{"product_id":"gilenya-fingolimod","title":"GILENYA (Fingolimod)","description":"\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat is this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cb data-mce-fragment=\"1\"\u003eGILENYA (Fingolimod)\u003cbr\u003e\u003c\/b\u003eSphingosine 1-Phosphate (S1P) Receptor Modulator\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\" data-mce-fragment=\"1\" data-mce-style=\"font-weight: 400;\"\u003eGILENYA (Fingolimod) is a sphingosine 1-phosphate receptor modulator indicated for the treatment of patients with relapsing forms of multiple sclerosis to reduce the frequency of clinical exacerbations and to delay the accumulation of physical disability.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow does this medication work? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003eGILENYA (Fingolimod) binds to sphingosine 1-phosphate receptors 1, 3, 4, and 5. Fingolimod-phosphate blocks the lymphocytes’ ability to emerge from lymph nodes; therefore, the amount of lymphocytes available to the central nervous system is decreased, which reduces central inflammation.\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I take this medication? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cem\u003eOral:\u003c\/em\u003e\u003cspan\u003e Take \u003c\/span\u003e0.5mg daily.\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cb data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow to Take: \u003c\/span\u003e\u003c\/b\u003eTake orally with or without food.\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat should I watch for while using this medication? \u003c\/span\u003e\u003c\/h5\u003e\n\u003cp\u003e\u003cspan style=\"font-weight: 400;\"\u003eBefore starting GILENYA (Fingolimod), make sure your physician is aware of any allergies and medications you currently take. Fingolimod can cause a decrease in heart rate. Watch for signs and symptoms of bradycardia for at least 6 hours after the first dose. If you develop a heart rate \u0026lt;45 bpm, or a new onset of 2nd degree or higher atrioventricular block should be monitored until resolution of the finding. Fingolimod may increase the risk of infections.  Monitor for signs and symptoms of infection during treatment and for two months after discontinuation. Macular edema can occur with or without visual symptoms. Fingolimod may increase liver transaminases. Assess liver enzymes if hepatic injury is suspected.  Discontinue Fingolimod if significant liver injury occurs.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat if I miss a dose?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\" data-mce-style=\"font-weight: 400;\" data-mce-fragment=\"1\"\u003eIf you miss a dose of medication, try to take it as soon as possible. However, if it is almost time for your next dose, take only that scheduled dose. Do not take double or extra doses.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I store this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan style=\"font-weight: 400;\" data-mce-style=\"font-weight: 400;\" data-mce-fragment=\"1\"\u003eKeep out of the reach of children at all times. Store at room temperature, 59 to 86° F (15 to 30° C). Protect from light. Keep the container tightly closed. Properly dispose of any unused medication after the expiration date.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat are the possible side effects of using this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eDiarrhea, nausea, abdominal pain, elevated liver enzymes, headache, influenza, cough, sinusitis.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eNote this is not a complete list of side effects for GILENYA (Fingolimod),\u003c\/span\u003e\u003cspan data-mce-fragment=\"1\"\u003e \u003c\/span\u003e\u003cspan data-mce-fragment=\"1\"\u003eonly common ones.\u003c\/span\u003e\u003c\/p\u003e","brand":"NOVARTIS PHARMACEUTICALS","offers":[{"title":"0.25mg - 28 Cap - Canada","offer_id":47135085560126,"sku":null,"price":7000.0,"currency_code":"USD","in_stock":true},{"title":"0.5mg - 28 Cap - Canada","offer_id":47135085592894,"sku":null,"price":7000.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0711\/0321\/7982\/products\/Gilenya0.25mg.png?v=1695131672","url":"https:\/\/www.advochealth.com\/products\/gilenya-fingolimod","provider":"AdvocHealth","version":"1.0","type":"link"}