Table 1.
Treatment | Doses | Type of trial | n | Follow-up (months) | Outcome |
---|---|---|---|---|---|
Lithium carbonate (116) | Starting with 150 mg BID until total daily dose of 1,500 mg or serum level of lithium (0.9–1.2 mEq/L) | Double blind, placebo | 16 | 12 | Non-significant changes in SARA and brain volume. Significant reduction in the BDI |
Riluzole (117) | 100 mg daily | Double blind, placebo | 16 | 12 | Decrease of SARA score |
Zinc sulfate (112) | 50 mg daily | Double blind, placebo | 36 | 6 | Improved gait, posture, stance, dysdiadochocinesia, and reduction of saccadic latency |
Lisuride (118) | 0.1 mg daily 1 h before bedtime | Open label | 12 | 1 | Decrease in PLMS index and improved subjective sleep quality |
B vitamins (119, 120) | 10,000 U/weeks during first 4 weeks and 5,000 U/weeks until 12th week | Open label | 20 | 3 | Improved sensory neuropathy and painful muscle cramps |
SARA, Scale for Assessment and Rating of Ataxia; BDI, Beck’s depression inventory; PLMS, periodic leg movement syndrome.