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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Composition :

TERIFLUNOMIDE-14MG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Return Policy :

Not Returnable

Therapeutic Class

[IMMUNOMODULATORS]

Country of origin

India

Manufacturer/Marketer address

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - MER0475

FAQs

Merosya 14 Tablet works by decreasing inflammation and the action of immune cells that cause nerve damage.

Merosya 14 Tablet may cause inflammation of the pancreas. Consult the doctor if you experience nausea, vomiting or pain in the abdomen.

Avoid undergoing any vaccination while on treatment with Merosya 14 Tablet and for six months after taking the last dose of it. Talk to the doctor if you are due to undergo any vaccinations.

Merosya 14 Tablet may increase blood pressure. Your doctor may monitor blood pressure levels before and during the treatment.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.
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Alcohol

Safe if prescribed

It is unknown if Merosya 14 Tablet interacts with alcohol. Please consult your doctor.

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Pregnancy

Consult your doctor

Teriflunomide belongs to pregnancy category X. Do not take Merosya 14 Tablet if you are pregnant, planning for pregnancy or think you may be pregnant.

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Breast Feeding

Consult your doctor

Teriflunomide may pass into breast milk. Your doctor will make a decision whether to discontinue nursing or the medicine, taking into account the importance of the medicine to the mother.

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Driving

Safe if prescribed

Merosya 14 Tablet may cause dizziness. So, drive or operate machinery only if you are alert.

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Liver

Consult your doctor

Merosya 14 Tablet is not recommended in patients with severe liver impairment. If you have a history of liver disease, inform your doctor before taking Merosya 14 Tablet .

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Kidney

Consult your doctor

Do not take Merosya 14 Tablet if you have a serious kidney problem which requires dialysis. If you have a history of kidney disease, inform your doctor before taking Merosya 14 Tablet .

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Children

Safe if prescribed

Merosya 14 Tablet is not recommended for children as the safety and effectiveness have not been established.

About Merosya 14 Tablet

Merosya 14 Tablet belongs to the class of medicines called immunomodulatory agents indicated in the treatment of relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Multiple sclerosis is a condition in which nerves do not function properly.
 
Merosya 14 Tablet contains Teriflunomide, which works by decreasing inflammation and the action of immune cells that cause nerve damage. Thus, it helps treat multiple sclerosis.
 
In some cases, Merosya 14 Tablet may cause side effects such as headache, nausea, diarrhoea, and hair loss. Most of these side effects may not require medical attention and resolve gradually over time. However, you are advised to consult the doctor if the side effects persist or worsen.
 
Do not take Merosya 14 Tablet if you are pregnant or breastfeeding. Merosya 14 Tablet is not recommended for children as safety and effectiveness have not been established. Inform the doctor about the medicines you are taking and your health condition to rule out any unpleasant side effects/interactions.

Uses of Merosya 14 Tablet

Multiple sclerosis

Medicinal Benefits Mweb

Key Benefits

Merosya 14 Tablet belongs to the class of medicines called immunomodulatory agents indicated in the treatment of relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. Merosya 14 Tablet contains Teriflunomide, which works by protecting the central nervous system against attacks by the immune system by limiting the increase of lymphocytes (white blood cells). This helps limit the inflammation that leads to nerve damage in multiple sclerosis.

Directions for Use

Take the medicine as advised by the doctor. Treatment will be overseen by a doctor who is experienced in the treatment of multiple sclerosis.

Side Effects of Merosya 14 Tablet

  • Headache
  • Nausea
  • Diarrhoea
  • Hair loss

Drug Warnings

Do not take Merosya 14 Tablet if you are allergic to any of its components, teriflunomide or leflunomide; if you have severe liver disease, any serious condition that affects the immune system, bone marrow problems, low blood count, serious infection, serious kidney problem which requires dialysis, or hypoproteinaemia (low levels of protein). Inform the doctor if you have liver problems, high blood pressure, infection, diabetes, breathing problems, severe skin reactions, respiratory symptoms, tuberculosis, or peripheral neuropathy. Do not take Merosya 14 Tablet if you are pregnant or breastfeeding. Consult the doctor immediately if you become pregnant during treatment with Merosya 14 Tablet . This medicine may cause serious or life-threatening liver damage that may require a liver transplant. The risk of liver damage may be increased in people taking other medications known to cause liver damage and in people who already have liver disease. Seek medical attention if you experience symptoms of liver problems such as nausea, vomiting, unusual bleeding or bruising, extreme tiredness, lack of energy, pain in the upper right part of the stomach, loss of appetite, yellowing of the skin or eyes, dark-coloured urine, or flu-like symptoms. 

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Merosya 14 Tablet:
Taking Ceritinib with Merosya 14 Tablet may increase risk of liver problems.

