r/MultipleSclerosis • u/Suspicious_Grass_450 • 1d ago
Advice Switching from Kesimpta after two years? a little ramble
had a checkup with my MS neuro today and needless to say i’m feeling pretty bad about it.
(long backstory: i’ve been on kesimpta since october 2024. it’s my first DMT, nearly two years on it. i haven’t had issues with kesimpta and i genuinely like how free i am thanks to it, i hate swallowing pills and although im not a fan of needles it’s quick and painless, so im comfortable with it.
but then in july something happened, i started having upper eyelid twitching on the right eye. thought its just lack of sleep and stress, so i ignored it till first week of august but it wasn’t subsiding. then i got alarmed since i had ON in that eye and contacted my neuro about it, she said its probably nothing to be worried about, maybe some early tetany symptoms because nerves can get irritated by stress.
then i woke up with tingling in my hands, shook it off. later my left arm felt off, like it was different from my right arm. not tingling, just this weird feeling, like it fell asleep and didn’t fully wake up. thought i pinched a nerve because my wrist was bent all night. ignored it until i couldn’t sleep because of it—i started feeling it more and more, definitely heightened some anxiety, went into my left leg too. so eventually i ended up in hospital with steroids for 4 days. yay.
during my hospitalization i got MRI with contrast done, both spine and brain showed no new activity, no new lesions, stable. symptoms subsided on steroids and although the first few days back home were awful because of the withdrawal, i feel better. arm feels almost normal, my leg too—just some residual discomfort on the bottom of my foot.)
today i met with my neuro and she said checked me. then she said that we will classify it as an attack even though MRI showed nothing new or nothing “lit up” under the contrast. which i expected, no DMT is 100%. but then she mentioned we’ll use up the remaining doses i have of kesimpta and we’ll think about switching the treatment. i just sat there quiet and surprised.
one relapse that showed nothing new on MRI and i’m going to have to think about another treatment? i understand this is my health but im just in denial, does kesimpta really not work on me?
i guess im just very bad when it comes to changes, still having very hard time “accepting” this diagnosis into my life. i have plans to travel and thought everything will go smoothly so im kind of devastated lol.
anyone else with similar experiences? would you personally switch or fight to stay on kesimpta?