University of Connecticut Health Center, Neurology Associates, 263 Farmington Ave., Farmington, CT 06030-5357, USA.
Ther Adv Neurol Disord. 2012 Jul;5(4):205-20. doi: 10.1177/1756285612450936.
Multiple sclerosis (MS) is a potentially disabling chronic autoimmune neurological disease that mainly affects young adults. Our understanding of the pathophysiology of MS has significantly advanced in the past quarter of a century. This has led to the development of many disease-modifying therapies (DMTs) that prevent exacerbations and new lesions in patients with relapsing remitting MS (RRMS). So far there is no drug available that can completely halt the neurodegenerative changes associated with the disease. It is the purpose of this review to provide concise information regarding mechanism of action, indications, side effects and safety of Food and Drug Administration and European Medicines Agency approved agents for MS, emerging therapies, and drugs that can be considered for off-label use in MS.
多发性硬化症(MS)是一种潜在的致残性慢性自身免疫性神经系统疾病,主要影响年轻人。在过去的四分之一个世纪里,我们对 MS 的病理生理学的理解有了显著的提高。这导致了许多疾病修饰疗法(DMTs)的发展,这些疗法可以预防复发缓解型多发性硬化症(RRMS)患者的恶化和新病变。到目前为止,还没有一种药物可以完全阻止与疾病相关的神经退行性变化。本文旨在提供有关美国食品和药物管理局和欧洲药品管理局批准的 MS 药物的作用机制、适应症、副作用和安全性的简明信息,包括新兴疗法以及可考虑在 MS 中进行标签外使用的药物。