Arava (Leflunomide)⁚ A Comprehensive Guide

Understanding Arava

**Arava**, with the generic name **leflunomide**, is a prescription medication categorized as a disease-modifying antirheumatic drug (DMARD)․ It plays a crucial role in managing autoimmune diseases, primarily⁚

• Rheumatoid arthritis (RA)⁚ This condition involves the immune system mistakenly attacking the lining of your joints, causing inflammation, pain, and stiffness․
• Psoriatic arthritis⁚ This type of arthritis combines the inflamed skin of psoriasis with the joint pain and swelling of arthritis․

Arava works by inhibiting the overproduction of specific immune cells responsible for inflammation and joint damage, ultimately slowing the progression of these diseases and providing relief from symptoms․

How is Arava taken?​

Arava is available in tablet form and is usually taken orally once a day․ The specific dosage will be determined by your doctor based on your individual needs and medical history․

Here’s what you need to know about taking Arava⁚

* Dosage⁚ The typical starting dose is 100mg once daily for the first three days, followed by a maintenance dose of 10-20mg per day․
* Administration⁚ Always take Arava with a full glass of water, and follow your doctor’s instructions regarding food intake with the medication․
* Consistency⁚ It’s crucial to take Arava consistently and not to stop taking it without consulting your doctor, even if you start feeling better․

Important Considerations and Precautions

While Arava can be effective in managing RA and psoriatic arthritis, it’s essential to be aware of potential risks and precautions⁚

* Liver problems⁚ Arava can cause liver damage, so your doctor will monitor your liver function regularly through blood tests․
* Infections⁚ As Arava suppresses the immune system, it can make you more susceptible to infections․ Inform your doctor immediately if you experience any signs of infection․
* **Pregnancy and breastfeeding⁚** **Arava can cause severe birth defects**․ Women taking Arava must use effective birth control and continue doing so for up to two years after stopping the medication․ Men considering fathering a child should also discuss this with their doctor․ Arava is not recommended during breastfeeding․
* Drug interactions⁚ Inform your doctor about all medications, supplements, and herbal products you are taking, as some may interact with Arava․

Possible Side Effects

Like any medication, Arava can cause side effects․ Common side effects include⁚

* Diarrhea
* Headache
* Nausea
* Hair loss
* Rash
* Elevated liver enzymes
More serious side effects, although rare, can occur․ Seek immediate medical attention if you experience⁚

* Severe allergic reactions
* Signs of liver problems (yellowing of the skin or eyes, dark urine, abdominal pain)
* Signs of infection (fever, chills, sore throat)
* Unusual bruising or bleeding
* Numbness or tingling in hands or feet

Open Communication with your Doctor

Maintaining open communication with your doctor is crucial when taking Arava․ Be sure to⁚

* Report any side effects you experience, even if they seem minor․
* Discuss any concerns you have about the medication․
* Ask questions to ensure you understand how to take Arava safely and effectively․

Remember, this information is not a substitute for professional medical advice․ Always consult your doctor for personalized guidance regarding your health and medication․