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compositionComposition:TERIFLUNOMIDE-14MG
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Prescription Medicine
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Teru MS 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, Teru MS Tablet may cause side effects such as headache, nausea, diarrhoea, and hair loss.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

TERIFLUNOMIDE-14MG

Manufacturer/Marketer :

Msn Laboratories Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Teru MS Tablet

Teru MS Tablet is a prescription oral medicine used to manage relapsing forms of multiple sclerosis (MS) in adults. Its primary medical purpose is to help reduce the frequency of clinical relapses and slow down the physical worsening of the condition. By keeping the disease activity under control, it supports your daily physical functioning.

This medication is taken once daily and should be taken consistently at the same time each day to maintain stable levels in your body. You can take it with or without food. To achieve the best results, it is helpful to support your treatment with structured lifestyle habits, such as regular physical therapy and a balanced diet designed to manage chronic inflammation.

While taking Teru MS Tablet , you may experience common side effects like temporary hair thinning, diarrhoea, or nausea. However, it is vital to contact your doctor immediately if you notice serious symptoms, such as severe upper stomach pain, yellowing of the skin or eyes, or unusual bruising, which can point to more severe underlying issues.

Do not take this if you are pregnant, planning to become pregnant, or have severe liver problems. Before starting this treatment, always tell your doctor if you have a history of chronic infections, high blood pressure, or lung disease, as this medicine may not be suitable for you.

This medicine can interact with other drugs, including certain vaccines and therapies that affect your immune system. You should also avoid drinking alcohol during treatment because both alcohol and this medicine can strain your liver. If you are breastfeeding, elderly, or planning a family, speak with your healthcare provider to discuss safe usage guidelines.

Uses of Teru MS Tablet

Your doctor may prescribe Teru MS Tablet to help manage the following conditions:

  • Relapsing Multiple Sclerosis (RMS): Teru MS Tablet is used to treat relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, by reducing the frequency of symptom flare-ups.
  • Delaying Disability Progression: Teru MS Tablet helps slow down the physical worsening and functional decline associated with multiple sclerosis over time.

Key Benefits

When used as directed as part of your treatment plan, this medicine may provide the following benefits:

  • Reduces Multiple Sclerosis Relapses: Using Teru MS Tablet can help you experience longer periods of stable health between multiple sclerosis relapses. By keeping symptoms under control, it allows you to maintain your daily physical routines with fewer interruptions.
  • Helps Preserve Mobility: This medicine helps preserve your physical mobility and independence by protecting the central nervous system from ongoing inflammatory damage. This delay in disability progression contributes to a better quality of life over the long term.
  • Convenient Once-Daily Tablet: As a once-daily oral tablet, Teru MS Tablet offers a convenient alternative to injectable therapies. This simple dosing routine makes it easier to stay consistent with your prescribed treatment plan.
Side effects of Teru MS 14mg 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.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.

Directions for Use

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

How Teru MS Tablet Works

The active ingredient in Teru MS Tablet is teriflunomide, an immunomodulator (a medicine that adjusts how your immune system behaves without completely suppressing it). This medicine reduces the number of overactive immune cells that mistakenly attack the protective covering of your nerves. It does this by temporarily blocking a specific mitochondrial enzyme called dihydroorotate dehydrogenase (an enzyme that helps certain immune cells multiply rapidly). As a result, specific white blood cells (called T and B cells) cannot multiply as quickly, helping reduce the immune attack linked to multiple sclerosis. By limiting these overactive immune cells, the medicine reduces inflammation in the brain and spinal cord, helping lower the number of relapses and slow disease progression
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Alcohol

Consult your doctor

It is unknown if Teru MS Tablet interacts with alcohol. Please consult your doctor.

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Pregnancy

Unsafe

Teriflunomide belongs to pregnancy category X. Do not take Teru MS 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

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

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Liver

Caution

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

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Kidney

Caution

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

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Children

Caution

Teru MS Tablet is not recommended for children as the safety and effectiveness have not been established.

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Heart

Caution

Teru MS Tablet is not recommended in patients with severe heart problems. If you have a history of heart disease, inform your doctor before taking Teru MS Tablet .

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Geriatrics

Consult your doctor

Limited information available about the use of Teru MS Tablet in geriatric patients. Please consult your physician.

What if I have taken an overdose of Teru MS Tablet

If you suspect an overdose, seek emergency medical help immediately. Medical professionals may use specific medications, such as activated charcoal or cholestyramine, to quickly bind and remove the drug from your system.

