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Drug Mechanism: How does it work?
Arava is an oral, disease-modifying drug that is used in the treatment of rheumatoid
arthritis. Leflunomide reduces inflammation in the joints that is responsible
for both the symptoms of rheumatoid arthritis and the destruction of joints.
This reduces symptoms as well as the progressive deformities of the joints caused
by the arthritis. Leflunomide reduces inflammation by suppressing the activity
of immune cells responsible for the inflammation. Leflunomide suppresses immune
cells by inhibiting dihydroorotate dehydrogenase, an enzyme that is necessary
for the production of DNA and RNA. Without
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Dosage: How should you take Arava medication?
Your dosage of Arava will be decreased after the first 3 days. Never take more
than your doctor prescribes. If you miss a dose: Take it as soon as you remember.
If it is almost time for your next dose, skip the one you missed and go back
to your regular schedule. Do not take 2 doses at the same time. Storage instructions:
Store at room temperature away from light.
Possible food and drug interactions when taking this medication
If Arava is taken with certain other drugs, the effects of either could be increased,
decreased, or altered. It is especially important to check with your doctor
before combining Arava with the following: Cholestyramine (Prevalite, Questran),
Methotrexate (Rheumatrex), Nonsteroidal anti-inflammatory drugs such as Advil,
Aleve, Motrin, and Naprosyn, Rifampin (Rifadin, Rifamate, Rifater), Tolbutamide
(Orinase).
Special information on Arava
You MUST NOT take Arava if you are pregnant; it can harm the developing baby.
If you are still in your childbearing years, your doctor will want to see negative
results from a pregnancy test before starting you on Arava. You'll also need
to use reliable contraceptive measures as long as you take the drug. If you
become pregnant while taking Arava, your doctor will stop the drug immediately
and prescribe a regimen of cholestyramine (Questran) in 8-gram doses 3 times
a day for 11 days. Questran helps to clear Arava from the bloodstream, possibly
preventing harm to the unborn child.
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Arava side effects
Side effects cannot be anticipated. If any develop or change in intensity, inform
your doctor as soon as possible. Only your doctor can determine if it is safe
for you to continue taking Arava. More common side effects may include: Abdominal
pain, back pain, bronchitis, cough, diarrhea, dizziness, hair loss, headache,
high blood pressure, indigestion, itching, joint disorders, loss of appetite,
mouth ulcers, nausea, rash, respiratory infection, sore throat, stomach inflammation,
tendon inflammation, urinary tract infection, vomiting, weakness, weight loss.
Less common side effects