医薬品リファレンス
Dimethyl fumarate
Dimethyl fumarate is a medicine in the class central nervous system. It is used for multiple sclerosis.
- 薬効分類: Central Nervous System
- 効能・効果: multiple sclerosis
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
要点
- 薬効分類
- Central Nervous System
- ATCコード
- L04AX07
- 一般的な剤形
- カプセル剤
- 一般的な規格
- 120 mg, 240 mg
- 既知の相互作用
- 1 (併用禁忌: 1)
- 商品名
- 24
- 国・市場
- 5
何に使われるか
作用のしくみ
Exact mechanism is unknown Methyl ester of fumaric acid that elicits immunomodulatory effects Dimethyl fumarate and the metabolite (monomethyl fumarate [MMF]) activates the nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway, a transcription factor encoded by the NFE2L2 gene
成人の通常用量（添付文書の要約）
120 mg PO BID initially; after 7 days, increase to maintenance dose of 240 mg BID
妊娠と授乳
- 妊娠
- Unknown Registry data (over 360 births) show no rise in birth defects or miscarriage; animal studies showed reproductive toxicity. EU label: use in pregnancy only if clearly needed. It is short-acting and is often stopped when pregnancy is planned or confirmed.
- 授乳
- Safe Its active form (monomethyl fumarate) reaches milk in low amounts; data in over 20 infants show no harm, so LactMed finds it acceptable, at least after 1 month of age. EU label: weigh breastfeeding against treatment. Monitor infant weight gain.
報告されている副作用
- Vomiting
- Diarrhea
- Nausea
- Abdominal pain
- Rash
- Pruritus
注意が必要な方
- Progressive multifocal leukoencephalopathy (PML) resulting in death, in the postmarketing setting have occurred
- Do not restart therapy if anaphylaxis or angioedema occur
- Clinically significant cases of liver injury reported; onset ranged from a few days to several months after treatment initiation;
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (1)
- Dimethyl fumarate + Diroximel fumarate Contraindicated
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Dimethyl fumarateの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Paediatric dosing
- Patient counselling points
- Food interactions
WebでPro+を14日間無料でお試し。カード登録不要。
同じ分類のほかの薬剤
よくある質問
What is Dimethyl fumarate used for?
Dimethyl fumarate is a medicine in the class central nervous system. It is used for Multiple sclerosis.
What side effects have been reported with Dimethyl fumarate?
Vomiting, Diarrhea, Nausea, Abdominal pain, Rash, Pruritus.
Can Dimethyl fumarate be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. Registry data (over 360 births) show no rise in birth defects or miscarriage; animal studies showed reproductive toxicity. EU label: use in pregnancy only if clearly needed. It is short-acting and is often stopped when pregnancy is planned or confirmed. Breastfeeding: Safe. Its active form (monomethyl fumarate) reaches milk in low amounts; data in over 20 infants show no harm, so LactMed finds it acceptable, at least after 1 month of age. EU label: weigh breastfeeding against treatment. Monitor infant weight gain.
What does Dimethyl fumarate interact with?
MediHelp lists 1 known interactions for Dimethyl fumarate. Contraindicated: 1. The most serious include Diroximel fumarate.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
