Examples of using Tecfidera in English and their translations into German
{-}
-
Colloquial
-
Official
-
Ecclesiastic
-
Medicine
-
Financial
-
Ecclesiastic
-
Political
-
Computer
-
Programming
-
Official/political
-
Political
How Tecfidera works.
If you forget to take Tecfidera.
Tecfidera can generally be started immediately after discontinuation of interferon or glatiramer acetate.
Vaccinations given while taking Tecfidera may be less effective than normal.
Your doctor will help you decide whether you should stop breast-feeding, or stop using Tecfidera.
Take Tecfidera with food- it may help to reduce some of the very common side effects listed in Section 4.
In a second main studyinvolving 1,417 patients, patients were given Tecfidera, placebo or another medicine, glatiramer acetate.
Taking Tecfidera with certain types of vaccine(live vaccines) may cause you to get an infection and should therefore be avoided.
Consumption of moderate amounts ofalcohol did not alter exposure to Tecfidera and was not associated with an increase in adverse reactions.
Tecfidera should be used during pregnancy only if clearly needed and if the potential benefit justifies the potential risk to the foetus.
In placebo-controlled studies,the incidence of proteinuria was higher in patients treated with Tecfidera(9%) compared to placebo 7.
Single doses of 240 mg or 360 mg Tecfidera did not have any effect on the QTc interval when compared to placebo in a QTc study.
On urinalysis, thepercentage of patients with protein values of 1+ or greater was similar for Tecfidera(43%) and placebo-treated patients 40.
Tecfidera has not been studied in patients with pre-existing low lymphocyte counts and caution should be exercised when treating these patients.
A complete bloodcount is recommended prior to initiating Tecfidera and regularly during treatment see Blood/laboratory tests above.
Tecfidera has not been studied in patients with severe active gastrointestinal disease and caution should, therefore, be used in these patients.
Upon recovery and in the absence of alternative treatment options,decisions about whether or not to restart Tecfidera after treatment discontinuation should be based on clinical judgement.
However, Tecfidera should be taken with food due to improved tolerability with respect to flushing or gastrointestinal adverse events see section 4.2.
In a main study involving 1,234 patients, the proportion of patients who experienced a relapse over thecourse of two years was significantly lower with Tecfidera treatment than with placebo(a dummy treatment): 27% versus 46.
Tecfidera has not been studied in combination with anti-neoplastic or immunosuppressive therapies and caution should, therefore, be used during concomitant administration.
Flushing events tend to begin early in the course of treatment(primarily during the first month) and in patients who experience flushing,these events may continue to occur intermittently throughout treatment with Tecfidera.
Tecfidera has not been studied in patients with severe renal or severe hepatic impairment and caution should, therefore, be used in these patients see section 4.2.
Flushing and gastrointestinal events tend to begin early in the course of treatment(primarily during the first month) and in patients who experience flushing and gastrointestinal events,these events may continue to occur intermittently throughout treatment with Tecfidera.
During treatment with Tecfidera in the MS placebo controlled trials, mean lymphocyte counts decreased by approximately 30% from baseline at one year and then plateaued see section 4.8.
Administration of 325 mg(or equivalent) non-enteric coated acetylsalicylic acid, 30 minutes prior to Tecfidera, over 4 days of dosing, did not alter the pharmacokinetic profile of Tecfidera and reduced the occurrence and severity of flushing in a healthy volunteer study.
Tecfidera has been shown to be effective in reducing the number of relapses in patients with relapsing- remitting MS and in reducing the number of patients who have relapses during treatment.
When switching patients from another disease modifying therapy to Tecfidera, the half-life and mode of action of the other therapy should be considered in order to avoid an additive immune effect while at the same time, reducing the risk of reactivation of MS.
Tecfidera is indicated for the treatment of adult patients with relapsing remitting multiple sclerosis please refer to section 5.1 for important information on the populations for which efficacy has been established.
The main risks identified with Tecfidera are considered to be manageable and include flushing and gastrointestinal problems(the most common side effects), as well as reduced levels of white blood cells and protein in the urine.
Clinical studies of Tecfidera had limited exposure to patients aged 55 years and above, and did not include sufficient numbers of patients aged 65 and over to determine whether they respond differently than younger patients see section 5.2.