Iraqi experts consensus on the management of relapsing remitting multiple sclerosis in adults

Published in 2024, this paper presents expert consensus recommendations aimed at standardizing the diagnosis and management of relapsing-remitting multiple sclerosis (RRMS) in Iraq, considering international guidelines and local healthcare resources.
Using a mini-Delphi consensus approach, Iraqi neurology experts developed recommendations addressing disease-modifying therapies (DMTs), disease activity monitoring, inadequate treatment response, and management considerations for women planning pregnancy, during pregnancy, and while breastfeeding.
The recommendations emphasize accurate diagnosis using the McDonald criteria, early treatment initiation, and consideration of high-efficacy therapies for patients with highly active disease following careful risk assessment. The paper highlights the importance of individualized treatment strategies, balancing efficacy, safety, disease activity, and patient preferences to optimize clinical outcomes.