Leflunomide
Brand Names: Arava
Methodology & AI Transparency ⓘ
Leflunomide Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: Leflunomide tablets USP are indicated for the treatment of adults with active rheumatoid arthritis (RA).
- 2 Real-world patient consensus: 81% patient "Worth It" rating across 4 anonymous logs for Leflunomide (RxNorm 205284).
- 3 Typical cash cost range: Dispensing cost comparison spans $7.22 mail/discount cash up to $34.50 uninsured retail (federal NADAC $0.3023).
- 4 Top reported side effects / signs: Key post-marketing and trial adverse reactions (Leflunomide): nausea (10.6%), headache (9.2%), diarrhea (7.9%).
Ask our AI Specialists anything about Leflunomide
Leflunomide Mechanism, CYP450 Pathways & DailyMed Monograph
Leflunomide tablets USP are indicated for the treatment of adults with active rheumatoid arthritis (RA). Leflunomide is a pyrimidine synthesis inhibitor indicated for the treatment of adults with active rheumatoid arthritis. ( 1 )
12.1 Mechanism of Action Leflunomide is an isoxazole immunomodulatory agent that inhibits dihydroorotate dehydrogenase (a mitochondrial enzyme involved in de novo pyrimidine synthesis) and has antiproliferative activity. Several in vivo and in vitro experimental models have demonstrated an anti-inflammatory effect.
Clinical clearance of Leflunomide (Antirheumatic Agent) relies on mixed metabolic conjugation and unchanged urinary excretion across leflunomide regimens with a Terminal t½ estimated at 10–23 hrs depending on renal/hepatic reserve (Leflunomide) half-life; patients absorbing at F ≈ 73%–85% systemic availability after standard oral Leflunomide administration bioavailability typically observe target onset around time to peak concentration spans 1 to 3 hrs under leflunomide maintenance.
FDA clinical labeling for Leflunomide restricts administration in leflunomide is contraindicated in: · pregnant women.; leflunomide may cause fetal harm.; if a woman becomes pregnant while taking this drug, stop leflunomide, apprise the patient of the potential hazard to the fetus, and begin a drug elimination procedure . across 10 mg/1 Tablet, 10 mg/1 Tablet, Film Coated, 20 mg/1 Tablet, Film Coated, 20 mg/1 Tablet, 100 mg/1 Tablet, Film Coated, with self-reported patient tracking dominated by nausea (10.6% of reports), headache (9.2% of reports), diarrhea (7.9% of reports).
Avoid overlapping antirheumatic agent prescriptions alongside Leflunomide to prevent cumulative receptor toxicity.
Shifts in intragastric pH can modestly influence dissolution kinetics of oral Leflunomide dosage forms.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- Leflunomide is contraindicated in: · Pregnant women.
- Leflunomide may cause fetal harm.
- If a woman becomes pregnant while taking this drug, stop leflunomide, apprise the patient of the potential hazard to the fetus, and begin a drug elimination procedure .
Logged Side-Effect Incidence (4 Reports)
Leflunomide Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Leflunomide)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| Can This Approach Help? Inside the Latest Research on Rituximab plus leflunomide in autoimmune joint pain (rheumatoid arthritis): a The primary endpoint was not reached, but rituximab + LEF demonstrated clinical benefits vs LEF in secondary endpoints. Rheumatology (Oxford, England) • 2021-11-03 • Phase III Randomized Trial | N = 93 | 88/100 | PMID 33738492 ↗ |
Leflunomide Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $0.3023/unit (~$9.07/30u) | Wholesale baseline |
| Mark Cuban Cost Plus Drugs (Mail-Order Generic) | Public Wholesale Price List (NADAC + 15% + pharmacy fee) | $7.22 / mo | Formulary listing ↗ |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $34.50 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 4 Anonymous DotMD Community Micro-Logs | $8.30 / mo | View logs ↓ |
Leflunomide Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Leflunomide RxNorm Concept ID | 205284 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $0.3023 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $34.50 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $7.22 / mo (Cost Plus Drugs) | Mark Cuban Cost Plus Public API |
| Real-World Patient Consensus | 81.00% Worth It (4 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Leflunomide Patient Community, Cohort Filters & Dosage Logs
Deterministic Leflunomide reference combining NIH RxNorm (205284), Medicaid NADAC ($0.3023/unit), and anonymous cohort outcomes (81% Worth It).
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Leflunomide community threads and patient logs by age, biological sex, dosage, and treatment duration.