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Multiple sclerosis disease-modifying therapies: adverse effect surveillance and management
1Mayo Clinic College of Medicine, Scottsdale, AZ 85259, USA. wingerchuk.dean@mayo.edu
Managing side effects of multiple sclerosis (MS) therapies is crucial for treatment success. This review details strategies for preventing and treating adverse events from current MS disease-modifying therapies.
Area of Science:
- Neuroimmunology
- Pharmacology
Background:
- Multiple sclerosis (MS) has five approved parenteral disease-modifying therapies.
- These therapies include interferon-beta preparations, glatiramer acetate, and mitoxantrone.
- Natalizumab, a potential sixth therapy, was withdrawn but may return with enhanced safety.
Purpose of the Study:
- To outline strategies for managing adverse effects of MS therapies.
- To ensure compliance and maximize therapeutic efficacy.
- To prepare healthcare providers for complex contemporary MS treatment regimens.
Main Methods:
- Review of current literature on MS therapies and their adverse effects.
- Identification of strategies for prevention, identification, and management of complications.
- Focus on practical application in routine clinical practice.
Main Results:
- Effective management of adverse effects is key to patient compliance and treatment efficacy.
- Proactive surveillance and intervention are necessary for both minor and serious side effects.
- Understanding and managing complications are vital as MS treatments evolve.
Conclusions:
- Comprehensive management of adverse effects is essential for optimizing outcomes in multiple sclerosis patients.
- Healthcare professionals need to be adept at handling complications associated with disease-modifying therapies.
- The complexity of MS treatment necessitates advanced skills in managing therapy-related adverse events.
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