Here is My Question:
I drink everyday. How long should I wait to take Tecfidera? I am just starting medication today. Tecfidera is a gastric (stomach) irritant, and this effect could be enhanced by alcohol intake. Tecfidera can also damage the liver (usually mild and temporary), which could also be enhanced with daily drinking.
I would advise no more than moderate drinking (1 drink daily for women and 2 drinks daily for men) and no more than 5 days per week (try to abstain at least 2 days out of the week). Avoid alcohol for about 2 hours after a dose of Tecfidera. Either stop drinking or stop Tecfidera if any significant elevations in Liver enzymes occur on treatment or if you experience significant gastrointestinal side effects and contact your doctor for further instructions.
Obviously, you should avoid drinking altogether if you plan to drive, are pregnant or have a history of alcohol use disorder. You should also avoid drinking if you have other medical conditions or take other medications contraindicated by the use of alcohol.
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Professor of Clinical Neurosciences
University of California San Diego
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