Abstract | BACKGROUND: OBJECTIVES: Our study was designed to evaluate the short-term effects of sulbutiamine on fatigue in patients with MS. METHODS: Patients were included if fatigue was one of their three predominant symptoms. They were required to have a total score on the Fatigue Impact Scale (FIS) of >20, and on the Beck Depression Inventory of <17, and no relapse in the last 3 months prior to onset of the study. Patients were advised to receive 400mg orally of sulbutiamine once daily for two months. The outcome of the study was in the changes of FIS. RESULTS: Twenty-six patients with MS (18 females and 8 males) were selected. The patients were 18-57 years of age (mean:37,2). The average score of Expanded Disability Status Scale (EDSS) of the patients was 2,71. A significant number of the subjects who were on some kind of disease modifying treatment (DMT) demonstrated obvious improvement in their total FIS scores, whereas none of the subjects who were not on any DMT improved (13/23 vs. 0/5). The average fatigue score was 77 (SD:30,5) at the baseline and 60,5 (SD:29,7) on Day 60, respectively. Sulbutiamine intake resulted in a significant reduction on the total score of FIS and on all three subscales assessing physical, cognitive, and psychosocial functioning (all p-values < 0,01). There were no serious adverse events. CONCLUSIONS:
Sulbutiamin appears to be effective in treating fatigue in MS; particularly in patients who were on some DMT, but not on those who were not. It is well-tolerated by all. This observation may encourage further evaluations of the efficacy of sulbutiamine on fatigue in MS.
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Authors | Serhan Sevim, Hakan Kaleağası, Bahar Taşdelen |
Journal | Multiple sclerosis and related disorders
(Mult Scler Relat Disord)
Vol. 16
Pg. 40-43
(Aug 2017)
ISSN: 2211-0356 [Electronic] Netherlands |
PMID | 28755683
(Publication Type: Journal Article)
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Copyright | Copyright © 2017 Elsevier B.V. All rights reserved. |
Chemical References |
- Central Nervous System Agents
- Immunologic Factors
- sulbutiamine
- Thiamine
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Topics |
- Adolescent
- Adult
- Central Nervous System Agents
(therapeutic use)
- Disability Evaluation
- Fatigue
(drug therapy, etiology, physiopathology)
- Female
- Humans
- Immunologic Factors
(therapeutic use)
- Male
- Middle Aged
- Multiple Sclerosis
(complications, drug therapy, physiopathology)
- Psychiatric Status Rating Scales
- Thiamine
(analogs & derivatives, therapeutic use)
- Treatment Outcome
- Young Adult
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