Esclerose múltipla: tratamento farmacológico e revisão de literatura

Paolo Ruggero Errante, Renato Ribeiro Nogueira Ferraz, Francisco Sandro Menezes Rodrigues

Resumo


Introdução: A esclerose múltipla (EM) é uma doença autoimune desmielinizante caracterizada por défices neurológicos disseminados no tempo e no espaço com repercussões graves sobre as atividades diárias de vida. As terapêuticas de primeira linha para o tratamento de EM incluem apresentações farmacológicas do interferon beta-1b, interferon beta-1a e acetato de glatirâmero. O tratamento de segunda utiliza o Natalizumab e Fingolimod, e o tratamento de terceira linha utiliza a Mitoxantrona. Método: A revisão foi realizada por levantamento bibliográfico de banco de dados obtidos através de pesquisa direta, LILACS, MEDLINE e capítulos de livros. Resultados: A revisão literária demonstra a importância do diagnóstico e tratamento precoce da EM, evitando o surgimento de novos surtos ou novos padrões clínicos da doença. Conclusão: A EM é uma doença neurodegenerativa progressivamente incapacitante. As terapêuticas modificadoras da doença são parcialmente eficazes na prevenção da destruição axonal, mas são praticamente destituídas de eficácia, na prevenção do tratamento da degeneração, na fase progressiva.

 

Palavras-chave: Esclerose múltipla. Enfermidade autoimune. Neurologia. Desmielinização. Terapia modificadora da doença.

 


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ISSN (eletrônico): 2318-2083

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