TERIFLUNOMIDE (TER i FLOO noe mide) treats multiple sclerosis. It can decrease the number of flare-ups. This medicine is not a cure.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
They need to know if you have any of these conditions:
high blood pressure
immune system problems
low blood cell counts, like low white cell, platelet, or red cell counts
lung or breathing disease, like asthma
recently received or scheduled to receive a vaccine
skin conditions or sensitivity
tingling of the fingers or toes, or other nerve disorder
an unusual or allergic reaction to teriflunomide, other medicines, food, dyes, or preservatives
pregnant or trying to get pregnant
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take it with or without food. If it upsets your stomach, take it with food. Take your medicine at regular intervals. Do not take it more often that directed. Do not stop taking except on your doctor's advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Do not take this medicine with any of the following medications:
This medicine may also interact with the following medications:
birth control pills
certain medicines for diabetes like repaglinide, rosiglitazone, pioglitazone
certain medicines that treat or prevent blood clots like warfarin
live virus vaccines
medicines that lower your chance of fighting infection
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.
This medicine may stay in your body for up to 2 years after your last dose. Tell your doctor about any unusual symptoms. If you're a woman, do not get pregnant for at least 2 years after your last dose. If you do get pregnant, tell your doctor. Your doctor can prescribe a medicine to hep lower your blood levels of teriflunomide more quickly.
You may need blood work done while you are taking this medicine.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
change in the amount of urine
chest pain or chest tightness
fast, irregular heartbeat
general ill feeling or flu-like symptoms
loss of appetite, nausea
low blood counts - this medicine may decrease the number of white blood cells and platelets. You may be at increased risk for infections and bleeding.
pain, tingling, numbness in the hands or feet that is different from your multiple sclerosis symptoms
redness, blistering, peeing or loosening of the skin, including inside the mouth
right upper belly pain
signs of decreased platelets or bleeding - bruising, pinpoint red spots on the skin, black, tarry stools, blood in urine
signs of infection - fever or chills, cough, sore throat, pain or difficulty passing urine
unusually weak or tired
yellowing of the eyes or skin
Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Keep out of the reach of children.
Store between 20 to 25 degrees C (68 to 77 degrees F). Throw away any unused medicine after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.