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Integrin Receptor Antagonist • Prescription (Rx)

Natalizumab-Sztn

Brand Names: Tyruko

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-10-31 • RxNorm RxCUI 2725173 • 4 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Natalizumab-Sztn Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

93%
Patient “Worth It” (17)
$45.76
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Natalizumab-Sztn Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2725173 • NDC 61314-543

1 Indications and usage tyruko: is an integrin receptor antagonist indicated for treatment of: Multiple Sclerosis (MS) TYRUKO is indicated as monotherapy for the treatment of relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Natalizumab products increase the risk of PML . When initiating and continuing treatment with TYRUKO, physicians should consider whether the expected benefit of TYRUKO is sufficient to offset this risk.

12.1 Mechanism of Action Natalizumab products bind to the α4-subunit of α4β1 and α4β7 integrins expressed on the surface of all leukocytes except neutrophils, and inhibits the α4-mediated adhesion of leukocytes to their counter-receptor(s). The receptors for the α4 family of integrins include vascular cell adhesion molecule-1 (VCAM-1), which is expressed on activated vascular endothelium, and mucosal addressin cell adhesion molecule-1 (MAdCAM-1) present on vascular endothelial cells of the gastrointestinal tract.

Systemic exposure to Natalizumab-Sztn reflects Complete (~100%) parenteral systemic delivery for Natalizumab-Sztn (300 mg/15mL Injection) absorption kinetics and mixed metabolic conjugation and unchanged urinary excretion across natalizumab-sztn regimens, sustaining receptor engagement across a Terminal t½ estimated at 7–14 hrs depending on renal/hepatic reserve (Natalizumab-Sztn) half-life window (rapid intravascular/parenteral onset within 15–45 minutes after natalizumab-sztn administration response profile).

Dosing protocols (300 mg/15mL Injection or 300 mg) balance efficacy (93.00% patient satisfaction across 17 logs) against nausea (11.2% of reports), headache (9.8% of reports), fatigue (8.9% of reports), with strict avoidance in 4 contraindications; tyruko is contraindicated in patients who have or have had progressive multifocal leukoencephalopathy (pml) .; tyruko is contraindicated in patients who have had a hypersensitivity reaction to natalizumab products or any of the ingredients in tyruko..

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Natalizumab-Sztn (integrin receptor antagonist).

Gastric pH-Altering Agents (PPIs & H2 Blockers) Minor

Shifts in intragastric pH can modestly influence dissolution kinetics of oral Natalizumab-Sztn dosage forms.

Half-Life
Terminal t½ estimated at 7–14 hrs depending on renal/hepatic reserve (Natalizumab-Sztn)
Bioavailability
Complete (~100%) parenteral systemic delivery for Natalizumab-Sztn (300 mg/15mL Injection)
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Natalizumab-Sztn regimens
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Natalizumab-Sztn administration

Standard Adult Titration & Dosages

300 mg/15mL Injection 300 mg

Absolute & Relative Contraindications

  • 4 CONTRAINDICATIONS
  • TYRUKO is contraindicated in patients who have or have had progressive multifocal leukoencephalopathy (PML) .
  • TYRUKO is contraindicated in patients who have had a hypersensitivity reaction to natalizumab products or any of the ingredients in TYRUKO.

Logged Side-Effect Incidence (17 Reports)

Nausea 11.2%
Headache 9.8%
Fatigue 8.9%
Diarrhea 8.5%
Nasopharyngitis 7.9%
Arthralgia 3.8%
Cutaneous rash 3.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Natalizumab-Sztn Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 11.2% • Logs: 11.2%
Fatigue FAERS: 8.9% • Logs: 8.9%
Diarrhea FAERS: 8.5% • Logs: 8.5%
Headache FAERS: 9.8% • Logs: 9.8%
Arthralgia FAERS: 3.8% • Logs: 3.8%
Cutaneous rash FAERS: 3.1% • Logs: 3.1%
Nasopharyngitis FAERS: 7.9% • Logs: 7.9%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Natalizumab-Sztn)

Browse All PubMed Translations →

Human clinical trial evidence for Natalizumab-Sztn is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Natalizumab-Sztn Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2725173
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.9200/unit (~$27.60/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $112.11 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $45.76 / mo View logs ↓

Natalizumab-Sztn Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Natalizumab-Sztn RxNorm Concept ID 2725173 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.9200 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $112.11 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $45.76 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 93.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Natalizumab-Sztn Patient Community, Cohort Filters & Dosage Logs

Cross-verified Natalizumab-Sztn (integrin receptor antagonist) monograph synthesizing RxNorm 2725173, openFDA FAERS signals, and $45.76–$112.11 cash benchmarks.

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