Compare Copaxone vs. Gilenya

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Copaxone (glatiramer)

Prescription only

Gilenya (fingolimod)

Prescription only
Reduces clinical episodes of multiple sclerosis.

Copaxone (glatiramer) is safer than interferons at reducing multiple sclerosis episodes.

3.2/ 5 average rating with 30 reviewsforCopaxone
Treats relapsing forms of multiple sclerosis.

Gilenya (fingolimod) reduces the number of flare-ups, new brain lesions, and physical changes in relapsing MS, but it has many side effects.

3.0/ 5 average rating with 57 reviewsforGilenya
Upsides
  • Copaxone (glatiramer) does not cause fatigue and flu-like symptoms unlike interferons.
  • Copaxone (glatiramer) is relatively safe compared to injectable medicines that are associated with serious side-effects for multiple sclerosis.
  • Gilenya (fingolimod) is the first once-daily pill you can take for relapsing forms of MS.
  • Gilenya (fingolimod) lowers relapse rates and the number of new MS lesions better than the leading injectable.
  • Gilenya (fingolimod) takes up to 2 months to leave your body, which is much shorter than another oral medication Aubagio(teriflunomide), which can take up to 2 years.
Downsides
  • Injections are given 3 times per week, which may not be comfortable for some people.
  • Not as effective as other injectable medicines for multiple sclerosis.
  • Available as a generic version, but may still be expensive.
  • Gilenya (fingolimod) takes up to 2 months to leave your body – much longer than a similar medication, Tecfidera (dimethyl fumarate), which takes only a few hours.If you haven't had chickenpox or been vaccinated for it yet, you'll need to get the vaccine at least 1 month before starting Gilenya (fingolimod).
  • Gilenya (fingolimod) might not be a good choice if you have kidney, liver, or heart problems.
  • If you've stopped taking Gilenya (fingolimod) for 2 weeks or more, you'll have to take your first dose at your doctor's office when restarting.
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Used for
Dosage forms
  • Injection
  • Pill
Price
Lowest price
$1941.20
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Lowest price
$5412.92
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Reviews
30 reviews so far
50%
saidit'sworth it
37%
saiditworked well
27%
saidit'sa big hassle

Have you used Copaxone (glatiramer)?

Leave a review
57 reviews so far
42%
saidit'sworth it
30%
saiditworked well
30%
saidit'sa big hassle

Have you used Gilenya (fingolimod)?

Leave a review
Side effects
53possible side effects
  • Redness at injection site
    43%
  • Pain at injection site
    40%
  • Infection
    30%
  • Itching at injection site
    27%
  • Lump at injection site
    26%
  • Weakness
    22%
  • Pain
    20%
  • Dilation of blood vessels
    20%
  • Swelling at injection site
    19%
  • Rash
    19%
  • Nausea
    15%
  • Flu
    14%
  • Shortness of breath
    14%
  • Chest pain
    13%
  • Anxiety
    13%
  • Back Pain
    12%
  • Heart palpitations
    9%
  • Inflammation at injection site
    9%
  • Swelling
    8%
  • Injection site reaction
    8%
  • Swollen lymph nodes
    7%
  • Vomiting
    7%
  • Stuffy nose
    7%
  • Exessive sweating
    7%
  • Fever
    6%
  • Inflammation of the airways
    6%
  • Stomach flu
    6%
  • Cough
    6%
  • Racing heart
    5%
  • Increased urination
    5%
  • Itching
    5%
  • Injection site allergy
    4%
  • Vaginal yeast infection
    4%
  • Tremor
    4%
  • Migraine
    4%
  • Eye movement disorder
    3%
  • Double vision
    3%
  • Local reaction
    3%
  • Chills
    3%
  • Face swelling
    3%
  • Swelling of the limbs
    3%
  • Allergic reaction
    3%
  • Weight gain
    3%
  • Fainting or lightheadedness
    3%
  • Hives
    3%
  • Skin irritation
    3%
  • Pain with swallowing
    2%
  • Injection site tissue hardening
    2%
  • Injection site tissue wasting
    2%
  • Non-cancerous skin tumor
    2%
  • Speech problems
    2%
  • Nervousness
    2%
  • Vocal cords spasm
    2%
See more detailed side effects
22possible side effects
  • Headache
    25%
  • Abnormal liver blood tests
    15%
  • Nausea
    13%
  • Diarrhea
    13%
  • Cough
    12%
  • Flu infection
    11%
  • Sinus infection
    11%
  • Stomach pain
    11%
  • Back pain
    10%
  • Pain in arms or legs
    10%
  • Shortness of breath
    9%
  • Bronchitis
    8%
  • High blood pressure
    8%
  • Migraine
    6%
  • Blurred vision
    4%
  • Low blood pressure
    3%
  • Hair loss
    3%
  • Herpes viral infections
    2%
  • Fungal skin infection
    2%
  • Weakness
    2%
  • Scaly skin
    2%
  • Low white blood cells
    2%
See more detailed side effects
Risks and risk factors
  • Injection reaction
  • Skin damage
  • Weakened immune system
See more detailed risks and warnings
  • Heart problems
    • Taking other medicines that slow heart rate
    • History of heart problems
  • Serious infections
    • Taking other immunosuppressant medicines
    • Age 60 or older
    • Weak immune system
  • Eye problems
    • Diabetes
    • History of eye inflammation (uveitis)
  • Risk to fetus
    • Women of childbearing age
  • Breathing problems
    • History of lung problems
  • Liver problems
    • History of liver problems
See more detailed risks and warnings