The main use of Teriflunomide is for managing relapsing forms of multiple sclerosis (MS) in adults. It belongs to the class of disease-modifying therapies (DMTs).
It is also used in specific conditions associated with multiple sclerosis such as clinically isolated syndrome (CIS), relapsing-remitting MS (RRMS), and active secondary progressive MS (SPMS).
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Teriflunomide is a disease-modifying therapy for multiple sclerosis.
It works by selectively and reversibly blocking the action of an enzyme called dihydroorotate dehydrogenase (DHO-DH). This enzyme is crucial for the production of pyrimidine, a molecule that is necessary for cells to divide and multiply.
By inhibiting this enzyme, Teriflunomide reduces the multiplication of rapidly dividing cells, including certain types of white blood cells known as T-lymphocytes and B-lymphocytes. These cells are involved in the inflammatory process of multiple sclerosis.
By reducing the number of these inflammatory cells, Teriflunomide decreases inflammation in the central nervous system, which includes the brain and spinal cord. This helps in managing the symptoms of multiple sclerosis.
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Teriflunomide is available for use via the oral route (tablet).
The medicine is intended for use in adults aged 18 years and above.
Teriflunomide is contraindicated in patients with known hypersensitivity to it.
Additionally, it should not be used by patients with severe hepatic impairment due to the potential for increased risk of liver injury.
This medicine can interact with other hepatotoxic medicines (methotrexate), immunosuppressive or immunomodulating therapies (corticosteroids), medicines metabolised by CYP2C8 (such as paclitaxel) and BCRP transporters (rosuvastatin).
An overdose of Teriflunomide may lead to severe symptoms including abdominal pain, dizziness or fainting. If you suspect an overdose, seek immediate medical attention.
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the next dose at the regular time.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water may help manage some of the minor gastrointestinal side effects like nausea and diarrhoea.
Resting or lying down may help manage feelings of dizziness or light-headedness.
Teriflunomide may cause dizziness, therefore caution is advised while driving or operating heavy machinery after taking this medicine.
Teriflunomide is not recommended for use in pregnancy and lactation. Women of childbearing potential must use effective contraception during and for a period of 2 years after treatment.
Patients with pre-existing liver disease, hypertension, active infection, or a history of serious infection should exercise caution when taking Teriflunomide.
Additionally, patients with mild to moderate renal impairment should also be cautious when using this medicine.
Engaging in regular physical activity can improve muscle strength and flexibility.
Avoid exposure to extreme temperatures as they can exacerbate symptoms.
Manage stress through relaxation techniques like meditation or yoga. Stress can potentially trigger MS symptoms.
Regular follow-ups with your doctor are recommended to monitor your progress and adjust the management plan as needed.
Frequently asked questions
No, Teriflunomide is not a steroid. It is a disease-modifying therapy (DMT) used for the management of multiple sclerosis.
There are no direct indications that Teriflunomide affects sleep patterns. However, individual reactions to the medicine may vary. If you experience sleep disturbances after beginning this medication, consult your doctor.
Please consult your doctor regarding concerns about fertility. Pregnant women are advised not to take this medicine due to the risk of birth defects. Women of childbearing potential must use effective contraception during and after treatment with Teriflunomide.
While some natural supplements may not interfere with Teriflunomide, it is recommended to consult your doctor before starting any new supplements alongside this medication.
Teriflunomide is safe for daily use. However, always follow the dosage and schedule as prescribed by your doctor.
Teriflunomide may take several months to show full benefits. In clinical trials, effects were observed within 6-12 weeks of treatment. Results will vary according to individual conditions.
No, you cannot buy Teriflunomide over the counter; it requires a doctor's prescription.
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