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Molecule

Teriflunomide

Pyrimidine Synthesis Inhibitor
Available on requestImmunology and transplant
Presentations
4
Brands
1
Manufacturers
1
Available from stock
0

Teriflunomide is a pyrimidine synthesis inhibitor indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. MedsAcross supplies Teriflunomide for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Pyrimidine Synthesis Inhibitor, Dihydroorotate Dehydrogenase Inhibitors
ATC classification
L04AK02 Teriflunomide · Immunosuppressive drug, subgroup L04AK
US FDA first approval
12 September 2012
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII 1C058IKG3BRxCUI 1310520CAS 163451-81-8DrugBank DB08880Q3077133

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

AUBAGIO ® is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. AUBAGIO is a pyrimidine synthesis inhibitor indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

Source: US FDA prescribing information

How it works

Teriflunomide, an immunomodulatory agent with anti-inflammatory properties, inhibits dihydroorotate dehydrogenase, a mitochondrial enzyme involved in de novo pyrimidine synthesis. The exact mechanism by which teriflunomide exerts its therapeutic effect in multiple sclerosis is unknown but may involve a reduction in the number of activated lymphocytes in CNS.

Source: US FDA prescribing information

Dosing overview

The recommended dose of AUBAGIO is 7 mg or 14 mg orally once daily. AUBAGIO can be taken with or without food. 7 mg or 14 mg orally once daily, with or without food. Monitoring to Assess Safety Obtain transaminase and bilirubin levels within 6 months before initiation of AUBAGIO therapy. Monitor ALT levels at least monthly for six months after starting AUBAGIO. Obtain a complete blood cell count (CBC) within 6 months before the initiation of treatment with AUBAGIO. Further monitoring should be based on signs and symptoms of infection. Prior to initiating AUBAGIO, screen patients for latent tuberculosis infection with a tuberculin skin test or blood test for mycobacterium tuberculosis infection. Exclude pregnancy prior to initiation of treatment with AUBAGIO in females of reproductive potential. Check blood pressure before start of AUBAGIO treatment and periodically thereafter.

Source: US FDA prescribing information

Contraindications

Severe hepatic impairment. Pregnancy. Hypersensitivity. Current leflunomide treatment. AUBAGIO is contraindicated in/with: Patients with severe hepatic impairment. Pregnant women and females of reproductive potential not using effective contraception. AUBAGIO may cause fetal harm. Patients with a history of a hypersensitivity reaction to teriflunomide, leflunomide, or to any of the inactive ingredients in AUBAGIO. Reactions have included anaphylaxis, angioedema, and serious skin reactions. Coadministration with leflunomide.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (hepatotoxicity and embryofetal toxicity): Hepatotoxicity Clinically significant and potentially life-threatening liver injury, including acute liver failure requiring transplant, has been reported in patients treated with AUBAGIO in the postmarketing setting. Concomitant use of AUBAGIO with other hepatotoxic drugs may increase the risk of severe liver injury. Elimination of AUBAGIO can be accelerated by administration of cholestyramine or activated charcoal for 11 days. AUBAGIO may decrease WBC. A recent CBC should be available before starting AUBAGIO. Monitor for signs and symptoms of infection. Consider suspending treatment with AUBAGIO in case of serious infection. Do not start AUBAGIO in patients with active infections.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the prescribing information: Hepatotoxicity Bone Marrow Effects/Immunosuppression Potential/Infections Hypersensitivity Reactions Serious Skin Reactions Drug Reaction with Eosinophilia and Systemic Symptoms Cutaneous or Mucocutaneous Ulcers and Impaired Wound Healing Peripheral Neuropathy Increased Blood Pressure Respiratory Effects Pancreatitis in Pediatric Patients Most common adverse reactions (≥10% and ≥2% greater than placebo): headache, diarrhea, nausea, alopecia, increase in ALT.

Source: US FDA prescribing information

Interactions

Drugs metabolized by CYP2C8 and OAT3 transporters: Monitor patients because teriflunomide may increase exposure of these drugs. Teriflunomide may increase exposure of ethinylestradiol and levonorgestrel. Choose an appropriate oral contraceptive. Drugs metabolized by CYP1A2: Monitor patients because teriflunomide may decrease exposure of these drugs. Warfarin: Monitor INR as teriflunomide may decrease INR. Drugs metabolized by BCRP and OATP1B1/B3 transporters: Monitor patients because teriflunomide may increase exposure of these drugs. Rosuvastatin: The dose of rosuvastatin should not exceed 10 mg once daily in patients taking AUBAGIO. Effect of AUBAGIO on CYP2C8 Substrates Teriflunomide is an inhibitor of CYP2C8 in vivo. In patients taking AUBAGIO, exposure of drugs metabolized by CYP2C8 (e.g., paclitaxel, pioglitazone, repaglinide, rosiglitazone) may be increased.

Source: US FDA prescribing information

Storage

Store at 68°F to 77°F (20°C to 25°C) with excursions permitted between 59°F and 86°F (15°C and 30°C).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Teriflunomide, sorted by availability.

MedicineManufacturerRegisterAvailability
Teriflunomide 14 mg tabletOralGeneric name—US FDAAvailable on request
Teriflunomide 7 mg tabletOralGeneric name—US FDAAvailable on request
Aubagio 14 mg tabletOralGenzymeUS FDAAvailable on request
Aubagio 7 mg tabletOralGenzymeUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 12 September 2012Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Teriflunomide in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Teriflunomide available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Teriflunomide and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Teriflunomide have?

The catalogue lists 1 brand names for Teriflunomide, including Aubagio.

Is Teriflunomide approved by the US FDA?

Yes. The US FDA first approved Teriflunomide on 12 September 2012, according to Drugs@FDA.

Is Teriflunomide authorised in the European Union?

Yes. Teriflunomide has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Teriflunomide need cold chain shipping?

No listed presentation of Teriflunomide is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Teriflunomide in?

Teriflunomide is classified under ATC code L04AK02 (Teriflunomide).

References

  1. Aubagio prescribing information (Genzyme). U.S. National Library of Medicine, DailyMed. Retrieved 20 February 2026
  2. Aubagio: European public assessment report (EPAR). European Medicines Agency. Retrieved 9 December 2025
  3. Teriflunomide Accord: European public assessment report (EPAR). European Medicines Agency. Retrieved 24 February 2026

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