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INTRODUCTION

TERU MS 14MG contains Teriflunomide which belongs to the group of medicines called Immunomodulatory agents. It is used in adults and in children (aged 10 years or older) to treat relapsing remitting multiple sclerosis (MS). Multiple sclerosis is an auto-immune disease in which the immune system destroys the protective covering that surrounds the nerves (myelin sheath). This prevents the nerves from working properly and causes vision problems, difficulty in walking, loss of balance, muscle pain, fatigue, dizziness, pins and needles, anxiety, and difficulty in speaking.

Relapsing remitting multiple sclerosis is a form of multiple sclerosis in which the symptoms appear and disappears in an alternative manner. People may have repeated attacks (relapses) of physical symptoms for a certain period after which the symptoms may disappear completely and reappear once again after relapses.

Teriflunomide is an immune suppressant medicine. It reduces nerve damage by limiting the functions of certain immune cells (T and B lymphocytes) in the body that causes nerve damage. As a result, it reduces nerve inflammation and its associated symptoms.

Before taking TERU MS 14MG, inform your doctor if you have any liver, kidney, heart, or respiratory problems. You must also inform your doctor if you currently have any infections in your body. TERU MS 14MG is not recommended for use in patients with severe immune related diseases (such as AIDS), bone marrow problems or low WBC or platelet counts in the blood. It is also not suitable for use in children aged below 10 years due to lack of safety data.

TERU MS 14MG should not be used during pregnancy. Women of childbearing potential must use a suitable contraception to prevent pregnancy while undergoing therapy with TERU MS 14MG. Also, before trying for pregnancy, you must stop the therapy completely and get medically confirmed by your doctor that the levels of TERU MS 14MG are sufficiently reduced in your body.

TERU MS 14MG is not suitable for use in breastfeeding women as it may pass through breast milk. The most common side effects of taking TERU MS 14MG are headache, diarrhea, nausea, increased liver enzymes and hair thinning. Contact your doctor if any of these side effect worsens.

USES OF TERU MS 14MG

It is used in adults and in children (aged 10 years or older) to treat:

  • relapsing remitting multiple sclerosis

HOW TERU MS 14MG WORKS

TERU MS 14MG protects the nerve cells from damage by limiting the functions of certain immune cells (T and B lymphocytes) in the body that causes nerve damage. As a result, it reduces nerve inflammation and its associated symptoms.

DIRECTIONS FOR USE

Take TERU MS 14MG as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. It can be taken with or without food. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition. Continue to take TERU MS 14MG for the stipulated duration as advised by your doctor without any interruption to achieve maximum benefits.

SIDE EFFECTS OF TERU MS 14MG

COMMON

  • headache
  • nausea, vomiting, upper stomach pain, diarrhea
  • increase in liver enzymes
  • hair thinning
  • flu-like symptoms, sore throat
  • urinary tract infection, urge to pee
  • infections of the gut
  • oral herpes, tooth infection, tooth pain
  • fungal infection of the foot
  • anemia (low RBC in blood making you feel tired with a pale skin)
  • anxiety, feeling weak
  • numbness, pain or tingling sensation in the lower back or leg, burning sensation in the hands and fingers
  • abnormal heartbeat, high blood pressure
  • skin rash or acne
  • bone pain, joint pain, muscle pain
  • heavy menstrual bleeding
  • weight loss

UNCOMMON

  • decrease in the number of blood platelets
  • increased feeling or sensitivity especially in the skin
  • nerve pain in peripheral parts of the body (such as hands and legs)
  • nail disorders
  • post-traumatic pain (pain after an accident or surgery)
  • psoriasis
  • inflammation of mouth or lips
  • abnormal levels of fats (lipids) in the blood
  • inflammation of the colon (colitis)

RARE

Stop taking TERU MS 14MG and contact your doctor immediately if you experience any of the following side effects:

  • inflammation of the pancreas causing symptoms such as pain in the abdominal area, nausea, or vomiting
  • signs of allergic reactions (such as skin rash, itching, swelling of the lips, tongue or face and sudden difficulty in breathing)
  • severe skin reactions causing symptoms such as skin rash, blistering of skin, fever, or ulcers in the mouth
  • severe infections or sepsis causing high fever, shaking, chills, reduced urine flow, or confusion
  • signs of lung inflammation (such as shortness of breath or persistent cough)
  • signs of liver problems (such as yellowing of the skin and whites of the eye, dark urine, nausea, vomiting and stomach pain)

HOW TO MANAGE SIDE EFFECTS

Vomiting:

Take TERU MS 14MG with or just after meals. Stick to simple meals. Avoid eating oil rich or spicy foods. Consult your doctor if your vomiting worsens.

