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It may also cause low blood sugar, especially if used with insulin or sulfonylureas, so regular meals and carrying a fast-acting sugar source are important

Unfortunately, edaravone can only be used in a small subset of early-stage ALS patients (grade 1 or 2 in the Japan ALS Severity Classification, scoring at least 2 points on all 12 items of ALSFRS-R

We treat it as a metabolic one because thats what the science says it is