Filosir (Fingolimod Hydrochloride)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
fingolimod hydrochloride
Drug Class
sphingosine 1-phosphate (S1-P) receptor modulators
Used For
treatment of relapsing forms of multiple sclerosis in adults, children, and adolescents (10 years and older)
How Taken
oral capsule taken once daily

What Is Filosir Used For?

Filosir is a medication used to manage relapsing forms of multiple sclerosis (MS), a condition that affects the central nervous system.

Primary Uses

Filosir is primarily used to treat adults, children, and adolescents aged 10 and above with relapsing forms of multiple sclerosis.

How It Works

Filosir alters the immune system's response, reducing inflammation and nerve damage associated with MS, thereby slowing the progression of physical disability and decreasing relapse frequency.

Good to know: Filosir is not considered addictive.

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How to Take Filosir

Filosir should be taken as directed by your healthcare provider, ideally at the same time each day for optimal effect.

Dosage Instructions

Adults typically take one 0.5 mg capsule daily. For children and adolescents, the dosage is based on body weight: those weighing 40 kg or less take one 0.25 mg capsule daily, while those over 40 kg take one 0.5 mg capsule daily.

What If You Miss a Dose?

If you miss a dose, skip it and take your next dose at the scheduled time. Do not double the dose to make up for a missed one.

Important: Never take a double dose of Filosir.

Available Tablet Strengths

0.25 mg
0.25 mg Tablet Not specified, Not specified • not specified
0.5 mg
0.5 mg Tablet Not specified, Not specified • not specified

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • flu-like symptoms
  • headache
  • diarrhea

Seek immediate medical attention if you experience:

  • coughing with phlegm
  • chest pain
  • shingles/herpes zoster
  • slow or irregular heartbeat
  • blurred vision
  • skin nodules

Impulse Control Issues

There is a risk of impulse control issues, including compulsive behaviors, while taking Filosir.

Important Warnings

There are several important considerations and warnings associated with Filosir.

Who Should Not Take Filosir

Do not use Filosir if you have had an allergic reaction to fingolimod or any of its ingredients, have had a heart attack, unstable angina, stroke, or certain heart conditions in the past six months.

Medical Conditions to Discuss

Discuss any history of heart problems, irregular heartbeat, severe breathing difficulties, liver issues, or infections with your doctor before starting Filosir.

Pregnancy and Breastfeeding

Avoid becoming pregnant while taking Filosir and for two months after stopping, as it may harm an unborn baby. Do not breastfeed while on this medication.

Elderly Patients With Dementia: Use of Filosir in elderly patients, particularly those with dementia, should be approached with caution due to limited experience.

Drug Interactions

Filosir may interact with other medications, affecting its efficacy.

Grapefruit interaction: Consult your doctor about grapefruit consumption while taking Filosir.

  • medications for irregular heartbeat (e.g., quinidine, amiodarone)
  • beta-blockers (e.g., atenolol)
  • calcium channel blockers (e.g., verapamil)
  • medications that suppress the immune system (e.g., corticosteroids)

Alcohol & Driving

Be cautious with alcohol consumption and operating vehicles or machinery while on Filosir.

Alcohol

Inform your doctor if you consume alcohol, as it may interact with Filosir.

Driving and Operating Machinery

Be careful when driving or using machinery until you know how Filosir affects you, as it may cause dizziness.

Storage

Store Filosir in its original container in a cool, dry place below 30°C for the 0.5 mg capsule or below 25°C for the 0.25 mg capsule, away from moisture and heat.

Overdose Information

If you suspect an overdose of Filosir, seek immediate medical attention. Symptoms may include swelling in hands or feet, tingling, muscle pain, or fever.

Frequently Asked Questions

Filosir may take some time to show its effects, as it works by modifying the immune system's response.

Filosir can be taken with or without food.

No, Filosir is not considered addictive.

Stopping Filosir suddenly may cause a return or worsening of MS symptoms.

You should inform your doctor if you consume alcohol, as it may interact with Filosir.

Weight gain is not specifically mentioned as a side effect of Filosir.

Use of Filosir in elderly patients should be approached with caution due to limited experience.

If you miss a dose, skip it and take your next dose at the scheduled time. Do not double the dose.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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