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Published on: 6/11/2024

What Medications Are Primarily Used to Treat Spinocerebellar Degeneration? Are There Any Side Effects?

While new treatments are being investigated in clinical trials, there is not yet a FDA-approved cure for spinocerebellar degeneration disease, also known as spinocerebellar ataxia. Rather, treatment is focused on symptom management with medications for things like muscle spasms and maintenance of mobilty with exercise, physical and occupational therapy.

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Explanation

Spinocerebellar degeneration, or spinocerebellar ataxia (SCA), is a rare group of inherited diseases that affect the part of the brain responsible for coordination and balance. Right now, there’s no cure for SCA, but treatments focus on managing symptoms and helping people maintain their quality of life. Some medications, like riluzole, varenicline, and valproic acid, are used to help with things like muscle stiffness, problems with balance, and tremors. However, these medications can come with side effects—riluzole may affect liver function, varenicline can cause nausea, and valproic acid may lead to dizziness or tremors, so regular monitoring is important. Beyond medications, physical and occupational therapy are really key to treatment. These therapies focus on exercises that improve balance, strengthen muscles, and keep people moving. For instance, physical therapy can help with walking and coordination, while occupational therapy focuses on making everyday activities easier. Tailored exercise programs can help slow down physical decline, giving people more control over their movements and independence. While scientists are working on new treatments, like gene therapy and cutting-edge techniques like CRISPR, the combination of medication, physical therapy, and regular exercise remains the best approach to help manage symptoms and keep people as active and comfortable as possible.

(References)

  • Ghanekar SD, Kuo SH, Staffetti JS, Zesiewicz TA. Current and emerging treatment modalities for spinocerebellar ataxias. Expert Rev Neurother. 2022 Feb;22(2):101-114. doi: 10.1080/14737175.2022.2029703. Epub 2022 Feb 10. PMID: 35081319; PMCID: PMC9048095.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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