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Indications

REMS


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Exercise Extreme Caution in:

Adv. Reactions/Side Effects

Interactions

Drug-drug:

Availability

(Generic available)

Route/Dosage

US Brand Names

Arava

Action

  • Inhibits an enzyme required for pyrimidine synthesis; has antiproliferative and anti-inflammatory effects.
Therapeutic effects:
  • Decreased pain and inflammation, slowed structural progression, and improved physical function.

Classifications

Therapeutic Classification: antirheumatics (DMARDs)

Pharmacologic Classification: immune response modifiers, pyrimidine synthesis inhibitors

Pharmacokinetics

Absorption: 80% absorbed following oral administration.

Distribution: Well distributed to tissues.

Protein Binding: 99%.

Metabolism/Excretion: Extensively metabolized in the liver to teriflunomide, which is responsible for pharmacologic activity; metabolites excreted in urine (43%) and feces (48%). Also undergoes biliary recycling.

Half-Life: 14–18 days.

Time/Action Profile

(antirheumatic effect)

ROUTEONSETPEAKDURATION
PO1 mo3–6 mowk–mos

Due to persistence of active metabolite.

Patient/Family Teaching

Pronunciation

le-FLU-noe-mide

Code

NDC Code