Prescription onlyClass: Autoimmune



Prescription onlyClass: Autoimmune
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Treats relapsing forms of multiple sclerosis.

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Our bottom line

Gilenya (Fingolimod) is an oral medication that has a lot of side effects, but it reduces the number of flare-ups, slows physical changes, and decreases the number of new brain lesions in relapsing MS.

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Prices and coupons for 1 (28 capsules of 0.5mg) package of fingolimod


  • Gilenya (Fingolimod) is the first once-daily pill you can take for relapsing forms of multiple sclerosis (MS).
  • Studies show it lowers relapse rates better than placebo and Avonex, and it delays the progression of physical disabilites better than placebo.
  • Gilenya also reduced the number of new MS lesions better than Avonex.
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  • Taking more than the 0.5 mg dose won't give more benefits, but will only cause more side effects.
  • Gilenya can remain in your blood for up to 2 months after you stop taking it. Your immune response won't work as well during this time.
  • Not the best choice if you've had a heart attack, stroke, or have been in the hospital for heart failure in the past 6 months. The risk of serious heart rate effects is higher when taken with certain drugs (methadone, erythromycin, citalopram, ketoconazole) or if you have low potassium or magnesium.
  • If you have to re-start Gilenya after stopping it for 2 weeks or more, you'll have to take your first dose at your doctor's office again.
  • If you didn't get chicken pox and never had a vaccination, you'll need to be vaccinated and wait one month before starting Gilenya.
How it works

Gilenya (Fingolimod) is an immune modulator. Researchers don't know exactly how it works, but it seems to stop your white blood cells from attacking the nerves in your brain and spinal cord.

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Side effect rates for Gilenya (fingolimod)

843 From clinical trials of Gilenya / Multiple sclerosis (.5 mg)
  • Headache
  • Alt/ast increased
  • Influenza viral infections
  • Diarrhea
  • Back pain
  • Cough
  • Herpes viral infections
  • Shortness of breath
  • Low mood disorder
  • Bronchitis

Risks and Warnings for Gilenya (fingolimod)

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    • Higher risk if:
    • Taking with drugs that slow heart rate
    • History of heart problems

    You'll have to take the first does in a medical facility with your doctor or medical staff watching how your body reacts. Gilenya (Fingolimod) can cause your heart rate to slow down, especially for 6 to 24 hours after your first dose. Your heart rate should return to normal within one month after you start taking Gilenya (Fingolimod). Call your doctor or get medical care right away if you have slow heart rate, dizziness, tiredness, or if you feel like your heart is skipping beats.

Common concerns from people taking Gilenya (fingolimod)

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  • Dont drink alcohol
  • Take one capsule daily with or without food.