Rituxan®

What is Rituxan®?

Rituxan® (rituximab) is a monoclonal antibody treatment used for various autoimmune diseases and certain blood cancers by targeting CD20, a protein found on B-cells. By attaching to CD20, Rituxan® helps remove harmful B-cells, reducing inflammation and the immune system's attack on healthy tissue.

At Central Texas Neurology Consultants, we specialize in using Rituxan infusion therapy for neurological conditions including multiple sclerosis. Rituxan's unique ability to target B-cells makes it particularly effective for autoimmune neurological disorders where B-cells contribute to nerve and muscle damage.

Rituxan IV infusion is administered at our specialized infusion center. The Rituxan infusion protocol typically includes:

  • First infusion: 4 to 6 hours or more, with close monitoring
  • Subsequent standard infusions: 3 to 4 hours
  • Rapid infusions: As short as 90 minutes for eligible patients who tolerate treatment well

The treatment schedule varies based on your specific condition. Common protocols include:

  • Initial course: Two infusions given two weeks apart
  • Maintenance therapy: Determined by your doctor, often every 6 months or as needed based on disease activity

Premedications are typically given before each infusion to minimize the risk of infusion reactions.

How Does Rituxan Work?

In autoimmune neurological conditions, the immune system mistakenly attacks healthy tissue in the nervous system. B-cells—a type of white blood cell—play a central role in this process by producing antibodies that target the body's own nerves, muscles, or myelin (the protective covering around nerves). This leads to inflammation, nerve damage, and the symptoms associated with conditions like multiple sclerosis, myasthenia gravis, and certain forms of neuropathy.

Rituxan works through a specific mechanism:

  • Targets CD20-positive B-cells: CD20 is a protein found on the surface of B-cells but not on other healthy cells
  • Binds to B-cells: Rituxan attaches to the CD20 marker, flagging these cells for removal
  • Depletes harmful B-cells: The immune system then eliminates these B-cells from circulation
  • Reduces autoimmune activity: With fewer B-cells, there are fewer antibodies attacking healthy tissue
  • Preserves other immune cells: Importantly, Rituxan preserves plasma cells and stem cells, maintaining some immune function

What makes Rituxan unique is its historical significance as the first monoclonal antibody approved for targeting CD20, and its proven effectiveness across multiple autoimmune conditions. As a chimeric monoclonal antibody, Rituxan specifically destroys B-cells while sparing other important immune components, providing targeted treatment for autoimmune diseases.

While Rituxan does not cure autoimmune neurological conditions, it helps quiet the overactive immune response that contributes to disease activity, slowing progression and improving stability over time. The timeline for seeing results varies by condition and individual response. The first infusion takes effect within days as B-cells are depleted, but clinical improvements (e.g., reduced symptoms or disease activity) typically become noticeable over several weeks to months as inflammation decreases and the immune system stabilizes.

Like all medications, Rituxan can cause side effects. Common side effects include:

  • Infections (upper respiratory, urinary tract, bronchitis)
  • Fever and chills
  • Nausea and diarrhea
  • Headache
  • Weakness or fatigue
  • Body or joint aches
  • Night sweats
  • Swelling (edema)
  • Low blood cell counts

Serious Rituxan infusion side effects require immediate medical attention and include:

  • Severe infusion reactions: Hives, swelling of face/lips/tongue/throat, shortness of breath, chest pain, or rapid heartbeat (especially during first 24 hours)
  • Serious infections: Due to weakened immune system
  • Progressive Multifocal Leukoencephalopathy (PML): A rare but serious brain infection causing confusion, vision problems, or weakness
  • Hepatitis B virus reactivation: In those with past infection, leading to liver failure
  • Severe skin reactions: Painful sores, blisters, or peeling skin
  • Tumor Lysis Syndrome: Causing kidney failure or abnormal heart rhythm
  • Heart problems: Chest pain, irregular heartbeat, or heart attack
  • Serious bowel problems: Severe stomach pain or repeated vomiting

Your healthcare team at our infusion center will monitor you closely during and after each Rituxan infusion treatment to ensure your safety.

