Which drugs may be selected by the provider for initial treatment for a patient who is diagnosed with relapsing-remitting MS? (Select all that apply.)

a. Dimethyl fumarate [Tecfidera] PO
b. Interferon beta 1a [Avonex] IM
c. Mitoxantrone [Novantrone] IV
d. Methotrexate [Rheumatrex] PO
e. Teriflunomide [Aubagio] PO


A, B, D
All patients with relapsing-remitting MS, regardless of age, frequency of attacks, or disability, should receive one of the immunomodulators, such as dimethyl fumarate, interferon beta 1a, or teriflunomide. Mitoxantrone is an immunosuppressant and may be added if the immunomodula-tor fails. Methotrexate is an immunosuppressant and is used experimentally to treat primary pro-gressive MS.

Nursing

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Fill in the blank(s) with correct word

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