Surveillance Program ( TEPPAS)

The CGPA-Member Teriflunomide Enhanced Pharmacovigilance Pregnancy Active Surveillance Program.
Physicians are encouraged to enroll pregnant women in the Enhanced Pharmacovigilance Pregnancy Active Surveillance Program.

HCP Resources

Teriflunomide 14mg carton boxTeriflunomide 14mg tablets
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Prescribers Checklist / HCP Educational Discussion Guide
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Product Monograph
PRODUCT SKU:
420710515
ACTIVE COMPOUND:
Teriflunomide
REFERENCE BRAND:
PrAUBAGIO®
USAGE:
Immunomodulator Agent
PACK COUNT:
28 tablets (2 blisters of 14 film-coated tablets per blister).
PACK FORM:
Blisters
THERAPEUTIC CLASS( AHFS):
Immunomodulator Agent
DIN:
02500469
UPC:
697359005529
COLOR:
Light blue
shape:
round, biconvex
markings:
HP / 555
ROUTE OF ADMINISTRATION:
Oral
PRODUCTS FACTS:
N/A

PrMar-Teriflunomide

TERIFLUNOMIDE is indicated as monotherapy for the treatment of patients with relapsing remitting multiple sclerosis (RRMS). It should only be prescribed by clinicians who are experienced in the diagnosis and management of multiple sclerosis. TERIFLUNOMIDE may increase the risk of fetal death or teratogenic effects when administered to pregnant women which includes pregnant individuals who are or were taking teriflunomide or who were suspected to have teriflunomide exposure via the semen of a male partner taking teriflunomide.

Teriflunomide Adverse Reaction Form - Targeted Follow up

PATIENT DETAILS

SUSPECTED DRUG(S)

ACTION TAKEN WITH SUSPECTED DRUG(S)

DETAILS OF SUSPECTED ADVERSE DRUG REACTION(S)

Brief summary of suspected ADR and was any intervention(s) required such as treatmentadministration, and/or investigation(s) performed, specify with dates

SERIOUSNESS OF ADVERSE REACTION(S)

CONCOMITANT THERAPEUTIC PRODUCTS (taken or used at same time the reaction occurred)

Known Medical Conditions and relevant lifestyle factors

Results of laboratory tests and / or Imaging, please specify with dates

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Specific adverse drug reaction
follow-up forms

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Targeted Follow-up form for Hepatic effects
Click here to download
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Targeted Follow-up form for Interstitial Lung Disease
Click here to download
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Targeted Follow-up form for Pancreatic effects
Click here to download
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Targeted Follow-up form for Peripheral Neuropathy
Click here to download
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Targeted Follow-up form for Serious Opportunistic infections
including Progressive Multifocal Leukoencephalopathy (PML)
Click here to download
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Please download the required form as per the Adverse Reaction and send it to
Email: Safety.canada@marcanpharma.com or info@marcanpharma.com
e-FAX: 1-613-777-1025

If you have any questions please reach out to us via our toll free number 1-855-627-2261