• Moderate rheumatoid arthritis:
    • 100 mg daily * 3/7 initially, then 10-20 mg OD 
  • For rapid removal of drug from system e.g. for a woman/man trying to get pregnant or severe side effects, cholestyramine may be used at a dose of 8 g PO TDS * 11/7

Tablet: 20mg

To be taken without regard food.

Non-biological DMARD.

It inhibits pyrimidine synthesis via dihydroorotate dehydrogenase inhibition, resulting in immunomodulatory and antiproliferative activity.

  • Diarrhoea
  • Respiratory infections
  • Alopecia
  • HTN
  • Rash
  • Nausea
  • Bronchitis
  • Headache
  • Abdominal pain
  • Back pain
  • Dyspepsia
  • UTI
  • Weight loss
  • Hepatotoxicity
  • Hypersensitivity to components
  • Pregnancy
  • Severe immunodeficiency
  • Severe hypoproteinaemia
  • Severe hepatic impairment
  • Live attenuated vaccines
  • Teriflunomide

                                   Drug Status

Availability Prescription only
Pregnancy Category D; Contraindicated
Breastfeeding Contraindicated
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Arotan 20mg Tablet 28’s Delorbis Pharma Europa Healthcare
Lefra 20mg Tablet 100’s Torrent Pharma C/O Medox Medox Pharma