How Much Does Rituxan Cost?

The cost of Rituxan infusion depends on several factors, including your insurance coverage and plan. Understanding the Rituxan infusion cost is important, and at Central Texas Neurology Consultants, we are committed to helping patients receive treatment affordably and with minimal stress.

We work with most major commercial insurance providers in Texas, including Aetna, Cigna, Blue Cross Blue Shield, WellMed, Humana, UnitedHealthcare, and others, along with Medicare. Our team ensures you receive maximum coverage for your Rituxan infusion therapy.

Our experienced team provides comprehensive support to make treatment more accessible:

  • Handles all prior authorizations and benefits verification
  • Provides financial counseling to clarify the cost of Rituxan infusion for your specific situation
  • Assists with copay assistance programs and foundation support
  • Explores manufacturer patient assistance programs to reduce out-of-pocket expenses

Why Patients Choose Central Texas Neurology Consultants' Infusion Center to Receive Their Rituxan Infusion

Clinical Excellence and Neurological Expertise

Our infusion center is led by board-certified neurologists and experienced BSN-prepared Registered Nurses who specialize in infusion therapy for neurological disorders. Our team has advanced training and extensive experience managing patients with multiple sclerosis. Our healthcare providers understand the nuances of B-cell depleting therapies and how to optimize outcomes for each patient.

Our comprehensive approach also includes advanced diagnostic capabilities such as electromyography to accurately assess nerve and muscle function, ensuring your treatment plan is tailored to your specific condition.

Lower Costs and Financial Assistance

We manage all insurance processes and guide patients through financial assistance options. Physician-owned infusion sites like Central Texas Neurology Consultants' Infusion Center typically help patients achieve lower overall costs than hospital-based centers, making the Rituxan infusion cost more manageable for our patients.

35+ Years of Trusted Neurological Care

Providing expert, compassionate care for 35+ years to individuals across Texas with MS and other neurological conditions. Our decades of experience with Rituxan infusion protocol and other immunotherapies means we understand not only the clinical aspects of treatment but also the real-world impact on our patients' daily lives.

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Important Info

Referral Form:
Rituxan®
What It Treats:

Non-Hodgkin’s Lymphoma (NHL)

B-cell acute leukemia (B-AL)

Chronic Lymphocytic Leukemia (CLL)

Rheumatoid arthritis (RA)

Granulomatosis with Polyangiitis (GPA) (Wegener’s Granulomatosis)

Microscopic Polyangiitis (MPA)

Pemphigus Vulgaris (PV)

FDA Approval:

Non-Hodgkin’s Lymphoma (NHL): Approved on November 26, 1997

B-cell acute leukemia (B-AL): Approved on February 10, 2006

Chronic Lymphocytic Leukemia (CLL): Approved on February 19, 2010

Rheumatoid arthritis (RA): Approved on February 28, 2006

Granulomatosis with Polyangiitis (GPA) (Wegener’s Granulomatosis): Approved on September 27, 2019

Microscopic Polyangiitis (MPA): Approved on September 27, 2019

Pemphigus Vulgaris (PV): Approved on June 7, 2018

Manufacturer:

Genentech

What Our Patients Have to Say

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Peery is professional yet amicable and kind.

Kat D.

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.

Central Texas Neurology Consultants is a wonderful doctor’s office with competent, knowledgeable doctors and fantastic office staff! I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly...Shout out to Rochelle, and to Molly, Kathleen, and Madison in the infusion center for being always friendly, helpful, and overall great!

Jerry D.

I’ve been to De. Peckham’s for the last decade. Her and the staff I’ve had the pleasure of working with have all been outstanding. And their new online system makes it even easier to message between appointments as needed.

Derek B.

