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Table 3 Wash out times for different DMTs

From: Treatment of relapsing multiple sclerosis in Hungary – consensus recommendation from the Hungarian neuroimmunology society

DMT

Wash-out time

GA

not necessary

IFN-beta

not necessary

DMF

not necessary, but normalization of lymphopenia or trend of normalization is recommended

teriflunomide

necessary, can be shortened by cholestyramine

fingolimod

≥ 4 weeks (but not exceeding 8 weeks)

natalizumab

≥ 4–8 weeks (but not exceeding 8 weeks)

alemtuzumab/cladribine

≥ 6–12 months

ocrelizumab/ofatumumab/rituximab

≥ 3–6 months

  1. based on the data of Bigaut et al. 2021 [24]
  2. abbreviations: DMT- disease modifying treatment, DMF – dimethyl fumarate, GA – glatiramer acetate, IFN- interferon,