Amyotrophic Lateral Sclerosis (ALS): Current Treatment Options and Efficacy
Ariana Z Turk1 and Pooja Mohan Rao2*
1Georgetown University School of Medicine, Washington, DC, USA
2Assistant Professor, Department of Neurology, Georgetown University Hospital, Washington, DC, USA
*Corresponding Author: Pooja Mohan Rao, Assistant Professor, Department of Neurology, Georgetown University Hospital, Washington, DC, USA.
Received:
August 20, 2024; Published: September 27, 2024
Abstract
Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder characterised by upper and lower motor neuron dysfunction. Despite its devastating impact, diagnostic challenges and a limited understanding of disease pathogenesis complicate effective management. Recent advancements in pharmacological therapies offer hope for improved outcomes. This review examines the current treatment landscape for ALS, including Riluzole (Rilutek), Edaravone (Radicava), and Tofersen (Qalsody), with a focus on their mechanisms, clinical efficacy, and implications for patient care. Additionally, we will briefly discuss the approval and subsequent withdrawal of Sodium Phenylbutyrate/taurusodiol (Relyvrio) as well as anecdotal evidence for Dextromethorphan-Quinidine (Nuedexta) and vitamin B12. Patients with ALS are best managed in a multidisciplinary clinic with access to specialists trained in neurology, pulmonology, physical therapy, occupational therapy, and speech therapy, as well as a social worker, an ALS association representative, a dietician and nutritional therapist all of whom contribute to improving quality of life for these patients.
Keywords: Amyotrophic Lateral Sclerosis (ALS); Upper Motor Neuron (UMN); Lower Motor Neuron (LMN)
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