Diet & Lifestyle Advise

  • Prioritise liver health: Avoid or strictly limit your intake of alcohol while on this medication, as combining them increases the risk of severe liver damage.
  • Incorporate low-impact exercise: Engage in gentle physical activities like swimming, walking, or stretching to help preserve your balance, muscle strength, and flexibility.
  • Manage body temperature: Since heat can temporarily worsen multiple sclerosis symptoms, try to stay cool by taking lukewarm showers and avoiding extreme outdoor heat.
  • Eat an anti-inflammatory diet: Focus on whole foods rich in omega-3 fatty acids, leafy greens, and lean proteins to support your overall neurological health.
  • Practice infection prevention: Wash your hands frequently and avoid close contact with individuals who have active infections, as this medicine can temporarily lower your white blood cell count.
health query

Have a query?

How Soon It Starts Working

The time required for Teru MS Tablet to start to work: The time required for Teru MS Tablet to show its action is not clinically established. The time for which the effects of Teru MS Tablet last: The duration of action for Teru MS Tablet is not clinically established.

What if you forget to take Teru MS Tablet

If you miss a dose, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed one.

Storage

• Store Teru MS Tablet at room temperature, strictly between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Complete your liver tests: Ensure you undergo all scheduled blood tests before starting and during your treatment, as your doctor must check your liver enzymes regularly.
  • Use effective birth control: Both men and women must use reliable contraception during treatment. Without a medical washout procedure, the active drug can take up to two years to completely leave your body. If pregnancy is planned, your doctor may recommend an accelerated elimination (washout) procedure using medicines such as cholestyramine or activated charcoal to remove it more quickly.
  • Check your blood pressure: Monitor your blood pressure regularly at home and report any significant increases to your healthcare provider.
  • Avoid live vaccines: Do not receive any live vaccines while taking this medicine and for a period after stopping, as your body’s immune response may be reduced.
  • Report nerve pain: Alert your doctor immediately if you develop new or worsening numbness, tingling, or a burning sensation in your limbs.

Drug-Drug Interactions

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  • May Interact with Other Medicines: May increase the levels and side effects of other drugs in your body, such as warfarin, certain cholesterol-lowering medicines (like atorvastatin or rosuvastatin), and some cancer treatments.
  • Some Medicines May Reduce Effectiveness: Certain medications, such as rifampin, can speed up the removal of Teru MS Tablet from your body, potentially making it less effective.
TeriflunomideTriamcinolone
Severe
TeriflunomideClozapine
Severe

Drug-Drug Interactions

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TeriflunomideTriamcinolone
Severe
How does the drug interact with Teru MS 14mg Tablet:
Taking Teru MS 14mg Tablet together with triamcinolone may increase the risk of serious infections.

How to manage the interaction:
Although there is an interaction between triamcinolone and Teru MS 14mg Tablet, it can be taken together if prescribed by a doctor. Consult the doctor if you experience fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, weight loss, red or inflamed skin, body sores, and pain or burning during urination. Do not discontinue medications until the doctor recommends it
TeriflunomideClozapine
Severe
How does the drug interact with Teru MS 14mg Tablet:
When Clozapine is taken with Teru MS 14mg Tablet it may increase the risk of infection.

How to manage the interaction:
Co-administration of Clozapine with Teru MS 14mg Tablet can possibly result in an interaction, but it can be taken if your doctor has advised it. If you're having any of these symptoms like fever, chills, sore throat, or muscle aches, it's important to contact your doctor right away. Do not discontinue any medications without first consulting your doctor.
TeriflunomideEthambutol
Severe
How does the drug interact with Teru MS 14mg Tablet:
Coadministration of ethambutol with Teru MS 14mg Tablet can increase the risk of liver problems.

How to manage the interaction:
Co-administration of Ethambutol with Teru MS 14mg Tablet can result in an interaction, but it can be taken if your doctor has advised it. However, contact your doctor if you experience fever, joint pain or swelling, skin rash, vomiting, abdominal pain, dark urine, or yellowing of the skin or eyes. Do not discontinue any medications without consulting your doctor.
TeriflunomideMethimazole
Severe
How does the drug interact with Teru MS 14mg Tablet:
The combined use of Methimazole with Teru MS 14mg Tablet can increase the risk of liver problems.

How to manage the interaction:
Taking Methimazole with Teru MS 14mg 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.
TeriflunomidePiroxicam
Severe
How does the drug interact with Teru MS 14mg Tablet:
Coadministration of Piroxicam and Teru MS 14mg Tablet can increase the risk of liver damage.

How to manage the interaction:
Taking Piroxicam with Teru MS 14mg 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.
TeriflunomideTerbinafine
Severe
How does the drug interact with Teru MS 14mg Tablet:
Co-administration of Teru MS 14mg Tablet and Terbinafine can increase the risk or severity of liver problems.

