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Expert Review


Relapsing-Remitting Multiple Sclerosis: Oral First-line Immunomodulators

Liesly Lee, MD
Associate Professor of Medicine (Neurology)
Sunnybrook Health Sciences Centre
University of Toronto
Toronto, Ontario

Oral immunomodulators are an option in the first-line treatment of relapsing-remitting multiple sclerosis (RRMS) in patients unable or unwilling to tolerate the injectable beta interferons or glatiramer acetate (GA). Management of early RRMS agents can be individualized with these first-line options or when de-escalation is being considered. For most patients, an oral immunomodulator provides a reasonable, effective, safe, and appropriate option.

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