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Manufactured by various FDA-approved generic manufacturers.

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ozanimod Uses, Side Effects, Interactions, Warnings & Dosing

What dosages is ozanimod available in?

What dosages is ozanimod available in?

ozanimod is available as a 0.23 mg, 0.46 mg, 0.92 mg oral capsule.

What is ozanimod used for?

What is ozanimod used for?

ozanimod is a sphingosine 1-phosphate (S1P) receptor modulator that is used to treat:

  • Relapsing forms of multiple sclerosis (MS) in adults
  • Moderate-to-severe ulcerative colitis (UC) in adults
How does ozanimod work?

How does ozanimod work?

ozanimod is a sphingosine 1-phosphate (S1P) receptor modulator. It attaches to the S1P receptor protein that’s found on your white blood cells. It’s thought that this blocks white blood cells from leaving your lymph nodes and releasing into the body. This helps to lower inflammation in the body, which might help improve symptoms of UC and MS.

How do I take ozanimod?

How do I take ozanimod?

ozanimod is typically dosed as follows:

  • Days 1 to 4: The typical dose is 0.23 mg by mouth once daily
  • Days 5 to 7: The typical dose is 0.46 mg by mouth once daily
  • Day 8 and onward: The typical dose is 0.92 mg by mouth once daily

Your provider will adjust the dose if you have liver problems

Is it safe for me to take ozanimod?

Is it safe for me to take ozanimod?

ozanimod is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if any of the following apply:

  • In the last 6 months, experienced myocardial infarction, unstable angina, stroke, transient ischemic attack, decompensated heart failure requiring hospitalization, or Class III or IV heart failure
  • Presence of Mobitz type II second-degree or third degree atrioventricular (AV) block, sick sinus syndrome, or sino-atrial block, unless the patient has a functioning
  • Severe untreated sleep apnea
  • Concomitant use of a monoamine oxidase inhibitor
ozanimod Common Side Effects

ozanimod Common Side Effects

Common side effects of ozanimod:

  • Upper respiratory infection
  • High liver enzyme tests
  • Stomach pain
  • Back pain
  • Sudden low blood pressure when standing
ozanimod Serious Side Effects

ozanimod Serious Side Effects

Serious side effects are rare with ozanimod. Contact your healthcare provider immediately if you experience any of the following.

  • Serious infection: fever, chills, sweating, weakness, trouble breathing, cough, diarrhea, stomach pain, painful urination
  • Serious brain infection (PML): weakness on one side of the body, clumsiness, confusion, changes in personality, changes in vision, headache, stiff neck, light sensitivity, fever, seizures
  • Dangerously slow heart rate: tiredness, weakness, confusion, feeling faint, trouble breathing, chest pain
    Severely high blood pressure: severe headaches, nosebleeds, trouble breathing, vision changes, irregular heartbeat, chest pain
  • Serious liver problems: nausea, vomiting, stomach pain, swelling of your stomach, yellowing of your skin or the whites of your eyes, clay-colored stool, confusion
    Posterior reversible encephalopathy syndrome (PRES): seizures; sudden, severe headaches; sudden changes in vision; sudden confusion
Effects of other drugs, drug classes and over-the-counter products on ozanimod

Effects of other drugs, drug classes and over-the-counter products on ozanimod

The following medications may interact with ozanimod:

  • Vaccination: Avoid use of live attenuated vaccines during and for up to 3 months after treatment with ozanimod
  • Co-administration of ozanimod with drugs or over-the-counter medications that can increase norepinephrine or serotonin (e.g., opioid drugs, SSRIs
  • SNRIs, tricyclics, tyramine) is not recommended Monitor patients for hypertension with concomitant use.
  • Co-administration of ozanimod with strong CYP2C8 inducers (e.g. rifampin) reduces the exposure of the major active metabolites of ozanimod, which may decrease the efficacy of ozanimod and should be avoided.
  • Co-administration of ozanimod with MAO inhibitors (e.g., selegiline phenelzine, linezolid) is contraindicated. At least 14 days should elapse between discontinuation of ozanimod and initiation of treatment with MAO inhibitors
  • Co-administration of ozanimod with strong CYP2C8 inhibitors (e.g., gemfibrozil) is not recommended
Who makes ozanimod?

Who makes ozanimod?

Various FDA-approved generic manufacturers

Is ozanimod safe in pregnancy?

Is ozanimod safe in pregnancy?

ozanimod may harm your unborn baby. Talk with your healthcare provider if you are pregnant or plan to become pregnant. If you are a female who can become pregnant, you should use effective birth control during your treatment with ozanimod and for 3 months after you stop taking ozanimod. Talk with your healthcare provider about what birth control method is right for you during this time. Tell your healthcare provider right away if you become pregnant while taking ozanimod or if you become pregnant within 3 months after you stop taking ozanimod.Pregnancy Registry for MS patients: There is a pregnancy registry for women with multiple sclerosis who become pregnant during treatment with ozanimod. If you become pregnant while taking ozanimod, tell your healthcare provider right away. Talk to your healthcare provider about registering with the ozanimod Pregnancy Registry. The purpose of this registry is to collect information about your health and your baby’s health. Either you or your healthcare provider can enroll you in this registry by calling 1-877-301-9314 or visiting ozanimod MS pregnancy registry


What to do if you missed your ozanimod dose

The FDA's medical product safety reporting program for health professionals, patients and consumers.

Learn more about reporting side effects
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NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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