Skin rash:

Avoid hot showers because hot water can irritate your skin further. Do not scratch the affected area. Use protective clothing when going outdoors. Regularly moisturize your skin. Consult your doctor if your skin rash worsens.

WARNING & PRECAUTIONS

PREGNANCY

TERU MS 14MG is not recommended for use in pregnant women. Women of childbearing potential must use a suitable contraception to prevent pregnancy while undergoing therapy with TERU MS 14MG. Also, before trying for pregnancy, you must stop the therapy completely and get medically confirmed by your doctor that the levels of TERU MS 14MG are sufficiently reduced in your body.

BREASTFEEDING

TERU MS 14MG is not recommended for use in breast-feeding women as it may pass through breast milk. Therefore, consult your doctor before taking it.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel dizzy after taking TERU MS 14MG.

ALCOHOL

Avoid consumption of alcohol while taking TERU MS 14MG.

KIDNEY

TERU MS 14MG is not recommended for use in patients with severe kidney problems (Ex. dialysis). Therefore, consult your doctor before taking it.

LIVER

TERU MS 14MG is not recommended for use in patients with severe liver problems. It should be used with caution in patients with mild liver problems. Therefore, consult your doctor before taking it.

ALLERGY

Do not take TERU MS 14MG if you are allergic to Teriflunomide.

LUNGS

TERU MS 14MG should be used with caution in patients with respiratory problems (such as unexplained cough or shortness of breath). Therefore, consult your doctor before taking it.

HEART DISEASE

TERU MS 14MG should be used with caution in patients with heart diseases (such as high blood pressure). Therefore, consult your doctor before taking it.

OTHERS

TERU MS 14MG is not recommended for use if you:

  • suffer from a serious problem which affects your immune system e.g., acquired immunodeficiency syndrome (AIDS)
  • have a serious problem with bone marrow
  • have low numbers of RBC, WBC or platelet counts in the blood
  • are suffering from a serious infection
  • have very low levels of proteins in blood (hypoproteinaemia)

Before taking TERU MS 14MG, inform your doctor if you:

  • have an infection
  • have severe skin reactions
  • have weakness, numbness and pain in the hands and feet
  • are due to have a specific blood test (calcium level)
  • are going to have a vaccination

Use in Pediatrics:

TERU MS 14MG should be used in children and adolescents (aged 10 years or older) only if prescribed by the physician. It is not recommended for use in children aged below 10 years due to lack of safety data. However, consult your doctor before taking it.

Use in Geriatrics:

TERU MS 14MG should be used with caution in elderly patients (aged 65 years or older). Therefore, consult your doctor before taking it.

INTERACTIONS

A. Drug - Drug interactions:

Before taking TERU MS 14MG, inform your doctor if you are taking any of the following medicines such as:

  • other medicines used for immunosuppression (such as leflunomide or methotrexate)
  • medicines used to treat epilepsy (Ex. carbamazepine, phenobarbital, phenytoin)
  • medicines used to treat diabetes (Ex. pioglitazone, nateglinide, repaglinide or rosiglitazone)
  • medicines used to treat cancer (Ex. doxorubicin, paclitaxel, daunorubicin or topotecan)
  • medicines used to treat bacterial infections (Ex. sulfasalazine, cefaclor, benzylpenicillin, ciprofloxacin)
  • medicines used to treat high blood cholesterol levels (Ex. rosuvastatin, simvastatin, atorvastatin, pravastatin, cholestyramine)
  • St. John’s wort, duloxetine (medicine used to treat depression)
  • alosetron (a medicine used to irritable bowel syndrome)
  • theophylline (a medicine used to treat asthma)
  • tizanidine (a muscle relaxant)
  • warfarin (a medicine used for blood thinning)
  • birth control pills (Ex. ethinylestradiol and levonorgestrel)
  • indometacin, ketoprofen (used to treat pain and inflammation)
  • furosemide (a diuretic used to treat edema or high blood pressure)
  • cimetidine (a medicine used to reduce stomach acid production)
  • zidovudine (a medicine used to treat HIV infection)
  • activated charcoal (a medicine used to treat poisoning)
  • rifampicin (a medicine used to treat tuberculosis)

