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Neurology 1999;53:1622
© 1999 American Academy of Neurology


Views & Reviews

Multiple sclerosis

Side effects of interferon beta therapy and their management

E. U. Walther, MD and R. Hohlfeld, MD

From the Department of Neurology and Institute for Clinical Neuroimmunology, Munich, Germany.

Address correspondence and reprint requests to Dr. R. Hohlfeld, Institute for Clinical Neuroimmunology, Klinikum Grosshadern, University of Munich, Marchioninistr. 15, D-81366 Munich, Germany; e-mail: rhohlfel{at}nro.med.uni-muenchen.de

Interferon beta (IFNß) reduces the relapse rate, disease activity as measured by serial MRI scanning, and disease progression of MS. Therapy with IFNß may be associated with a number of adverse reactions. Relatively frequent side effects include flu-like symptoms, transient laboratory abnormalities, menstrual disorders, and increased spasticity. Dermal injection site reactions occur after subcutaneous application of IFNß-1b and IFNß-1a. Possible side effects of IFNß include various autoimmune reactions, capillary leak syndrome, anaphylactic shock, thrombotic-thrombocytopenic purpura, insomnia, headache, alopecia, and depression. We discuss the mechanisms and management of the different side effects of IFNß.

Key words: MS—Interferon beta—Therapy—Side effects.




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