which of the following drug for the treatment of multiple sclerosis required 6 hr of ECG monitoring if used for first time -
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Natalizumab
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Fingolimod
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Glatiramer acetate
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Mitoxantrone
2 fingolimod because it causes bradycardia
Correct ans - 2 ( fingolimod ) bcz it can lead to 1 & 2 degree heart block & bradycardia … A 6-h period of observation (including electrocardiogram monitoring) is recommended for all patients receiving their first dose, and individuals with preexisting cardiac disease should probably not be treated with this agent !!