Over dosage:

If you or anyone else accidentally took more TERU MS 14MG, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

Drug :   Teriflunomide
Pharmacological Category :   Immunomodulatory agents
Therapeutic Indication :   Relapsing remitting multiple sclerosis (MS)
Dosage Forms :   Tablet

MORE INFORMATION

  • Keep TERU MS 14MG out of reach of children
  • Store TERU MS 14MG at room temperature

FAQs ABOUT TERU MS 14MG

What is the use of TERU MS 14MG?

TERU MS 14MG is an immunomodulatory medicine. It is used in adults and in children (aged 10 years or older) to treat relapsing remitting multiple sclerosis.

Is TERU MS 14MG a chemo drug?

No. TERU MS 14MG is an immunomodulatory medicine. It works by suppressing the immune functions. It reduces nerve damage by limiting the functions of certain immune cells (T and B lymphocytes) in the body that causes nerve damage. As a result, it reduces nerve inflammation and its associated symptoms.

Can TERU MS 14MG cause headache?

Yes. TERU MS 14MG may cause headache in some individuals. If you experience headache, rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the head if required. Do not consume alcohol. Consult your doctor if the symptom did not improve.

Can I take TERU MS 14MG during pregnancy?

TERU MS 14MG is not recommended for use in pregnant women as it may cause serious harm to the growing foetus. Women of childbearing potential must use a suitable contraception to prevent pregnancy while undergoing therapy with TERU MS 14MG. Also, before trying for pregnancy, you must stop the therapy completely and get medically confirmed by your doctor that the levels of TERU MS 14MG are sufficiently reduced in your body.

Is TERU MS 14MG effective?

Yes, TERU MS 14MG is effective if used in the dose and duration directed by your physician.

Can I use TERU MS 14MG in Children?

TERU MS 14MG should be used in children and adolescents (aged 10 years or older) only if prescribed by the physician. It is not recommended for use in children aged below 10 years due to lack of safety data. However, consult your doctor before taking it.

How to take TERU MS 14MG?

Take TERU MS 14MG as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. TERU MS 14MG can be taken with or without food.

What should I do if I forget to take a dose of TERU MS 14MG?

If you forget to take a dose of TERU MS 14MG, take it as soon as you remember. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of TERU MS 14MG to compensate the missed dose.

What type of medicine is TERU MS 14MG?

TERU MS 14MG is an immunomodulatory medicine. It works by suppressing the immune functions. It reduces nerve damage by limiting the functions of certain immune cells (T and B lymphocytes) in the body that causes nerve damage. As a result, it reduces nerve inflammation and its associated symptoms.

REFERENCES

1. Aaron E Miller. Teriflunomide for the treatment of relapsing–remitting multiple sclerosis. Expert Review of Clinical Pharmacology.16 Dec 2014. [Accessed 02 June 2022] https://www.tandfonline.com/doi/full/10.1586/1744666X.2015.993611

2. Antonios Bayas1 and Mathias Mäurer2. Teriflunomide for the treatment of relapsing–remitting multiple sclerosis: patient preference and adherence. NIH: National Library of Medicine, National Center for Biotechnology Information. PMC, PubMed Central. 9 Feb 2015. [Accessed 02 June 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332317/

3. Opella Healthcare International SAS. Electronic Medicines Compendium (EMC). [Revised in Sep 2021] [Accessed 2 June 2022] https://www.medicines.org.uk/emc/files/pil.5244.pdf

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    17.5 g
    Ingredient
    TERIFLUNOMIDE 14MG
    Hsn Code
    30049099
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DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

Teru MS 14mg Tablet 10'S

Teru MS 14mg Tablet 10'S Mkt: Msn Laboratories Pvt Ltd

₹ 1,124.22 MRP ₹ 1,371.00