations onto my SlideShare site for you to download and use.
Talk 1 – Case studies
Talk 2 – Treatment algorithms
Talk 3 – Maintenance/Escalation vs Immune Reconstitution Therapies
CoI: multiple
I had many requests for my #ECTRIMS2019 ‘Hot Topic’ slides on ‘what remains to be achieved from DMTs’. You can download the slides from my SlideShare site.
My message is blunt and to the point. Let’s not let ourselves be lulled into a false sense of security with our current crop of DMTs. They are simply not good enough. If we want to ‘maximise the lifelong brain health’ of MSers we need to do better; much, much better than what we are currently doing.
In my presentation I made the case for new treatment approaches in particular combination therapies and a true induction strategy, i.e. an induction therapy followed by a maintenance or consolidation therapy. I also made the case for making our current DMTs safer and promoted the holistic management of MS using the principle of ‘marginal gains’.
I didn’t pull my punches and questioned if we have equipoise when it comes to randomising MSers to an escalation or high-efficacy (flipping the pyramid) treatment approach.
CoI: multiple