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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Eur+J+Neurol 2016 ; 23 (Suppl 1): 18-27 Nephropedia Template TP
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Disease-modifying treatments for multiple sclerosis ? a review of approved medications #MMPMID26563094
Torkildsen Ø; Myhr KM; Bø L
Eur J Neurol 2016[Jan]; 23 (Suppl 1): 18-27 PMID26563094show ga
Background and purpose: There is still no curative treatment for multiple sclerosis (MS), but during the last 20 years eight different disease-modifying compounds have been approved for relapsing?remitting MS (RRMS). Methods: A literature search was conducted on published randomized controlled phase III trials indexed in PubMed on the approved medications until 21 May 2015. Results: In this review the mode of action, documented treatment effects and side effects of the approved MS therapies are briefly discussed. Conclusions: Based on current knowledge of risk?benefit of the approved MS medications, including factors influencing adherence, it is suggested that oral treatment with dimethyl fumarate or teriflunomide should be preferred as a starting therapy amongst the first-line preparations for de novo RRMS. In the case of breakthrough disease on first-line therapy, or rapidly evolving severe RRMS, second-line therapy with natalizumab, fingolimod or alemtuzumab should be chosen based on careful risk?benefit stratification.