How to manage the interaction:
Although there is a possible interaction between Ceritinib and Merosya 14 Tablet, you can take these medicines together if prescribed by a doctor. If you experience any symptoms like fever, chills, joint pain, swelling, bruising, skin rash, itching, loss of hunger, fatigue, nausea, vomiting, abdominal pain, dark colored urine, liver damage, or bleeding, consult a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Merosya 14 Tablet:
Coadministration of Cholestyramine and Merosya 14 Tablet may decrease the blood levels of Merosya 14 Tablet.

How to manage the interaction:
Although taking Cholestyramine and Merosya 14 Tablet can result in an interaction, it can be taken if prescribed by a doctor. However, if you experience constipation, stomach pain, nausea, or loss of appetite, consult a doctor. Do not stop using any medications without consulting a doctor.
How does the drug interact with Merosya 14 Tablet:
Taking isotretinoin with Merosya 14 Tablet may affect liver and causes liver problems.

How to manage the interaction:
Although taking isotretinoin and Merosya 14 Tablet together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of hunger, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, light-coloured stools, and/or yellowing of the skin or eyes. Do not stop using any medications without consulting doctor.
How does the drug interact with Merosya 14 Tablet:
Taking lenvatinib with Merosya 14 Tablet can increase the risk of liver problems.

How to manage the interaction:
Although taking Lenvatinib and Merosya 14 Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. However, if you experience fever, chills, joint pain, swelling, bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, or bleeding, contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Merosya 14 Tablet:
Combining Merosya 14 Tablet and Tenofovir disoproxil can increase the risk of liver problems.

How to manage the interaction:
Taking Merosya 14 Tablet and Tenofovir disoproxil together can lead to an interaction, but it can be taken if your doctor advises. However, if you experience any symptoms like fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, light-coloured stools, and/or yellowing of the skin or eyes, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
Co-administration of Merosya 14 Tablet and sodium valproate can increase the risk of causing liver problems.

How to manage the interaction:
Co-administration of Merosya 14 Tablet and sodium valproate can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-colored urine, light-colored stools, and yellowing of the skin or eyes. Avoid alcohol while taking these medications, and consult your doctor immediately. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
When Erythromycin and Merosya 14 Tablet are taken together, the body may not get rid of Erythromycin as efficiently.

How to manage the interaction:
Although there is a possible interaction between Erythromycin and Merosya 14 Tablet, you can take these medicines together if prescribed by your doctor. If you have any of these symptoms, contact your doctor right away: fever, chills, joint pain, swelling, bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark colored urine, bleeding, or liver damage. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
Coadministration of Ketoconazole and Merosya 14 Tablet may increases the risk of liver damage.

How to manage the interaction:
Although taking Ketoconazole and Merosya 14 Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you have any of the following symptoms: fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, fatigue, lack of appetite, nausea, vomiting, abdominal pain, dark urine, light stools, and/or yellowing of the skin or eyes, consult a doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Merosya 14 Tablet:
Merosya 14 Tablet can cause Lamivudine to stay in the body longer, leading to higher levels in the blood.

How to manage the interaction:
Although there is a possible interaction between Lamivudine and Merosya 14 Tablet, you can take these medicines together if prescribed by your doctor. If you have any of these signs and symptoms, contact your doctor immediately: fever, chills, pain, swelling, bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, or bleeding. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
The use of asparaginase in conjunction with Merosya 14 Tablet may raise the risk of severe infections, liver problems.

How to manage the interaction:
Co-administration of Asparaginase with Merosya 14 Tablet can result in an interaction, but it can be taken if a doctor has advised it. However, If you experience fever, chills, diarrhea, sore throat, muscular pains, shortness of breath, blood in phlegm, weight loss, red or irritated skin, body sores, or discomfort or burning during urination, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, dark-colored urine, light-colored stools, and/or yellowing of the skin or eyes, consult the doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • ETHINYLESTRADIOL
  • LEVONORGESTREL
  • WARFARIN
  • ROSUVASTATIN

Habit Forming

No

Special Advise

  • Avoid undergoing any vaccination while on treatment with Merosya 14 Tablet and for six months after you stop taking it.
  • You must not begin taking Merosya 14 Tablet until you have taken a pregnancy test with negative results and your doctor tells you that you are not pregnant.
  • Women should use effective contraception during treatment with Merosya 14 Tablet and for up to 2 years after the last dose.
  • Men with partners of reproductive potential must use reliable methods of contraception during treatment with Merosya 14 Tablet .
  • Regular liver function tests are advised.

Diet & Lifestyle Advise

  • Avoid heavily processed foods and saturated fats.
  • Include fruits, vegetables, and whole grains in the diet.
  • Try to stay active. Choose moderate exercises.
  • Quit smoking.
  • Prevent stress by doing meditation or yoga.

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