Contraindicated in:
Use Cautiously in:
Derm: flushing, erythema, pruritus, rash.
GI: abdominal pain, diarrhea, nausea, dyspepsia, HEPATOTOXICITY, vomiting.
GU: albuminuria.
Hemat: eosinophilia, lymphopenia.
Neuro: PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PML).
Misc: INFECTION (BACTERIAL, VIRAL [ESPECIALLY HERPES ZOSTER], AND FUNGAL), HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS AND ANGIOEDEMA).
Therapeutic Classification: anti-multiple sclerosis agents
Absorption: Following oral administration, rapidly converted to active metabolite, monomethyl fumarate (MMF), by enzymes in GI tract, blood, and tissue. Absorption decreased by high-fat, high-calorie food.
Distribution: Well distributed to extravascular tissues.
Metabolism/Excretion: MMF is metabolized by the tricarboxylic acid (TCA) cycle. MMF eliminated via exhalation of CO2. Inactive metabolites eliminated in urine.
Half-life: MMF: 1 hr.
NDC Code*