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Riluzole                              23 Mar 99
Someone here recently inquired about participating in a trial
of riluzole (Rilutek) for PD. If not already answered, here's a
little about it. N-Methyl D-Aspartate (NMDA) is one of the
neurotransmitters called glutamates, thought to be neurotoxic
and important in PD, so researchers are looking for an NMDA
inhibitor. Amantadine (Symmetrel) inhibits NMDA, but weakly.
Other inhibitors may have serious adverse effects. Riluzole is
one of those, but is already approved for use against ALS
(Lou Gehrig Disease) because there seems to be nothing better
available. In previous trials, riluzole slowed the progression
of ALS and delayed the need for tracheostomy in such patients,
but it sometimes had to be dropped due to indications (elevated
ALT) of liver damage. Therefore, like Tasmar, riluzole must be
accompanied by periodic blood tests to ensure safety. Cheers,
Joe
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J. R. Bruman   (818) 789-3694
3527 Cody Road
Sherman Oaks, CA 91403-5013