Ponesimod and Teriflunomide interaction

Ponesimod and Teriflunomide: the Ponesimod prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Ponesimod (PONVORY) label · effective 2025-04-25

Moderate

In Study 1, the AV conduction delays manifested as first-degree AV block (prolonged PR interval on ECG), which occurred in 3.4% of PONVORY-treated patients and in 1.2% of patients receiving teriflunomide 14 mg.

Warnings and precautionsnames TeriflunomideView label on DailyMed
Moderate

In Study 1, the reduction from baseline in percent predicted FEV 1 at 2 years was 8.3% in PONVORY-treated patients compared to 4.4% in patients receiving teriflunomide 14 mg.

Warnings and precautionsnames TeriflunomideView label on DailyMed
Moderate

Increased Blood Pressure In Study 1, PONVORY-treated patients had an average increase of 2.9 mm Hg in systolic blood pressure and 2.8 mm Hg in diastolic blood pressure compared to 2.8 mm Hg and 3.1 mm Hg in patients receiving teriflunomide 14 mg, respectively.

Warnings and precautionsnames TeriflunomideView label on DailyMed
Minor

In Study 1 [see Clinical Studies (14) ] , the overall rate of infections was comparable between the PONVORY-treated patients and those receiving teriflunomide 14 mg (54.2% vs 52.1%, respectively).

Warnings and precautionsnames TeriflunomideView label on DailyMed
Minor

Serious or severe infections occurred in 1.6% of PONVORY-treated patients compared to 0.9% of patients receiving teriflunomide 14 mg.

Warnings and precautionsnames TeriflunomideView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.