Arava

Leflunomide

Indicated to manage rheumatoid arthritis to mitigate joint damage.

Active ingredient
Leflunomide
Supply
Rx
Route
Oral use
Form
Film-coated tablet
Strengths
10 · 20mg

Arava details

Therapeutic class
Disease-Modifying Antirheumatic Drug (DMARD)
Pharmacological class
Pyrimidine Synthesis Inhibitor
Minor side effects
diarrhoea; nausea; headache; alopecia
Moderate side effects
hypertension; elevated liver enzymes; weight loss; rash
Dosage forms
Film-coated tablet
Administration route
Oral use
Patient summary
Indicated to manage rheumatoid arthritis to mitigate joint damage.
Supply category
Prescription only (specially controlled medicine)
Manufacturer
Sanofi
Onset Time
4–8 weeks
Duration
long-term
Storage instructions
Store below 25°C in a dry place.
Drug interactions
hepatotoxic drugs; cholestyramine; activated charcoal
Age restrictions
Not recommended for those under 18 years.
Contraindications

pregnancy; severe hepatic impairment; severe immunodeficiency; hypersensitivity to leflunomide

Precautions and warnings

regular blood monitoring recommended; monitor liver function; avoid live vaccines during treatment

Serious side effects

severe liver injury, requires immediate medical attention; interstitial lung disease, requires immediate medical attention; severe haematological disorders, requires immediate medical attention

Mechanism of action

Inhibits dihydroorotate dehydrogenase, which reduces pyrimidine synthesis, thereby inhibiting the proliferation of activated T-lymphocytes.

Pregnancy and breastfeeding

Pregnancy: Absolute contraindication; must use strict contraception. Breastfeeding: Contraindicated.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Arava

Arava contains leflunomide, a disease-modifying agent used for treating rheumatoid arthritis and psoriatic arthritis. This medication is supplied as a tablet in strengths of 10mg and 20mg. Produced by Sanofi, it remains a standard treatment for individuals managing these chronic inflammatory joint conditions.

Arava availability in Asia

Arava is registered across 14 markets including Indonesia, Taiwan and South Korea, with further availability in Japan, the UAE and Singapore. Generic leflunomide, produced extensively in India, is often more affordable than the original brand, providing an accessible option for expats or those living far from a well-stocked pharmacy. This medication is best used under a doctor’s care due to the specific requirements of treating inflammatory joint conditions.