Contraindicated in:
Use Cautiously in:
CV: QT interval prolongation, asystole, bradycardia, heart block, hypertension, syncope.
Derm: BASAL/SQUAMOUS CELL CARCINOMA, MELANOMA.
EENT: blurred vision, eye pain, macular edema.
GI: ↑ liver enzymes, diarrhea, HEPATOTOXICITY.
Hemat: leukopenia, lymphopenia.
MS: back pain.
Neuro: headache, posterior reversible encephalopathy syndrome (pres), progressive multifocal leukoencephalopathy (pml), tumefactive MS.
Resp: cough, ↓ pulmonary function.
Misc: hypersensitivity reactions (including angioedema), IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME (IRIS), INFECTION (INCLUDING BACTERIAL, VIRAL AND FUNGAL), LYMPHOMA.
Drug-Drug:
Absorption: Well absorbed (93%) following oral administration.
Distribution: Extensively distributed to body tissues; 86% of parent drug distributes into red blood cells; active metabolite uptake 17%.
Metabolism/Excretion: Converted to its active metabolite, then metabolized mostly by the CYP4F2 enzyme system, with further degradation by other enzyme systems. Most inactive metabolites excreted in urine (81%); <2.5% excreted as fingolimod and fingolimod-phosphate in feces.
Protein Binding: >99.7%.
Half-life: 69 days.
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
PO | unknown | 12 mo* | 2 mo |
*Time to steady state plasma concentrations, peak plasma concentrations after a single dose at 1216 hr.
Time for complete elimination.
NDC Code*