Avonex

First neurologist exam

Before I talk about Avonex, I'll tell you a little about what led up to him taking it.

Even after being diagnosed, he still did not take any of the multiple sclerosis treatments available until about two years before he stopped working.








I can't remember who suggested that Cir see a neurologist. He was working at the time and had insurance through his job - a managed care plan. I'm pretty sure it was the general practitioner he was seeing for one of his symptoms.

Cir was referred to Dr. Ross Dorsett, an excellent neurologist. He happened to be a member of the church we attended. Cir walked in with his cane that first day.

After his exam, Dr. Dorsett talked to Cir and me about the treatments available. At the time, that was the group of drugs called the ABC treatments for multiple sclerosis.

Making a choice

Cir chose Avonex because he would only have to take the injections once a week. This was the best choice for him starting out, because number one - he doesn't like needles. They remind him too much of mosquitoes, which he hates. And number two, it would be the easiest to handle with his work schedule.

We were told of the possible side effects of avonex. The main one being flu-like symptoms. Aching, fever, chills - the whole bit. He felt that he could handle it and was assured that for most the symptoms would ease up over time. So Cir was hopeful it would work out.

He scheduled the injection for Tuesday nights. That was the night before his day off. He could spend the whole day - Wednesday - recovering from his once-a-week "flu".

I felt so bad for him. We had hoped the symptoms would lessen as time went by. Each week we hoped it would get a little better for him. Cir would wake up in a sweat with chills and fever. He tried taking aspirin or acetaminophen a few hours after the injections. That only helped sometimes.




Convenient but....

Avonex was so convenient. He probably could have learned to tolerate the symptoms if it hadn't been for the size of the needle. According to Cir, it was the size of a "harpoon". Because avonex is an intramuscular injection, the needle is longer and thicker. It needs to reach the muscle.

Cir would sit in the bathroom and for what seemed like an hour or more. He had to work up the nerve to give himself the injection.

I'd walk by and peek in, checking on him.