section name header

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