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Leflunomide

Uses of Leflunomide

  • Leflunomide is primarily used for managing rheumatoid arthritis and psoriatic arthritis and belongs to the group of disease-modifying antirheumatic medicines (DMARDs).

Side effects of Leflunomide

  • Diarrhoea

  • Nausea

  • Abdominal pain

  • Mouth ulcers

  • Hair loss

How Leflunomide works

  • Leflunomide is a disease-modifying antirheumatic medicine.

  • It works by suppressing an enzyme called dihydroorotate dehydrogenase which is crucial for making pyrimidine, a building block for DNA and RNA. This blockage hinders the growth of rapidly dividing cells, notably the immune cells which are responsible for inflammation in conditions like rheumatoid arthritis and psoriatic arthritis. The result is a reduction in inflammation, swelling, and discomfort associated with these autoimmune diseases.

Certified content

Written By

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Dr. Michelle FrankMedical Content Writer| 8 years

Doctor of Medicine

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Leflunomide is available for use via oral route in the form of tablets.

Age and Dose Restrictions

  • This medicine is meant for adults only.

Contraindications

  • Leflunomide is contraindicated in patients with severe hepatic insufficiency, bone marrow dysplasia, severe immunodeficiency states, such as AIDS, and severe, uncontrolled infections.

Other Medications to Avoid

  • Leflunomide may interact with immunosuppressive agents (such as methotrexate and tacrolimus), anticoagulants (like warfarin), and hepatotoxic agents (such as paracetamol).

Overdose and Missed Dose

  • An overdose of Leflunomide may cause symptoms such as diarrhoea, abdominal pain, skin rash, or jaundice. If an overdose is suspected, contact a doctor immediately.

  • If you forget to take this medicine, take it as soon as you remember unless it is almost time for your next dose. Do not double the dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Drinking plenty of fluids can help manage mild digestive issues like diarrhoea or nausea.

  • For mild hair loss, be gentle with your hair and avoid strong shampoos or hair treatments.

Use in Driving and Operating Machinery

  • Leflunomide may cause dizziness or tiredness. If affected, avoid driving or operating heavy machinery until you feel well again.

Use in Pregnancy and Lactation

  • Leflunomide is contraindicated in pregnancy and breastfeeding. Women of childbearing age must use reliable contraception during treatment and for a period after stopping the medication, as advised by a doctor.

Caution in Other Conditions

  • Patients with pre-existing liver disease or impaired renal function should use Leflunomide with caution. Frequent monitoring of these conditions is recommended during treatment. People with a history of tuberculosis or other serious infections should also exercise caution when taking this medicine.

Special Dietary and Lifestyle Recommendations

  • To manage rheumatoid arthritis and psoriatic arthritis, reducing the intake of pro-inflammatory foods like red meat, refined carbohydrates, and sugars can be beneficial.

  • Including anti-inflammatory foods such as fruits, vegetables, whole grains, fish, and healthy fats in your diet can help in managing inflammation.

  • Regular physical activity can help maintain joint flexibility and muscle strength.

  • Resting when needed can help manage fatigue associated with rheumatic conditions.

Frequently asked questions

While some natural remedies may help manage symptoms of conditions like rheumatoid arthritis and psoriatic arthritis, they should not replace medications like Leflunomide unless your doctor advises you otherwise.

Any changes in mood or mental state while taking Leflunomide should be reported to your doctor immediately. While this is not a common side effect, it's important to communicate any changes you notice while on this medication.

The long-term safety of Leflunomide is determined by regular monitoring of liver function, blood counts, and blood pressure during the treatment period. Long-term use is usually under the discretion of your doctor.

No, you should not stop taking Leflunomide without consulting your doctor, even if you feel better. Stopping your medication abruptly can lead to a return or worsening of symptoms.

While there is no specific data about Leflunomide’s effect on fertility, it is advised that both women and men taking Leflunomide use reliable contraception due to the risk of birth defects.

Yes, taking Leflunomide daily is safe if your doctor prescribes it. The medicine is designed for long-term use to manage conditions like rheumatoid arthritis and psoriatic arthritis.

Leflunomide may take 4-6 weeks or longer to show noticeable improvements in your condition.

Terms & Conditions

Available medicines for LEFLUNOMIDE
Rumalef 20 Tablet 30
Rumalef 20 Tablet 30
Zydus Cadila
Pack of 30 Units
₹489.13
MRP ₹596.50
18.00% OFF
Lefra 10 Tablet 10
Lefra 10 Tablet 10
Torrent Pharmaceuticals Ltd.
Pack of 10 Units
₹123.00
MRP ₹150.00
18.00% OFF
Leflunomile 10 Tablet 10
Leflunomile 10 Tablet 10
Steris Healthcare
Pack of 10 Units
₹54.39
MRP ₹109.00
50.10% OFF
Lefno 20 Tablet 10
Lefno 20 Tablet 10
Ipca Laboratories Pvt Ltd.
Pack of 10 Units
₹240.83
MRP ₹293.70
18.00% OFF
Rumalef 10 Tablet 30
Rumalef 10 Tablet 30
Zydus Cadila
Pack of 30 Units
₹244.56
MRP ₹298.25
18.00% OFF
Lefunol 20 Tablet 10
Lefunol 20 Tablet 10
Knoll Healthcare Pvt. Ltd.
Pack of 10 Units
₹118.26
MRP ₹237.00
50.10% OFF
Lefno 10 Tablet 10
Lefno 10 Tablet 10
Ipca Laboratories Pvt Ltd.
Pack of 10 Units
₹123.33
MRP ₹150.40
18.00% OFF
Lefra 20 Tablet 10
Lefra 20 Tablet 10
Torrent Pharmaceuticals Ltd.
Pack of 10 Units
₹240.26
MRP ₹293.00
18.00% OFF

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