Been on Aubagio for 11 months. Is it necessary to flush Aubagio from my system before I switch to Tecfidera?
Good reasons for flushing Aubagio (teriflunomide) from your system include the following:
2. Experiencing side effects to Aubagio including liver enzyme elevations, low white blood count etc.
3. Experiencing drug interactions with a drug you need to continue to take
4. Starting an immunosuppressant treatment
Strictly speaking Tecfidera is not an immunosuppressant but can lower white blood count. I would wait until you are sure you tolerate Tecfidera and then you can flush the Aubagio from your system while continuing on the Tecfidera.
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Professor of Clinical Neurosciences
University of California San Diego