I followed Dr. Parisa Khosravi from the UT since I had severe MS and she has been such a blessing from day one. She is the best MS specialist I know in Austin

Saeid A.

Dr. Khosravi as a MS specialist is hands down the best doctor I ever met. She is very kind and passionate and takes her time with diagnosis.

Patient

Dr. Khosravi was very nice. She took her time with the appointment. It was my first visit. I think it will be a good doctor/patient relationship.

Patient

Dr Peckham is so kind, knowledgeable and easy going. We are so grateful to have her as my husbands doctor as she answers all our questions, never rushed us and we always leave feeling confident in her recommendations.

Betsy P.

Dr. Khosravi is an excellent addition to the staff at CNTC. She takes the time to explain things and welcomes questions. I feel as though she considers my long term heath as well as the issues I am currently experiencing. Her assistant Rochelle is stellar as well!

S. Carzola

Breanna is amazing. She got me in almost immediately to see her once my test results came in from a referral, to explain them to me and start treatment. She spent a good hour listening to my concerns and addressing them, compassionately helping me answering the many questions I had about my complex health issues...I highly recommend Breanna to anyone who needs a movement disorder specialist. She and Dr. Peckham make an excellent team.

Tracy K.

This was just my yearly check-up. PA Saini has a pleasant manner & asked all the right questions while providing me with an extension for my medications. A good visit!

Chuck C.

Dr. Adam Horvit at Central Texas Neurology Consultants has been fantastic over the past year. He’s very thorough, takes a thoughtful and conservative approach, and always makes sure I understand everything. He’s great about answering all my questions at appointments, by phone, and is available through the patient portal. Highly recommend!

Dipa P.

Doctor Couch is a wonderful doctor, great at really listening to your issues. I was suffering extreme tension headaches and he has and does amazing work to relieve my pain so that I don’t now have to rely on my medication, which in fact did not really help. Highly recommend Central Texas Neurology.

Sharon M.

I’ve had bad migraines as long as I can remember. I’ve tried and tried and tried to find something that would prevent the suckers. Dr. Couch listened to all the things I’ve tried, and suggested something similar to what I tried before - explained why he was thinking of that fix. It worked! He’s very thorough., but he won’t hold your hand to get the information out of you... the infusion staff I have to say are some of my favorite med people...so ask you PCP for a referral...you’ll be glad you did...

Mara M.

Dr. Couch is knowledgeable, kind, and clear in his communication. The office staff is effective and courteous. I feel confident I’m in good hands and am progressing toward a solution for my chronic migraines.

Emily B.

Can’t say enough good things about Dr. Couch and his team. I’ve been a patient here for 4 years now. I know that the Botox insurance team spent hours on the phone with insurance just for me personally, so I can’t imagine the time they spend for other patients! They do all they can to make my life easier, and do it with kindness. Highly recommend for migraine sufferers.

Bree M.

Dr. Couch was amazing. Him and his staff were exceptional. 10/10 recommend going here. Front desk very attentive, nursing assistant was very kind and attentive to my needs. Dr. Couch was very thorough in my evaluation and helpful to me to meet my expectations.

Melinda L.

I have been a patient of Dr. Terry Peery for almost 6 years now and I have never had one issue with him or the practice itself. The service I receive for my seizure disorder as well as migraines has been the best I have ever received...They have never been rude to myself or to my own family... They have helped me in so many ways I honestly cannot list them all. Dr. Peery was/is the only doctor who was ever been able to actually tell me what type of seizures I have, what the medicines are for them specifically and who has been able to help me out when my insurance has been a real pain in the butt... My suggestion... Give them a chance!

Cecily H.

Dr. Peery is one heck of a nice guy. I suffered a stroke in October and he has gone above and beyond the expected duties. He had been very helpful in my recovery. I give him many many thanks for his help and kindness.

Shawn R.

Dr. Peery is professional yet amicable and kind.

Kat D.

