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Aubagio

Teriflunomide

Reduce the frequency of relapses and slow disease progression in relapsing forms of multiple sclerosis

Active ingredient
Teriflunomide
Route
Oral use
Form
Tablet; Film-coated tablet
Strengths
14mg

You will receive a quality generic equivalent of Aubagio, depending on stock.

Prescription and consultation requirements for Aubagio vary by destination and are determined by the fulfilment partner.

Aubagio details

Therapeutic class
Selective immunosuppressants
Pharmacological class
Pyrimidine synthesis inhibitor; Dihydroorotate dehydrogenase inhibitor
Dosage forms
Tablet; Film-coated tablet
Administration route
Oral use
Supply category
Prescription-only medicine (POM)
Originator
Sanofi
Storage instructions
Store below 25°C. Keep in the original package to protect from moisture.
Contraindications

severe hepatic impairment; pregnancy; females of reproductive potential not using effective contraception; hypersensitivity to teriflunomide, leflunomide or any excipient; severe immunodeficiency states; significantly impaired bone marrow function; serious active infection; severe hypoproteinaemia; co-administration with leflunomide

Precautions and warnings

hepatotoxicity requiring monitoring of transaminase and bilirubin levels; bone marrow effects and immunosuppression potential; risk of serious infections; hypersensitivity reactions including anaphylaxis and serious skin reactions; peripheral neuropathy; increased blood pressure; respiratory effects including interstitial lung disease; tuberculosis screening prior to treatment; full blood count monitoring; accelerated elimination procedure with colestyramine or activated charcoal available

Minor side effects

headache; diarrhoea; nausea; alanine aminotransferase increased; alopecia; paraesthesia; fatigue; influenza

Moderate side effects

hepatitis; severe liver injury; pancreatitis; interstitial lung disease; peripheral neuropathy; severe infections; neutropenia; lymphopenia; leukopenia; thrombocytopenia; stevens-Johnson syndrome; toxic epidermal necrolysis; drug reaction with eosinophilia and systemic symptoms; hypertension; angioedema; anaphylaxis

Serious side effects

acute liver failure, requires immediate medical attention; stevens-Johnson syndrome, requires immediate medical attention; toxic epidermal necrolysis, requires immediate medical attention; anaphylaxis, requires immediate medical attention; serious infection, requires immediate medical attention; pancreatitis, requires immediate medical attention; interstitial lung disease, requires immediate medical attention

Patient summary

Reduce the frequency of relapses and slow disease progression in relapsing forms of multiple sclerosis

Mechanism of action

Aubagio contains teriflunomide, an immunomodulatory medicine that selectively and reversibly inhibits the mitochondrial enzyme dihydroorotate dehydrogenase. This enzyme is needed by rapidly dividing cells, including activated lymphocytes that drive the immune attack on myelin in multiple sclerosis. By reducing the proliferation of these activated immune cells, Aubagio helps decrease inflammation and damage to the protective covering of nerves, thereby reducing the number of relapses and slowing the progression of disability.

Drug interactions

leflunomide; immunosuppressive agents; immunomodulating therapies; hepatotoxic drugs; warfarin; oral contraceptives; colestyramine; activated charcoal; repaglinide; pioglitazone; rosuvastatin; methotrexate; live vaccines; rifampicin; St John's wort

Age restrictions

Approved for adults aged 18 years and over and paediatric patients aged 10 years and older (EU). Safety and efficacy in children under 10 years not established.

Pregnancy and breastfeeding

Aubagio is contraindicated in pregnancy. Teriflunomide caused teratogenicity and embryolethality in animal studies at exposures lower than human therapeutic levels. Pregnancy must be excluded before starting treatment. Females of reproductive potential must use effective contraception during treatment and after discontinuation until plasma teriflunomide levels are below a specified threshold. If pregnancy occurs, an accelerated elimination procedure with colestyramine or activated charcoal should be initiated to rapidly lower plasma levels. Breast-feeding is contraindicated during treatment with teriflunomide.

What you will receive

Aubagio is the originator brand name, made by Sanofi. We use it to identify the medicine and are not affiliated with Sanofi.

  • The fulfilment partner confirms whether the exact brand or an equivalent containing Teriflunomide is offered.
  • The offered brand, manufacturer and dispatch location depend on the product, destination and partner warehouse.
  • Check the final product details at checkout before confirming an order.

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