How to manage the interaction:
Co-administration of Teru MS 14mg Tablet and Terbinafine can lead to an interaction, but it can be taken if your doctor advises. However, if you experience 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/or yellowing of the skin or eyes, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
TeriflunomideTizanidine
Severe
How does the drug interact with Teru MS 14mg Tablet:
Combining Tizanidine and Teru MS 14mg Tablet can increase the risk of liver problems.

How to manage the interaction:
Taking Tizanidine and Teru MS 14mg Tablet together 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/or yellowing of the skin or eyes, contact your doctor immediately. Avoid or limit the use of alcohol while being treated with these medications, and do not discontinue any medications without first consulting your doctor.
TeriflunomidePropylthiouracil
Severe
How does the drug interact with Teru MS 14mg Tablet:
Coadministration of Teru MS 14mg Tablet with propylthiouracil can increase the risk of liver problems.

How to manage the interaction:
There may be a possibility of interaction between Propylthiouracil and Teru MS 14mg Tablet, but it can be taken if prescribed by a doctor. However, if you experience any symptoms such as fever, chills, joint pain, itching, tiredness, abdominal pain, dark urine, light stools, and yellowing of the skin or eyes, consult a doctor immediately. Do not stop using any medications without first talking to your doctor.
TeriflunomideLinezolid
Severe
How does the drug interact with Teru MS 14mg Tablet:
When linezolid is used with Teru MS 14mg Tablet, the risk of severe infections increases.

How to manage the interaction:
Co-administration of linezolid along with Teru MS 14mg Tablet can lead to an interaction, it can be taken if recommended by a doctor. However, if you develop a fever, chills, diarrhea, sore throat, muscular pains, shortness of breath, blood in sputum, weight loss, red or irritated skin, body sores, or discomfort or burning during urination, call a doctor as soon as possible. Do not discontinue any medications without consulting a doctor.
TeriflunomideErythromycin
Severe
How does the drug interact with Teru MS 14mg Tablet:
When Erythromycin and Teru MS 14mg 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 Teru MS 14mg 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.

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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Habit Forming

No

Therapeutic Class

[IMMUNOMODULATORS]

FAQs

Teru MS Tablet is used to treat Multiple sclerosis (MS).
Teru MS Tablet works by decreasing inflammation and the action of immune cells that cause nerve damage.
Teru MS Tablet may cause inflammation of the pancreas. Consult the doctor if you experience nausea, vomiting or pain in the abdomen.
Teru MS Tablet may increase blood pressure. Your doctor may monitor blood pressure levels before and during the treatment.
Without a medical washout procedure, teriflunomide can take up to two years to completely leave your body. If it needs to be removed sooner, your doctor can prescribe an accelerated elimination (washout) procedure using medicines such as cholestyramine or activated charcoal, which usually clears the drug within about 11 days. Talk to your doctor before stopping this medication.
No, you must not become pregnant while taking this medicine, as it can cause severe birth defects. If you are a female of childbearing age, you must use reliable birth control during treatment and until the medicine has completely left your body. Without a medical washout procedure, this may take up to two years after stopping treatment. Your doctor can recommend a washout procedure if you plan to become pregnant sooner.
Some patients experience temporary hair thinning or mild hair loss, usually starting within the first six months of treatment. This symptom is typically temporary and often improves over time without stopping the medication. Talk to your doctor or pharmacist if you are concerned about hair changes.
Your doctor will monitor your blood to check your liver enzymes and your white blood cell counts, as this medicine can affect liver function and lower your body's infection-fighting cells. Talk to your doctor about your scheduled testing timeline.
It is highly recommended to avoid or strictly limit alcohol while taking this medicine. Both alcohol and this medication can put stress on your liver, and using them together significantly increases the risk of liver damage. Talk to your doctor or pharmacist about safe lifestyle choices.
No, Teru MS Tablet is not a chemotherapy drug. It is a disease-modifying therapy classified as an immunomodulator, meaning it adjusts how your immune system behaves without completely suppressing it. It specifically targets the overactive immune cells that contribute to multiple sclerosis symptoms.
The active drug can pass into semen. If you are planning to father a child, you must talk to your doctor, who may recommend stopping the medication and undergoing a washout procedure to safely clear the drug first. Talk to your doctor before making family planning decisions.
You must avoid receiving live vaccines during treatment and for some time after stopping, as your immune system may not respond safely. Non-live vaccines are generally safe but might be less effective while you are on this therapy. Talk to your doctor or pharmacist before getting any vaccination.

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Country of origin

INDIA

Manufacturer/Marketer address

MSN Laboratories Pvt.Ltd., MSN House, Plot No: C-24, Industrial Estate, Sanathnagar, Hyderabad - 18 Telangana, INDIA
Other Info - TER0373
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