Adherence to disease-modifying drugs in patients with multiple sclerosis: a consensus statement from the Middle East

Bassem I Yamout1, Maurice Dahdaleh, Mohammed Ali Al Jumah

  • 1Internal Medicine, American University of Beirut, Beirut, Lebanon. yamoutba@idm.net.lb

Insights

Patient adherence to multiple sclerosis (MS) therapy is crucial for treatment efficacy. Local MS specialists in the Middle East discussed challenges and recommendations for improving patient adherence to disease-modifying drugs.

Area of Science:

  • Neurology
  • Pharmacology
  • Public Health

Background:

  • Therapy adherence is critical for managing chronic illnesses like multiple sclerosis (MS).
  • Specific aspects of MS and its treatments can lead to patient nonadherence and treatment discontinuation.
  • Compromised adherence negatively impacts the effectiveness of disease-modifying drugs (DMDs) in MS patients.

Purpose of the Study:

  • To address challenges related to patient adherence in multiple sclerosis (MS) within the Middle East.
  • To identify key factors contributing to nonadherence and treatment discontinuation in MS patients.
  • To develop expert recommendations for enhancing treatment adherence in the region.

Main Methods:

  • A consensus discussion among local multiple sclerosis (MS) specialists from the Middle East.
  • Debate on critical questions concerning the characteristics and causes of patient nonadherence.
  • Formulation of practical recommendations for improving adherence.

Main Results:

  • Identified specific features of MS and its treatment that pose adherence challenges.
  • Discussed the multifaceted causes of patient nonadherence to therapy.
  • Generated a set of expert-driven recommendations tailored for the Middle Eastern context.

Conclusions:

  • Improving adherence to disease-modifying drugs is essential for optimizing multiple sclerosis (MS) management.
  • Addressing patient-specific and treatment-related factors is key to enhancing adherence.
  • Regional expert consensus provides a foundation for targeted interventions to improve MS patient outcomes.

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