User:Mr. Ibrahem/Fingolimod

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Mr. Ibrahem/Fingolimod
Clinical data
Trade namesGilenya
AHFS/Drugs.comMonograph
MedlinePlusa611006
License data
Pregnancy
category
  • AU: D
Routes of
administration
By mouth (capsules)
Drug classImmunosuppressants
Legal status
Legal status
Identifiers
  • 2-Amino-2-[2-(4-octylphenyl)ethyl]propane-1,3-diol
Chemical and physical data
FormulaC19H33NO2
Molar mass307.478 g·mol−1
3D model (JSmol)
  • CCCCCCCCC1=CC=C(C=C1)CCC(CO)(CO)N
  • InChI=1S/C19H33NO2/c1-2-3-4-5-6-7-8-17-9-11-18(12-10-17)13-14-19(20,15-21)16-22/h9-12,21-22H,2-8,13-16,20H2,1H3 checkY
  • Key:KKGQTZUTZRNORY-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Fingolimod, sold under the brand name Gilenya, is a medication, mostly used to treat multiple sclerosis (MS).[1] It reduces relapses in relapsing-remitting MS by approximately one-half over a two-year period.[3] It may also be used for chronic inflammatory demyelinating polyneuropathy.[1] It is taken by mouth.[2]

Common side effects include headache, liver problems, diarrhea, nausea, cough, and pain.[1] Other side effects may include AV block, infection, allergic reactions, skin cancer, lung problems, progressive multifocal leukoencephalopathy, and posterior reversible encephalopathy syndrome.[1] Use in pregnancy may harm the baby.[1] It is a sphingosine-1-phosphate receptor modulator, which prevents T cells from travelling from lymph nodes to the brain and spinal cord.[4]

Fingolimod was approved for medical use in the United States in 2010 and Europe in 2011.[1][4] In the United Kingdom 4 weeks of treatment costs the NHS about £1,470 as of 2021.[2] This amount in the United States costs about 8,300 USD.[5] A generic version was approved in 2021 in the USA.[6]

References[edit]

  1. ^ a b c d e f g h "Fingolimod Monograph for Professionals". Drugs.com. Archived from the original on 16 June 2018. Retrieved 10 December 2021.
  2. ^ a b c BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 901. ISBN 978-0857114105.
  3. ^ Sanford M (August 2014). "Fingolimod: a review of its use in relapsing-remitting multiple sclerosis". Drugs. 74 (12): 1411–33. doi:10.1007/s40265-014-0264-y. PMID 25063048. S2CID 42807019.
  4. ^ a b "Gilenya". Archived from the original on 29 September 2021. Retrieved 10 December 2021.
  5. ^ "Gilenya Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 17 May 2020. Retrieved 10 December 2021.
  6. ^ Research, Center for Drug Evaluation and (10 February 2022). "2021 First Generic Drug Approvals". FDA. Archived from the original on 21 June 2022. Retrieved 22 October 2022.