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

Merosya 14 Tablet is used to treat relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. It contains Teriflunomide, which works by decreasing inflammation and the action of immune cells that cause nerve damage. Thus, it helps treat multiple sclerosis. Sometimes, Merosya 14 Tablet may cause side effects such as headache, nausea, diarrhoea, and hair loss.

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Whats That

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Composition :

TERIFLUNOMIDE-14MG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

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

Merosya 14 Tablet is used in the treatment of Multiple sclerosis. The detailed uses of Merosya 14 Tablet are as follows:<br/>• Relapsing forms of multiple sclerosis (MS): Merosya 14 Tablet is used to treat relapsing-remitting MS, a condition where the immune system attacks the protective covering of nerves. It helps by limiting the activity of specific immune cells (T and B lymphocytes) that cause nerve damage, thereby reducing the frequency of relapses and slowing disease progression.<br/>• Immunomodulatory therapy: Merosya 14 Tablet acts as an immunomodulator, meaning it modifies the immune response rather than suppressing it entirely. This targeted action helps maintain better long-term control of MS symptoms with fewer systemic side effects.<br/>• Neuroprotection: By preventing further nerve damage, Merosya 14 Tablet contributes to preserving neurological function and improving quality of life in patients with multiple sclerosis.<br/>

Directions for Use

• Merosya 14 Tablet can be taken with or without food.• Recommended once daily or as advised by your doctor.• Swallow Merosya 14 Tablet as a whole with a glass of water.• Do not chew or break Merosya 14 Tablet .

Medicinal 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.

How Merosya 14 Tablet Works

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.

Storage

• Store in a cool and dry place away from sunlight.
• Keep Merosya 14 Tablet out of reach and sight of children.
• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Merosya 14 Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Weight loss without physical activity needs immediate medical attention.
  • Get a physical examination and blood tests done to identify factors causing weight loss that could be related to metabolism and thyroid function.
  • Avoid smoking and alcohol intake as it can alter your liver condition and increase your weight loss.
  • Practice meditation and yoga to avoid anxiety, which can be one of the leading causes of weight loss.
  • Talk to your dietician and consume food which can maintain ideal weight.

What if I have taken an overdose of Merosya 14 Tablet

Do not take more than the prescribed dose. Using more medication will not improve your symptoms; instead, they may cause poisoning or serious side effects. If you suspect that you may have overdosed of Merosya 14 Tablet or observe any side effects, please go to the emergency department of the closest hospital or nursing home.

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:
Coadministration of Merosya 14 Tablet and bosentan may increase the risk of liver problems.

How to manage the interaction:
Although taking Bosentan with Merosya 14 Tablet can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any symptoms such as joint pain, unusual bleeding, skin rash, itching, tiredness, dark urine, light stools, and/or yellowing of the skin or eyes, consult a doctor immediately. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Merosya 14 Tablet:
The combined use of Methimazole with Merosya 14 Tablet can increase the risk of liver problems.

How to manage the interaction:
Taking Methimazole with Merosya 14 Tablet together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you have any of these symptoms, it's important to contact a doctor right away: fever, chills, joint pain, swelling, bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, liver damage, or bleeding. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Merosya 14 Tablet:
Co-administration of Merosya 14 Tablet and nintedanib can increase the risk of developing liver problems.

How to manage the interaction:
Co-administration of Merosya 14 Tablet and Nintedanib 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, unusual bleeding, skin rash, loss of appetite, fatigue, vomiting, abdominal pain, dark-colored urine, light-colored stools, and/or yellowing of the skin or eyes, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
Merosya 14 Tablet may cause liver problems and using it with Merosya 14 Tablet can also affect the liver such as moxifloxacin may increase that risk.

How to manage the interaction:
Co-administration of Moxifloxacin with Merosya 14 Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - fever, joint pain, rash, or fatigue, call your doctor right away. They will help you with any concerns you have. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Merosya 14 Tablet:
Coadministration of Piroxicam and Merosya 14 Tablet can increase the risk of liver damage.

How to manage the interaction:
Taking Piroxicam with Merosya 14 Tablet together can result in an interaction, but it can be taken if a doctor has advised 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 hunger, 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:
Coadministration of Nevirapine and Merosya 14 Tablet can increase the risk and severity of liver problems.

How to manage the interaction:
Although taking Nevirapine and Merosya 14 Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. If you have any of these symptoms - fever, chills, joint pain, swelling, bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark-coloured urine, or bleeding make sure to contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Merosya 14 Tablet:
Taking Merosya 14 Tablet with Ketorolac can increase the risk of liver problems.

How to manage the interaction:
Although taking Ketorolac and Merosya 14 Tablet together can evidently cause an interaction, but 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, dark colored urine or bleeding contact your doctor right away. Do not discontinue any medications without first 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.
How does the drug interact with Merosya 14 Tablet:
Using Mitoxantrone together with Merosya 14 Tablet may increase the risk of serious infections.

How to manage the interaction:
Although taking Mitoxantrone and Merosya 14 Tablet together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience fever, chills, sore throat, muscle aches, shortness of breath, weight loss, discomfort, and pain or burning during urination. Do not discontinue any medications without first consulting your doctor.
How does the drug interact with Merosya 14 Tablet:
Hydroxycarbamide when used in conjunction with Merosya 14 Tablet may raise the risk of severe infections.

How to manage the interaction:
There may be a possibility of interaction between hydroxycarbamide with Merosya 14 Tablet, but it can be taken if prescribed by a doctor. However, if you experience fever, chills, diarrhoea, sore throat, muscular pains, shortness of breath, blood in phlegm, weight loss, red or irritated skin, body sores, or discomfort or burning during urination, consult a doctor immediately. Do not stop using any medications without a doctor's advice.

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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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.

Habit Forming

No

Therapeutic Class

IMMUNOMODULATORS
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Alcohol

Consult your doctor

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

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Pregnancy

Unsafe

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

Unsafe

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

Caution

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

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Liver

Caution

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

Caution

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

Caution

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

Have a query?

FAQs

Merosya 14 Tablet is used to treat Multiple sclerosis (MS).

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.

Country of origin

India

Manufacturer/Marketer address

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

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