Riluzole

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adozi

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Dec 28, 2011
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233
Reason
PALS
Diagnosis
03/2012
Country
US
State
KY
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Louisville
Re: riluzole question

When discussing riluzole /rilutek, i find this comment by John1 most helpful https://www.alsforums.com/forum/gen...iluzole-rilutek-als-treatment.html#post290360

Is there a sticky on this? I don't know why we have to keep discussing whether it works when the research has been done.

John1's comment, In case you don't feel like going to the link :

There seems to be a lot of misinformation and downright ignorance surrounding Rilutek. Neurologists are among the offenders. Conventional and retrospective studies have shown that Rilutek definitely slows progression and extends lifespans for PALS. The three month figure is likely conservative and is based on a three year longevity. If a PALS is a slow progressor, the benefit will be proportionately longer.

I have been taking Rilutek for nearly 13 years with no side effects. I have my liver enzymes checked about every 4-5 months. Never any sign of elevation in them for me.

In a retrospective study of more than 800 ALS patients over a 10 year period, it was found that 38% of PALS taking Rilutek were alive after 5 years whereas only 12% of those not taking were still alive:

http://pn.bmj.com/content/3/3/160.full.pdf

Here's what the ALS Association says:

The ALS Association

The European Union made a study of its effectiveness and found that patients who took it for 18 months lived 2 months longer than those who did not. This would extrapolate to 4 months longer survival for those taking it for three years. Here the link:

http://www.ema.europa.eu/docs/en_GB/...C500056578.pdf

Based on the research, my advice is to start it as soon after diagnosis as possible.
 
If you decide to take riluzole it is important to take it correctly.
Because it is inactivated by fat it should be taken on an empty stomach. Take it two hours after eating and then wait an hour before eating. Take it at least 8 hours apart but as close to 12 hours as possible.
 
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