Things to Know When Starting a DMT for MS, with Julie Kidd, PharmD, MPH
From oral medications to infusions, Julie Kidd, PharmD, MPH, breaks down the differences in MS treatments and what patients should know before starting a DMT.
By
Lana Pine
| Published on March 28, 2025
2 min read
Starting a disease-modifying therapy (DMT) for multiple sclerosis (MS) is an important step in managing the condition. Clinical pharmacist Julie Kidd, PharmD, MPH, shares key factors to consider when choosing the right DMT, helping patients navigate their options with confidence.
With many treatment options available, patients should work with their healthcare team to choose a therapy that fits their lifestyle, disease severity, and personal health goals.
DMTs come in different forms, including oral medications, self-injections and infusions — each with its own benefits and considerations. The effectiveness of these therapies varies, with some offering higher efficacy but potentially greater risks. Kidd emphasizes that patients should also consider required monitoring, potential side effects and whether vaccinations are needed before starting treatment.
Additionally, factors like family planning and treatment costs play a role in decision-making. While DMTs can be expensive, Kidd explains that many copay assistance programs are available to help reduce financial burden. Ultimately, choosing a DMT is a shared decision between the patient and their healthcare team, ensuring the best possible outcome for managing MS.
5 Things to Know When Starting a DMT for MS
- Treatment Options Vary – DMTs are available as oral pills, self-injections, and infusions at a clinic. Choose the one that fits your lifestyle and comfort level.
- Efficacy vs. Risk – Some DMTs are more aggressive in controlling MS but may have a higher risk of side effects. Discuss the balance of benefits and risks with your doctor.
- Family Planning Considerations – If you are considering pregnancy, discuss the safety of DMTs with your healthcare team. Research is evolving on which medications are safe during pregnancy and breastfeeding.
- Cost and Insurance – DMTs can be expensive, but many manufacturers offer copay assistance programs to help with costs. Check with your insurance provider about coverage.
- Make an Informed Decision – There’s no single best DMT for everyone. Work with your healthcare team to choose the option that meets your needs.
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