Immunosuppressants - MS

Drug Safety Update

March 2022: Cladribine (Mavenclad): new advice to minimise risk of serious liver injury

January 2021: Fingolimod (Gilenya▼): updated advice about the risks of serious liver injury and herpes meningoencephaliti

January 2021: Dimethyl fumarate (Tecfidera): updated advice on the risk of progressive multifocal leukoencephalopathy (PML) associated with mild lymphopenia

 February 2020: Lemtrada▼ (alemtuzumab): updated restrictions and strengthened monitoring requirements following review of serious cardiovascular and immune-mediated reactions

September 2019: Fingolimod (Gilenya▼): increased risk of congenital malformations; new contraindication during pregnancy and in women of childbearing potential not using effective contraception

 December 2017: Fingolimod (Gilenya▼): updated advice about risk of cancers and serious infections

 December 2017: Fingolimod (Gilenya▼): new contraindications in relation to cardiac risk

 April 2017: Multiple sclerosis therapies: signal of rebound effect after stopping or switching therapy

 April 2016: Fingolimod (Gilenya▼): risks of progressive multifocal leukoencephalopathy, basal-cell carcinoma, and opportunistic infections

 April 2016: Natalizumab (Tysabri▼): progressive multifocal leukoencephalopathy—updated advice to support early detection

 December 2014: Natalizumab (Tysabri▼): risk of progressive multifocal leukoencephalopathy increases after 2 years of therapy

NICE Guidance (also see drug specific guidance via links below)

NG220: Multiple sclerosis in adults: management, June 2022

Prescribe by brand, as there can be variation in the licensing of different brands containing the same drug.

Pack
1 tablet
4 tablet
6 tablet
Pack
7 capsule
28 capsule (2 x 14 capsules)

A Blu-teq form must be completed.

Pack
2 tablet
Pack
2 tablet
Pack
2 tablet
Pack
1 tablet
Pack
1 tablet
Pack
1 tablet
Pack
1 tablet
Pack
1 tablet
Pack
3 tablet
Pack
28 tablet
Pack
12 tablet
120 tablet (10 x 12 tablets)
Pack
28 tablet
Pack
28 tablet (2 x 14 tablets)
Pack
28 tablet (2 x 14 tablets)
  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary