A frequently used treatment strategy for LEMS can include an immunosuppressant to stop the attack of inappropriate antibodies to our neuromuscular junctions. A decision for me, whether to start such a course will come in less than two weeks. I’ve been investigating rituximab as the possible drug, and feedback is very positive. But with that would come increased caution with daily activities during this pandemic. Were I to accept this treatment plan, I need the vaccine quickly. So far that hasn’t happened, but I’m trying. It would become imperative if I start an immunosuppressive medication. Do I need to stop go8ng 8nto grocery stores and do pick up only? Are there specific strategies you would or do use, being on a drug like Rituxan? Please give me your thoughts, as I get close to my decision.
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