Leflunomide: Side Effects, Uses & Monitoring

Facts extracted from current FDA product labeling for Leflunomide. Educational only — not medical advice.

Reported adverse reactions

ReactionHighest frequency reported*
Respiratory infection32%
Diarrhea27%
Headache21%
Nausea19%
Abnormal liver enzymes17%
Alopecia17%
Dyspepsia13%
Rash12%
Injury accident11%
Hypertension10%
Mouth ulcer10%
Sinusitis10%
Back pain9%
Arthralgia9%
Abdominal pain8%
Gl/abdominal pain8%
Joint disorder8%
Bronchitis8%
Flu syndrome7%
Dizziness7%

*Highest percentage across placebo-controlled trial tables summarized in current labeling.

Labeled uses

Leflunomide tablets are indicated in adults for the treatment of active rheumatoid arthritis (RA): to reduce signs and symptoms to inhibit structural damage as evidenced by X-ray erosions and joint space narrowing to improve physical function (see CLINICAL STUDIES ). Aspirin, nonsteroidal anti-inflammatory agents and/or low dose corticosteroids may be continued during treatment with leflunomide tablets (see PRECAUTIONS - Drug Interactions – NSAIDs ). The combined use of leflunomide tablets with antimalarials, intramuscular or oral gold, D penicillamine, azathioprine, or methotrexate has not been adequately studied. (See WARNINGS - Immunosuppression Potential/Bone Marrow Suppression ).

Source: FDA labeling via NIH DailyMed (set 2fcef74c…). Not affiliated with FDA or NIH.

Medical disclaimer: Always consult a qualified healthcare professional about any medication.