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How long does it take Tecfidera to start working?

Medically reviewed by Carmen Pope, BPharm. Last updated on Aug 17, 2023.

Official answer

by drugclasses.com

Tecfidera starts to work within 24 weeks; however, it may take up to two years for the full effects to be seen.

Studies report that after 2 years, people taking Tecfidera were:

  • 44% to 53% less likely to relapse every year when taking Tecfidera compared with those taking placebo
  • 21% to 28% less likely to have a progression of their disability while taking Tecfidera compared to those assigned to placebo
  • 74% to 90% less likely to develop new or newly enlarging T2 lesions or have Gd lesions.

It took 24 weeks for a difference to be noted between Tecfidera 240mg twice daily and placebo for the time to 12 week confirmed progression of disability; 6% of people taking Tecfidera had a confirmed progression of disability vs 8% taking placebo after 24 weeks. After 2 years 16.4% taking Tecfidera had disability progression compared with 27.1% assigned to placebo which corresponded to a risk reduction of 38%. Another study reported a 21% risk reduction in disability progression.

Disability progression was defined as at least a 1 point increase on the EDSS (Expanded Disability Status Scale) from the baseline EDSS of >1, or a 1.5 increase on the EDSS from a baseline EDSS of 0 which was confirmed for at least 12 weeks.

References

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Yes, Tecfidera does suppress the immune system. Although experts are not sure exactly how Tecfidera does this, Tecfidera has been associated with reductions in lymphocyte counts, and several serious opportunistic viral infections, such as progressive multifocal leukoencephalopathy and herpes zoster, as well as uncommon fungal and bacterial infections. Continue reading

How do Vumerity and Tecfidera compare for multiple sclerosis (MS)?

Vumerity and Tecfidera are administered in the same way and used to treat the same condition, multiple sclerosis (MS). They also have the same active metabolite, which means that they have the same therapeutic effect - work the same way - in people with MS.

However, Vumerity and Tecfidera do have different chemical structures and Vumerity is better tolerated and causes fewer gastrointestinal problems compared with Tecfidera. Continue reading

Can I stop taking Tecfidera? What happens if I do?

There does not appear to be any rebound disease repercussions associated with stopping Tecfidera abruptly, unlike some other MS drugs such as Tysabri or Gilenya. Studies have shown the majority of patients taking Tecfidera discontinue or switch to another treatment within two years. Continue reading

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