[Update on Current Care Guideline: Multiple sclerosis]

Duodecim. 2015;131(5):500-1.
[Article in Finnish]

Abstract

Treatment for relapsing-remitting multiple sclerosis (RRMS) is initiated upon fulfillment of new McDonald 2010 criteria for RRMS. In addition, lumbar puncture is an essential diagnostic method. Interferon-β, dimethyl fumarate, glatiramer acetate and teriflunomide are the first-line immunomodulating drugs (IMD) for RRMS. If the disease is active according to clinical or MRI evaluation during the first-line IMD treatment, alemtuzumab, fingolimod or natalizumab may be considered as second-line therapies. IMD treatment is discontinued upon the transition of RRMS to secondary progressive phase. Rehabilitation should be considered at every phase of the disease.

Publication types

  • English Abstract
  • Practice Guideline

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Humans
  • Immunologic Factors / therapeutic use*
  • Immunosuppressive Agents / therapeutic use*
  • Multiple Sclerosis, Relapsing-Remitting / diagnosis*
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Spinal Puncture

Substances

  • Antibodies, Monoclonal, Humanized
  • Immunologic Factors
  • Immunosuppressive Agents