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Doctor insights on: Arava

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Dr. Mark Ingerman
28 doctors shared insights

Arava (Overview)

Arava is an immune system affecting agent..


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What's the probability of arava (leflunomide) harming a baby while pregnant?

What's the probability of arava (leflunomide) harming a baby while pregnant?

If you have been : If you are pregnant on arava, (leflunomide) you need to notify your prescribing doctor immediately and you may need to see a high risk ob. ...Read more

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Dr. Mark Ingerman
28 doctors shared insights

Arava (Overview)

Arava is an immune system affecting agent..


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Where can I buy arava (leflunomide)?

Where can I buy arava (leflunomide)?

Rx only: Arava is a prescription drug for rheumatoid arthritis. It needs to be prescribed and monitoring by a physician familiar with its use. Arava or the generic, leflunomide, can be purchased through most pharmacies and long term distribution pharmacies. ...Read more

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Can arava (leflunomide) be prescribed for lupus? What is the best medication for sle lupus when liver and kidneys are affected? Thank you very much.

Can arava (leflunomide) be prescribed for lupus?  What is the best medication for sle lupus when liver and kidneys are affected? Thank you very much.

Not really: In my experience it has little or no value. The liver is not involved in lupus so look for other causes. With renal disease, a biopsy is essentially and CellCept (mycophenolate mofetil) would be the drug of choice. ...Read more

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Saw rheumy. Today.Gave me arava (leflunomide) 20mg+methotrexate 25mg+enbrel for psoriasis/psor.Arthritis.Is it safe, r all 3 used frequently/sometimes, opinion please ?

Saw rheumy. Today.Gave me arava (leflunomide) 20mg+methotrexate 25mg+enbrel for psoriasis/psor.Arthritis.Is it safe, r all 3 used frequently/sometimes, opinion please ?

Psoriatic Arthritis: Methotrexate (trexall) is the most common dmard used to treat psoriatic arthritis. However, it has potentially serious side effects, including lung, kidney and liver problems. Using Arava and Methotrexate together my increase the risk of hepatotoxicity & leukopenia.I would just use a biologic like Remicade or Humira or Enbrel or stelara (ustekinumab) which should control your disease but this is my opinion. ...Read more

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Is arava (leflunomide) effective for rheumatoid arthritis?

Is arava (leflunomide) effective for rheumatoid arthritis?

It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read more

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Stomach burning and hurting, no change in bowels. Good blood work, and urine. On arava (leflunomide) and predispose. Worried about pancreatic cancer. ?

Stomach burning and hurting, no change in bowels. Good blood work, and urine. On arava (leflunomide) and predispose. Worried about pancreatic cancer. ?

Need more info: Your symptoms could be from gastritis, reflux, ulcer, gallbladder disease, pancreatitis, hiatal hernia, gastroparesis, volvulus, disease of the spine, aortic dissection, or dozens of other various conditions, there are so many conditions with those symmptoms ranging from minor to very serious. Seek further evaluation from a doctor for guidance, focus and referral. ...Read more

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I have been on cholestyramine for 10 days to clear arava (leflunomide) from my system.How long will this non-stop itching last?

Discontinue: You may be having a histaminic reaction to the cholestyramine. I'd stop the medication or take Benadryl (diphenhydramine) to see if the itching improves. Tell the prescribing doctor, they will likely switch you to a different drug. ...Read more

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Where can I buy arava (leflunomide)?

Rx only: Arava is a prescription drug for rheumatoid arthritis. It needs to be prescribed and monitoring by a physician familiar with its use. Arava or the generic, leflunomide, can be purchased through most pharmacies and long term distribution pharmacies. ...Read more

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Is arava (leflunomide) cheaper then methotrexate?

Is arava (leflunomide) cheaper then methotrexate?

