Eril (fasudil hydrochloride) vs Radicava ORS (edaravone)

Eril (fasudil hydrochloride) vs Radicava ORS (edaravone)

Eril (fasudil hydrochloride) is a rho-kinase inhibitor primarily used for the treatment of cerebral vasospasm, which is a complication of subarachnoid hemorrhage, and it works by relaxing blood vessels to improve blood flow. Radicava ORS (edaravone) is an antioxidant neuroprotective agent used to slow the decline in physical function in patients with amyotrophic lateral sclerosis (ALS), and it is thought to work by relieving oxidative stress. When deciding between the two, it is important to consider the specific condition being treated, as Eril is focused on vascular issues within the brain, while Radicava ORS is used for a neurodegenerative condition like ALS, and the choice should be based on the diagnosis and recommendation of a healthcare provider.

Difference between Eril and Radicava ORS

Metric Eril (fasudil hydrochloride) Radicava ORS (edaravone)
Generic name Fasudil hydrochloride Edaravone
Indications Cerebral vasospasm, subarachnoid hemorrhage, chronic heart failure Amyotrophic lateral sclerosis (ALS)
Mechanism of action Rho kinase inhibitor Free radical scavenger
Brand names Eril Radicava, Radicut
Administrative route Intravenous Oral suspension
Side effects Headache, dizziness, nausea, hypotension Bruising, gait disturbance, headache, skin inflammation
Contraindications Hypersensitivity to fasudil or any component of the formulation Hypersensitivity to edaravone or any component of the formulation
Drug class Vasodilator Free radical scavenger
Manufacturer Asahi Kasei Pharma Mitsubishi Tanabe Pharma

Efficacy

Efficacy of Eril (Fasudil Hydrochloride) in ALS

Eril, known generically as fasudil hydrochloride, is a rho kinase inhibitor that has been studied for its potential use in the treatment of Amyotrophic Lateral Sclerosis (ALS). The efficacy of fasudil in ALS is based on its neuroprotective properties, which may slow down the progression of the disease. In preclinical studies, fasudil has shown to promote neuronal survival and improve motor functions in animal models of ALS. However, as of the last update, the clinical data on fasudil's efficacy in ALS patients is limited, and further clinical trials are necessary to establish its effectiveness and safety profile in this patient population.

Efficacy of Radicava ORS (Edaravone) in ALS

Radicava ORS (edaravone) is an FDA-approved treatment for ALS, which has demonstrated efficacy in slowing the decline of physical function in ALS patients. Edaravone is a free radical scavenger that is believed to relieve the effects of oxidative stress, a factor thought to be involved in the neuronal degeneration associated with ALS. Clinical trials have shown that edaravone can modestly slow the progression of disability in ALS patients, as measured by standardized ALS functional rating scales.

The approval of Radicava ORS was based on a six-month clinical trial conducted in Japan with ALS patients. The study revealed that patients receiving edaravone experienced less decline in physical function compared to those receiving a placebo. The results indicated a 33% reduction in the rate of decline in the ALS Functional Rating Scale-Revised (ALSFRS-R) score in those treated with edaravone.

It is important to note that while Radicava ORS has shown efficacy in clinical trials, its effects may vary among individuals, and not all patients may experience the same level of benefit. Additionally, the long-term effects of edaravone on the progression of ALS are still under investigation. As with any medication, the use of Radicava ORS should be closely monitored by healthcare professionals to ensure the best possible outcomes for ALS patients.

Regulatory Agency Approvals

Eril
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Radicava ORS
  • Food and Drug Administration (FDA), USA
  • Health Canada

Access Eril or Radicava ORS today

If Eril or Radicava ORS are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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