Riluzole

Riluzole

DEA Class;  Rx

Common Brand Names; Rilutek, Tiglutik, Exservan

  • Glutamate Inhibitors

Oral glutamate antagonist
Used for treatment of amyotrophic lateral sclerosis (ALS)
Does not cure disease or improve symptoms, but may prolong survival by 3 months

Indicated for the treatment of amyotrophic lateral sclerosis (ALS).

For the treatment of chorea associated with Huntington’s Disease (Huntington’s Chorea)†.

Hypersensitivity to drug or any component of the formulation

  • Oral hypoesthesia (29%)
  • Asthenia (19%)
  • Nausea (16%)
  • Decreased lung function (10%)
  • Hypertension (5%)
  • Abdominal pain (5%)
  • Vomiting (4%)
  • Arthralgia (4%)
  • Dizziness (4%)
  • Dry mouth (4%)
  • Insomnia (4%)
  • Pruritus (4%)
  • Tachycardia (3%)
  • Flatulence (3%)
  • Increased cough (3%)
  • Peripheral edema (3%)
  • Urinary tract infection (3%)
  • Circumoral paresthesia (2%)
  • Somnolence (2%)
  • Vertigo (2%)
  • Eczema (2%)
  • Acute hepatitis
  • Icteric toxic hepatitis
  • Renal tubular impairment
  • Pancreatitis

Cases of severe neutropenia (absolute neutrophil count <500/mm3) within first 2 months of treatment reported; advise patients to report febrile illnesses

Interstitial lung disease, including hypersensitivity pneumonitis, reported in patients receiving therapy; discontinue immediately if interstitial lung disease develops

There are no studies in pregnant women, and case reports have been inadequate to inform of drug-associated risk

Unknown if risk of major birth defects and miscarriage in patients with amyotrophic lateral sclerosis

Unknown if distributed in human breast milk

Adults

100 mg/day PO for ALS; 200 mg/day PO off-label for Huntington’s Chorea.

Geriatric

100mg/day PO for ALS; 200 mg/day PO off-label for Huntington’s Chorea.

Adolescents

Safety and efficacy have not been established.

Children

Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Riluzole

tablet

  • 50mg

oral suspension

  • 5mg/mL (300-mL multidose bottle)

oral film

  • 50mg

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