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There are only two disease-modifying drugs currently approved in the United States for ALS patients: riluzole and edaravone (Miller 2007

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The goal is to increase the dose gradually until the highest tolerable dose (a dose that reaches the desired effect without unacceptable side effects) is reached

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Use caution if you have kidney disease, thyroid disease, a seizure disorder, or if you take anticoagulants (such as warfarin) or thyroid hormone, since interactions may be possible