Ocrevus, a medication primarily used to treat multiple sclerosis (MS), has been associated with various side effects, including some related to mental health such as anxiety and depression. While it is not among the most common side effects, reports and patient experiences indicate that **depression and anxiety can occur during Ocrevus treatment**.
Ocrevus works by targeting specific immune cells (B cells) involved in the autoimmune process of MS. Because it modulates the immune system, it can have complex effects on the body, including the brain and mood regulation. Some patients have reported experiencing **depression, anxiety, or mood changes** after starting Ocrevus, although these are less frequent compared to infections or infusion reactions. Depression is listed among the more common side effects in some patient information, alongside infections and pain. Anxiety is less frequently highlighted but can be part of the broader emotional or psychological side effects spectrum during treatment.
It is important to understand that people with MS are already at a higher risk of developing depression and anxiety compared to the general population. This increased risk is due to multiple factors:
– The unpredictable and chronic nature of MS, which can cause stress and emotional strain.
– Physical symptoms and disability progression that affect quality of life.
– Changes in brain structure and lesions caused by MS itself, which can directly influence mood regulation.
– The psychological impact of living with a chronic illness, including social and occupational challenges.
Therefore, when depression or anxiety symptoms appear during Ocrevus treatment, it can be challenging to determine whether the medication itself is the direct cause or if these symptoms are related to the underlying disease or other life stressors.
Patients receiving Ocrevus should be monitored closely for any signs of mood changes, depression, or anxiety. Healthcare providers often recommend:
– Open communication about emotional well-being during routine visits.
– Early intervention if symptoms of depression or anxiety develop, which may include counseling, therapy, or medications.
– Supportive care and coping strategies to manage stress related to MS and its treatment.
If a patient experiences severe mood changes, suicidal thoughts, or worsening anxiety, it is critical to seek immediate medical attention. Adjusting treatment or adding mental health support can be necessary to ensure overall well-being.
In summary, while Ocrevus can be associated with depression and anxiety, these side effects are not the most common and must be understood in the context of MS itself, which predisposes patients to these mental health challenges. Careful monitoring and proactive management are essential to address these symptoms effectively during Ocrevus therapy.





