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The American Academy of Neurology last published guidelines in 2002 about vaccinations in patients with multiple sclerosis (MS). A working group has now reviewed the evidence since 2002 regarding vaccines and disease-modifying MS therapies.
The working group provided the following recommendations:
No definite evidence suggests that MS is caused by vaccinations or that risk for MS diagnosis is increased after vaccination.
For those with MS, routine vaccinations are recommendable, particularly because of increased risk for infections with immunosuppressive therapies. For maximal efficacy, vaccinations should be offered prior to starting immunosuppressive ther…