Proper Use

Drug information provided by: Merative, Micromedex®

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

This medicine should come with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions.

If you are using this medicine and have certain heart conditions, your doctor may want you to stay in the medical facility for at least 4 hours when you take the next dose.

Swallow the tablet whole. Do not split, crush, or chew it. You may take this medicine with or without food.

Dosing

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

  • For oral dosage form (tablets):
    • For relapsing forms of multiple sclerosis:
      • Adults—You will need to take this medicine with a 14-day titration schedule. 2 milligrams (mg) once a day on Days 1 and 2, 3 mg once a day on Days 3 and 4, 4 mg once a day on Days 5 and 6, 5 mg once a day on Day 7, 6 mg once a day on Day 8, 7 mg once a day on Day 9, 8 mg once a day on Day 10, 9 mg once a day on Day 11, and 10 mg once a day on Days 12, 13, and 14. Then, a maintenance dose of 20 mg once a day starting on Day 15.
      • Children—Use and dose must be determined by your doctor.

Missed Dose

Call your doctor or pharmacist for instructions.

  • If you miss 1, 2, or 3 doses in a row during the initial dose titration or the maintenance dose, take it as soon as you remember, then go back to your regular dosing schedule.
  • If you miss a dose for 4 or more days in a row during the initial dose titration or the maintenance dose, you will need to restart the dose titration.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.