Riluzole

Neurology

Neurology · Glutamate release inhibitor

Riluzole

Dose

50 mg PO BD, 1 h before or 2 h after food.

Use

Motor neurone disease — prolongs survival ~3 months.

Monitoring

LFTs monthly × 3 then 3-monthly, FBC if febrile.

Side effects

  • Nausea
  • Fatigue
  • Transaminitis
  • Neutropenia (rare)

Always confirm dose against your local formulary / BNF before prescribing.

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