Mr. Ibrahem/Teriflunomide
Ball-and-stick model of the teriflunomide molecule
Clinical data
Trade namesAubagio
Other namesA77 1726
AHFS/Drugs.comMonograph
MedlinePlusa613010
License data
Pregnancy
category
  • AU: X (High risk)[1]
  • Contraindicated[1]
Routes of
administration
By mouth
Drug classPyrimidine synthesis inhibitor[2]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only
  • EU: Rx-only
Pharmacokinetic data
Protein binding>99.3%
Elimination half-life2 weeks
ExcretionBile duct/fecal, kidney
Identifiers
  • (2Z)-2-cyano-3-hydroxy-N-[4-(trifluoromethyl)phenyl]but-2-enamide
Chemical and physical data
FormulaC12H9F3N2O2
Molar mass270.211 g·mol−1
3D model (JSmol)
  • O=C(Nc1ccc(cc1)C(F)(F)F)C(/C#N)=C(/C)O
  • InChI=1S/C12H9F3N2O2/c1-7(18)10(6-16)11(19)17-9-4-2-8(3-5-9)12(13,14)15/h2-5,18H,1H3,(H,17,19)/b10-7- checkY
  • Key:UTNUDOFZCWSZMS-YFHOEESVSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Teriflunomide, sold under the brand name Aubagio, is a medication used to treat multiple sclerosis (MS); specifically relapsing-remitting MS.[3][4] In Scotland it is used as a second line treatment to interferon beta and glatiramer.[2] It is taken by mouth.[3]

Common side effects include headache, diarrhea, liver problems, nausea, and hair loss.[4] Other side effects may include liver failure, peripheral neuropathy, and interstitial lung disease.[3] Use in the two years before or during pregnancy may harm the baby.[2] It is a pyrimidine synthesis inhibitor.[2] While how it works is not entirely clear, it is believed to decrease the number of lymphocytes.[4] It is the active metabolite of leflunomide.[3]

Teriflunomide was approved for medical use in the United States in 2012 and and Europe 2013.[4][3] In the United Kingdom it costs the NHS about 1,100 pounds per month.[2] This amount in the United States costs about 8,400 USD as of 2021.[5]

References edit

  1. ^ a b c "Teriflunomide (Aubagio) Use During Pregnancy". Drugs.com. 11 September 2019. Archived from the original on 2 March 2020. Retrieved 2 March 2020.
  2. ^ a b c d e f BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 905. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  3. ^ a b c d e f "Teriflunomide Monograph for Professionals". Drugs.com. Archived from the original on 2 March 2020. Retrieved 29 September 2021.
  4. ^ a b c d e "Aubagio EPAR". European Medicines Agency (EMA). 26 February 2020. Archived from the original on 29 December 2019. Retrieved 1 March 2020.
  5. ^ "Aubagio Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 6 August 2020. Retrieved 29 September 2021.