I was referred here by my primary physician and am thrilled with Dr. Peery. His staff is gracious and called promptly with lab results and appointment inquiries. Dr. Peery was compassionate and thorough when addressing my concerns and problems. He not only provided interim treatment but quickly established a plan to determine diagnosis for long term solutions. I felt valued and listened to... which meant a lot to me when dealing with a chronic condition. My only regret is I didn’t seek help, ask for referral or get myself to him sooner!

Jill B.

I saw Dr. Terry Perry for sleep apnea evaluation. During the initial appointment, Dr. Peery was extremely thorough in his review of my symptoms. He sent me to have a sleep study (which was a pleasant experience). In my post-sleep study follow-up, Dr. Peery explained I had very severe sleep apnea. He was thorough in his explanation and reviewed my study results in a way that was understandable. I got a CPAP machine - works great and I haven’t felt better in years! I found Dr. Peery compassionate, very thorough and very personable. I would highly recommend Dr. Peery.

Sharon S.

I am reviewing based on my experience with Dr. Elizabeth Peckham. She is a great movement disorder specialist. Very caring and understanding. She always listens to all my questions and answer them thoughtfully. Her assistants have always been helpful when I have called between appointments. I feel very confident in my husband’s care for his Parkinson’s disease and associated problems.

Caryl M.

Dr. Peckham and her team are incredible. I’ve never needed any type of therapy before, but this team is amazing. I was given a form from my job that had to be turned in by ‘end-of-business day tomorrow or you won’t have benefits.’ Dr. Peckham worked on this paper between seeing her patients, so I could have it turned on time. I’ve never seen or heard of a doctor who would go out of her way to make sure I didn’t lose my benefits. From the bottom of my heart, thank you, thank you, thank you!

Christina R. 

Dr. Elizabeth Peckham has been caring for my multiple illnesses for about 9 years. She and her MA, Cyndel, are compassionate, efficient and never stop until they found out what is wrong with me. Dr. Peckham and the doctors/facilities she has sent me to have found many answers/diagnoses to my painful and debilitating symptoms that are rapidly progressing. I don’t know how I would have made it through all that has happened to me without her.

Susan T.

I’ve been seeing Dr. Peckham for over 5 years now. She is very attentive and addresses every issue.

Clint G.

Dr. Peckham is well-informed and easy to talk to. She really considered options and ideas I suggested, including supplements for the treatment of my Parkinson’s disease.

Paul H.

Dr. Horvit listens to me, and is interested in my overall health, not just his specialty.

Vaughan S.

Just had testing done for Carpal tunnel by Dr. Horvit. He was absolutely great! My aunt warned me that the test would be painful because of the needles but any pain I did feel was easily remedied by a most enjoyable visit with Dr. Horvit. I was talking to him while he did the test and he actually heard what I was saying because he listened and cared! He took interest in my and the test flew by... Thank you Dr. Horvit!

K.M. 

Dr. Horvit was very professional and made sure I understood all the information presented. He went out of his way to ensure I was receiving the best care possible.

Andrew B.

Dr. Horvit and his staff are amazing! Very professional, caring and knowledgeable.

Stephanie M.

I came from another neurology clinic 4 years ago and haven’t looked back. The nursing and clerical teams are professional and kind.

Cash S.

I have been a Multiple Sclerosis patient here for a little over a decade, and they have always taken care of me! Everyone is always so friendly. Whenever I need information about my treatments or care, my calls are always returned promptly. I’m always greeted with a smile. Everyone has always been helpful in the office with medical forms or questions. I live one town over, but I’m happy to drive here.

Jerry A.

The nurses are amazing!! Been coming here for years and they have always treated me extremely professionally and with care. Love all of them!!!!

Angela B.

The infusion team is also terrific if you have treatments with them. They are constantly improving their in-house infusion center to ensure the comfort of their patients. The team there is professional and highly trained!

Janet B.