Leflunomide is primarily used for managing rheumatoid arthritis and psoriatic arthritis and belongs to the group of disease-modifying antirheumatic medicines (DMARDs).
Diarrhoea
Nausea
Abdominal pain
Mouth ulcers
Hair loss
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.
Doctor of Medicine
BMS, FMC, MD Resident
Leflunomide is available for use via oral route in the form of tablets.
This medicine is meant for adults only.
Leflunomide is contraindicated in patients with severe hepatic insufficiency, bone marrow dysplasia, severe immunodeficiency states, such as AIDS, and severe, uncontrolled infections.
Leflunomide may interact with immunosuppressive agents (such as methotrexate and tacrolimus), anticoagulants (like warfarin), and hepatotoxic agents (such as paracetamol).
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.
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.
Leflunomide may cause dizziness or tiredness. If affected, avoid driving or operating heavy machinery until you feel well again.
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.
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.
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.
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