Methotrexate cheaper: Generic Methotrexate is very inexpensive. If you get name brand pills it's more, but generic version of Arava (leflunomide) is more expensive than Methotrexate and Arava is the most expensive. In my experience, Methotrexate works better and has less frequent dosing (weekly instead of daily). I only use Leflunomide (arava) if Methotrexate can't be used for some reason. Side effects are similar. ...Read more

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What is the definition or description of: Arava (leflunomide) allergy?

What is the definition or description of: Arava (leflunomide) allergy?

Multiple answers: Allergies or what I consider side effects to Arava can range from diarrhea to a skin rash which are common problems related to Arava. Hair loss, abdominal pain, and elevated liver function tests are also common side effects Many other issues can be seen with the drug and be found in the product information. Good luck ...Read more

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I have RA and am on prednsion and arava, (leflunomide) what do you think?

I have RA and am on prednsion and arava, (leflunomide) what do you think?

Seems ok: These are known treatments for rheumatoid arthritis. They are not typically the first agents that I use and i like to try to get my patients off all steroids if i can, but I do have patients on Leflunomide (arava) if they can't take or fail Methotrexate or biologicals. ...Read more

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What are the chances of arava (leflunomide) harming a baby while pregnant?

Quite serious: Leflunomide is category X by the FDA, the highest rating for potential for birth defects. If pregnant a doctor must follow a strict protocol outlined by the FDA. There are to date no major studies regarding pregnancy outcome in actual patients. ...Read more

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What's the probability of arava (leflunomide) harming a baby while pregnant?

If you have been : If you are pregnant on arava, (leflunomide) you need to notify your prescribing doctor immediately and you may need to see a high risk ob. ...Read more

See 1 more doctor answer
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I have RA and am on prednsion and arava, (leflunomide) what do you think about being on both?

I have RA and am on prednsion and arava, (leflunomide) what do you think about being on both?

Common combination: In rheumatoid arthritis Prednisone is given with a variety of other medication during therapy. We try to taper people off Prednisone because of its long term risks and side effects. Each medication has side effects including some of these: risk of infection, bone loss, osteoporosis, cataracts, weight gain with Prednisone and blood count and liver test with (leflunomide) generic name of arava. ...Read more

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Why do I need to stop methotrexate & arava (leflunomide) before alif surgery? I can't take it for 2 months after, why?

See details: Two months is an unusually long period to hold Methotrexate after surgery. Three weeks is more the usual but it is ultimately up to your surgeon. ...Read more

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Is arava (leflunomide) effective for rheumatoid arthritis?

It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read more

See 1 more doctor answer
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What are my chances of getting liver disease while taking arava (leflunomide) and methotrexate together?

What are my chances of getting liver disease while taking arava (leflunomide) and methotrexate together?

See details: Studies of this combination have shown increased risk of liver disease over taking just one of these meds alone. The exact risk is open to debate. I personally never prescribe this combination of meds although other rheumatologists do. ...Read more

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I have been on cholestyramine for 10 days to clear arava (leflunomide) from my system.How long will this non-stop itching last?

Discontinue: You may be having a histaminic reaction to the cholestyramine. I'd stop the medication or take Benadryl (diphenhydramine) to see if the itching improves. Tell the prescribing doctor, they will likely switch you to a different drug. ...Read more

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On enbrel 50mg weekly for 3 mos, methotrexate 25mg weekly 3mos, arava (leflunomide) 20mg 1 month, still have psoriasis lesions.Is this possible&willl psor. Ever clear?

On enbrel 50mg weekly for 3 mos, methotrexate 25mg weekly 3mos, arava (leflunomide) 20mg 1 month, still have psoriasis lesions.Is this possible&willl psor. Ever clear?

Still a bit early: So many of these medications requires several weeks or months to start working. Enbrel and Arava usually works around 3 months after starting it, and Methotrexate can take as long as 6 months before working. I would give it another month, then reconsider. There are other good medicines that could work for you including stelara (ustekinumab). ...Read more

Dr. Lawrence Kessler
33 doctors shared insights

Leflunomide (Definition)

Leflunomide is an ...Read more