藥品參考
Diroximel fumarate
Diroximel fumarate is a medicine in the class central nervous system. It is used for multiple sclerosis.
- 藥物類別: Central Nervous System
- 用途: multiple sclerosis
最後更新 來源: US FDA label
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
重點資訊
- 藥物類別
- Central Nervous System
- ATC 代碼
- L04AX07
- 常見劑型
- 膠囊
- 常見規格
- 231 mg
- 已知交互作用
- 1 (禁忌併用: 1)
- 商品名
- 2
- 國家與市場
- 2
用途
作用方式
The mechanism in multiple sclerosis is unknown. The active metabolite MMF activates the Nrf2 pathway (cellular response to oxidative stress) and is a nicotinic acid receptor agonist in vitro.
成人常用劑量（仿單摘要）
Relapsing forms of multiple sclerosis: starting dose 231 mg orally twice a day for 7 days, then maintenance dose 462 mg (two 231 mg capsules) orally twice a day.
懷孕與哺乳
- 懷孕
- Unknown Human data come mainly from dimethyl fumarate (same active metabolite): registry data show no rise in birth defects. In rabbits it caused skeletal malformations at higher doses. Use only if clearly needed; a pregnancy registry exists.
- 哺乳
- Safe No direct data, but with dimethyl fumarate the active metabolite reaches milk in low amounts, with no harm in over 20 infants. LactMed: acceptable, at least after 1 month of age. Monitor infant weight gain.
已通報的副作用
- Flushing
- Abdominal pain
- Diarrhea
- Nausea
- Vomiting
- Pruritus
禁忌症
- Known hypersensitivity to diroximel fumarate, dimethyl fumarate, or any excipient (reactions may include anaphylaxis and angioedema).
- Co-administration with dimethyl fumarate.
哪些人需要特別留意
- Anaphylaxis and angioedema can occur after the first dose or at any time; discontinue and do not restart.
- PML has occurred with dimethyl fumarate (same active metabolite); withhold at the first sign or symptom suggestive of PML.
- Herpes zoster and other serious opportunistic infections can occur; consider withholding treatment until the infection resolves.
請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏，以及您正在使用的所有其他藥物或保健品。
重要交互作用 (1)
- Dimethyl fumarate + Diroximel fumarate Contraindicated
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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同類別的其他藥品
常見問題
What is Diroximel fumarate used for?
Diroximel fumarate is a medicine in the class central nervous system. It is used for Multiple sclerosis.
What side effects have been reported with Diroximel fumarate?
Flushing, Abdominal pain, Diarrhea, Nausea, Vomiting, Pruritus.
Can Diroximel fumarate be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. Human data come mainly from dimethyl fumarate (same active metabolite): registry data show no rise in birth defects. In rabbits it caused skeletal malformations at higher doses. Use only if clearly needed; a pregnancy registry exists. Breastfeeding: Safe. No direct data, but with dimethyl fumarate the active metabolite reaches milk in low amounts, with no harm in over 20 infants. LactMed: acceptable, at least after 1 month of age. Monitor infant weight gain.
What does Diroximel fumarate interact with?
MediHelp lists 1 known interactions for Diroximel fumarate. Contraindicated: 1. The most serious include Dimethyl fumarate.
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