Rilutek Treatment Report

Category: Prescription Drugs

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Generic Name: Riluzole

What is Rilutek?

An example of Rilutek

Rilutek® is a brand name for riluzole, the first drug to be approved for the treatment of amyotrophic lateral sclerosis (ALS). Rilutek does not cure ALS or improve symptoms, but may extend survival or the time to tracheostomy.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
536 119 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
14 6 Efficacy_none Efficacy_cant_tell
11 9 Efficacy_major Efficacy_none Efficacy_cant_tell
3 0
2 1 Efficacy_cant_tell
1 0

See all 422 patients currently taking Rilutek

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Reported Dosages

  daily 2 other daily 2 tablet(s) daily 50 mg daily 100 mg daily 125 mg daily 150 mg daily 200 mg daily 300 mg daily
  19 Number of Patients: 19 1 Number of Patients: 1 1 Number of Patients: 1 64 Number of Patients: 64 414 Number of Patients: 414 1 Number of Patients: 1 1 Number of Patients: 1 4 Number of Patients: 4 1 Number of Patients: 1  

Reported Stop Reasons

Why Patients Stopped Taking Rilutek (multiple reasons could be selected)
Reason # Patients Percentage of patients
Side effects too severe 47   Side effects too severe: 38%
Did not seem to work 44   Did not seem to work: 35%
Doctor's advice 21   Doctor's advice: 17%
Other 18   Other: 15%
Expense 13   Expense: 10%
Personal research 12   Personal research: 10%
Not indicated 6   Not indicated: 5%
Course of treatment ended 4   Course of treatment ended: 3%
Change in health plan coverage 3   Change in health plan coverage: 2%

See all 123 patients who’ve stopped taking Rilutek

Currently Taking Rilutek

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0

Stopped Taking Rilutek

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Rilutek

Always
118 86%
Usually
11 8%
Sometimes
3 2%
Never
5 4%

Burden

Difficulty being on treatment

Burden of Rilutek

Very
3 2%
Somewhat
11 8%
A little
30 22%
Not at all
93 68%

Cost

Paid out of pocket

Cost of Rilutek

$200+
27 26%
$100-199
7 7%
$50-99
12 12%
$25-49
12 12%
< $25
46 44%

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35 patient evaluations for Rilutek

Purpose: PMA (Progressive Muscular Atrophy) (Started May 06, 2004)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Apr 03, 2013 100 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Sep 03, 2010 100 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Sep 15, 2008 100 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Skin irritation, Flaky skin on face and head
Date
Sep 03, 2010
Advice & Tips
itchiness all over,flaking of skin off face/head- wash hair every day,use DermaVeen shower wash/moisturising lotion daily.
  • Icon_thumb_on 1 helpful mark
Purpose: ALS (Amyotrophic Lateral Sclerosis) (Started May 15, 2012)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Mar 29, 2013 2 tablet(s) Daily ?Can't tell NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Mar 29, 2013
Advice & Tips
Ideally you're meant to take: - twice daily, exactly 12 hrs apart - after a 2 hr fast, and followed by a 1 hr fast. After lots of experimentation, I take at 6am & 6pm. Morning is easy, evening is harder to ensure both that I fast properly & that I remember to take. I set a reminder to eat at around 3:45pm, so that I can eat something before my fast from 4pm to 7pm.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: ALS (Amyotrophic Lateral Sclerosis) (Started May 01, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Dec 15, 2012 100 mg Daily ?Can't tell MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jan 01, 2012 100 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Oct 28, 2009 100 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Apr 04, 2009 100 mg Daily ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jan 27, 2009 100 mg Daily ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Aug 23, 2008 100 mg Daily ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
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What is riluzole?

Riluzole affects muscles and nerves in the body. The exact way that it works is unknown.

Riluzole is used to treat amyotrophic lateral sclerosis, also known as ALS and Lou Gehrig’s disease.

Riluzole may also be used for purposes other than those listed in this medication guide.


Precautions

Before taking this medication, tell your doctor if you

  • have liver disease; or
  • have kidney disease.

You may not be able to take riluzole, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Riluzole is in the FDA pregnancy category C. This means that it is not known whether riluzole will be harmful to an unborn baby. Do not take riluzole without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether riluzole passes into breast milk. Do not take riluzole without first talking to your doctor if you are breast-feeding a baby.

Use caution when driving, operating machinery, or performing other hazardous activities. Riluzole may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.

Use alcohol cautiously while taking riluzole. Alcohol may increase the risk of liver problems caused by riluzole.

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Instructions

Seek emergency medical treatment.

Symptoms of a riluzole overdose have not been reported.

If you miss a dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

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Side Effects

If you experience any of the following serious side effects, contact your doctor immediately or seek emergency medical attention:

  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
  • a fever, chills or other signs of infection; or
  • liver problems (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, severe fatigue).

Other, less serious side effects may be more likely to occur. Continue to take riluzole and talk to your doctor if you experience

  • weakness;
  • drowsiness;
  • dizziness; or
  • nausea, vomiting, diarrhea, constipation or decreased appetite.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking this medication, tell your doctor if you are taking any of the following medicines:

  • theophylline (Theo-Dur, Slo-Bid, Elixophyllin, Bronkodyl, Aerolate, Slo-Phyllin, Theovent, Theoclear, Uniphyl, Uni-Dur, Respbid,), and many others;
  • allopurinol (Lopurin, Zyloprim);
  • methyldopa (Aldomet);
  • sulfasalazine (Azulfidine);
  • omeprazole (Prilosec);
  • amitriptyline (Elavil, Endep, others);
  • caffeine-containing products;
  • fluoroquinolone antibiotics, such as ciprofloxacin (Cipro), ofloxacin (Floxin), lomefloxacin (Maxaquin), or norfloxacin (Norflex); or
  • rifampin (Rifadin, Rimactane).

Drugs other than those listed here may also interact with riluzole. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Other Names

Rilutek and riluzole

Available Strengths & Dosages


Route Form Strength
oral tablet 50 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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