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Leflunomide

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Molecule Description

Leflunomide belongs to the group of medications called immune-suppressive, disease-modifying antirheumatic medicines. It is used for moderate to severe rheumatoid arthritis.

Uses

  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Juvenile Idiopathic Arthritis (JIA)
  • It not only decreases the pain and swelling of arthritis but also reduces the damage and long-term disability

Contraindications

When should one not use Leflunomide

  • Liver diseases, Hepatitis B/ C seropositive
  • Kidney diseases
  • High blood pressure
  • Serious infections
  • Concomitant live virus vaccines
  • Diabetes

Side effects

Common side effects of this drug are:

  • Nausea
  • Chest pain
  • Diarrhea
  • Abdominal pain
  • Dizziness
  • Headache
  • Alopecia
  • Hypertension (increase in blood pressure)
  • Breathing difficulty
  • High blood pressure
  • Liver damage
  • Respiratory infections

Precautions and Warnings

Pregnancy

Pregnancy

Do not use this medicine if you are pregnant or planning a pregnancy.

Breast Feeding

Breast Feeding

This medicine should not be used while breastfeeding.

Driving

Driving

This medicine may cause dizziness. Do not drive until you feel well.

Alcohol

Alcohol

Consumption of an alcohol may cause liver problems. Consult your doctor.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • Inform if you have intolerance to some sugars
  • Inform in case of pale skin, tiredness, or bruising, as these may indicate blood disorders caused by an imbalance in the different types of blood cells which make up blood
  • Inform in case of tiredness, abdominal pain, or jaundice (yellow discoloration of the eyes or skin), as these may indicate serious conditions such as liver failure
  • Inform in case of any symptoms of an infection such as fever, sore throat or cough, as this medicine may increase the chance of a severe infection which may be life-threatening
  • Inform in case of cough or breathing problems as these may indicate lung disease (interstitial lung disease or pulmonary hypertension)
  • Inform in case of unusual tingling, weakness or pain in your hands or feet as these may report problems with your nerves (peripheral neuropathy)

Mode of Action

How Does It Work?

Leflunomide is an immune modifying medicine. It works by inhibiting the enzyme dihydroorotate dehydrogenase required for the synthesis of pyrimidine, which is utilized in DNA and RNA. Thus, Leflunomide slows down the activity of dividing cells.

Interactions

Interactions with other medicines

  • It may interact with live vaccines such as yellow fever vaccine and influenza vaccine
  • With medicines such as Methotrexate and Warfarin
  • With other immune-suppressing medications such as Azathioprine, Cyclosporine, and Sirolimus

Interactions with food items

Avoid alcohol while on treatment with Leflunomide as it triggers side effects.

Dosage

Overdose

Inform your doctor immediately in case of an overdose.

Missed a Dose

Take the missed dose as early as you remember. Skip the missed dose & do not take extra medicine to compensate for the missed dose.

Frequently Asked Questions (FAQs)

Do not receive any live vaccines without consulting your doctor while on treatment with LeflunomideAvoid contact with any person who has recently received a live vaccineThere are chances that you may catch the virus as immunity is low when on this medicineTell your doctor if you ever had TB (tuberculosis) or traveled where TB is commonMonitoring of the liver periodically should be carried out while on treatment with LeflunomideDo not get near people with active infections like common cold or flu, or any other contagious illnessesBe very careful about the other medicines that you are taking while on this medicine

Leflunomide is consumed after a meal with waterDose and duration of treatment should be taken as per doctor’s advice

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