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Bafiertam (Generic Monomethyl Fumarate)

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Why is this medication prescribed?

Bafiertam, also known as generic monomethyl fumarate, is prescribed primarily for the treatment of multiple sclerosis (MS). MS is a chronic autoimmune disease that affects the central nervous system (CNS), causing inflammation, damage to the myelin sheath (the protective covering of nerve fibers), and disruption in nerve signaling.

Monomethyl fumarate is believed to work by modulating the immune system and reducing inflammation, thereby helping to decrease the frequency and severity of relapses and slowing the progression of disability associated with MS.

Here are some specific reasons why Bafiertam may be prescribed for MS:

  • Relapsing-Remitting Multiple Sclerosis (RRMS): Bafiertam is often prescribed for patients with RRMS, the most common form of MS characterized by periods of relapse (worsening of symptoms) followed by periods of remission (partial or complete recovery).
  • Clinically Isolated Syndrome (CIS): Bafiertam may also be used for patients with clinically isolated syndrome, which involves a single episode of neurological symptoms suggestive of MS. Treating CIS with Bafiertam may help prevent the development of full-blown MS.
  • Active Secondary Progressive Multiple Sclerosis (SPMS): In some cases, Bafiertam may be prescribed for patients with active secondary progressive MS, a stage of MS characterized by a gradual worsening of symptoms and disability after an initial period of RRMS.

How should this medicine be used?

Bafiertam (generic monomethyl fumarate) is typically taken orally, and the dosage and administration instructions may vary depending on individual patient factors and healthcare provider recommendations. Here’s a general guideline for how Bafiertam should be used:

  • Dosage: The initial dosage of Bafiertam is usually lower to help minimize the risk of side effects, and it is gradually increased over time. The specific dosage prescribed will depend on factors such as the patient’s medical history, disease severity, and tolerance to the medication.
  • Administration: Bafiertam can be taken with or without food. It’s essential to follow the instructions provided by the healthcare provider and the guidelines on the medication label regarding when and how to take Bafiertam.
  • Timing: Bafiertam is typically taken once or twice daily, depending on the prescribed dosage regimen. It’s important to take Bafiertam consistently at the same time(s) each day to maintain steady levels of the medication in the body.
  • Swallowing: Bafiertam capsules should be swallowed whole with water and should not be crushed, chewed, or opened. Breaking or opening the capsules can lead to the release of the medication too quickly, which may increase the risk of side effects.
  • Missed Doses: If a dose of Bafiertam is missed, it should be taken as soon as remembered, unless it is almost time for the next scheduled dose. In that case, the missed dose should be skipped, and the regular dosing schedule should be resumed. It’s essential not to double the dose to make up for a missed one.
  • Storage: Bafiertam should be stored at room temperature away from moisture and heat. It’s crucial to keep the medication out of reach of children and pets.
  • Monitoring: While taking Bafiertam, patients may need regular monitoring by their healthcare provider to assess the effectiveness of the medication and monitor for any potential side effects or changes in their condition.

It’s essential to follow the healthcare provider’s instructions and adhere to the prescribed dosage regimen when taking Bafiertam or any other medication for multiple sclerosis or any other condition. Any questions or concerns about the use of Bafiertam should be discussed with a healthcare professional.

Other uses for this medicine

Bafiertam, also known as generic monomethyl fumarate, is primarily prescribed for the treatment of multiple sclerosis (MS). However, there might be off-label uses for Bafiertam, meaning it could potentially be prescribed for conditions other than MS. Off-label use should only occur under the supervision of a healthcare provider who has determined that the potential benefits outweigh the risks.

What special precautions should I follow?

As for special precautions to follow when taking Bafiertam, here are some important points to consider:

  • Allergies: Before taking Bafiertam, patients should inform their healthcare provider about any known allergies to monomethyl fumarate or any other ingredients in the medication.
  • Pregnancy and breastfeeding: The safety of Bafiertam during pregnancy and breastfeeding has not been established. Patients should inform their healthcare provider if they are pregnant, planning to become pregnant, or breastfeeding, as the risks and benefits of Bafiertam should be carefully considered in these situations.
  • Liver function: Bafiertam may affect liver function, and patients with pre-existing liver conditions or abnormalities should be closely monitored while taking the medication. Liver function tests may be conducted periodically to assess liver health.
  • Infections: Bafiertam may suppress the immune system, increasing the risk of infections. Patients should notify their healthcare provider if they develop any signs or symptoms of infection, such as fever, chills, cough, or sore throat.
  • Progressive multifocal leukoencephalopathy (PML): PML, a rare and potentially fatal brain infection, has been reported in patients receiving other medications that suppress the immune system, including some MS treatments. Patients should be monitored for any signs or symptoms suggestive of PML, such as changes in vision, weakness, or difficulty speaking or walking.
  • Gastrointestinal (GI) side effects: Bafiertam may cause gastrointestinal side effects, such as nausea, diarrhea, or abdominal pain. Patients experiencing severe or persistent GI symptoms should contact their healthcare provider.
  • Other medications: Patients should inform their healthcare provider about all medications, vitamins, and supplements they are taking, as Bafiertam may interact with certain medications.
  • Driving and operating machinery: Bafiertam may cause dizziness or other central nervous system effects in some patients. Patients should use caution when driving, operating machinery, or performing activities requiring mental alertness until they know how Bafiertam affects them.

It’s important for patients to follow their healthcare provider’s instructions and report any concerns or side effects while taking Bafiertam. Regular monitoring and communication with the healthcare team can help ensure the safe and effective use of the medication.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Bafiertam. However, some patients may experience gastrointestinal side effects, so it might be beneficial to avoid foods or beverages that exacerbate these symptoms. Drinking plenty of water and consuming a balanced diet rich in fiber may help alleviate GI discomfort.

What should I do if I forget a dose?

If you forget to take a dose of Bafiertam, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and take your next dose at the regular time. Do not double the dose to catch up. If you have any concerns or questions about missed doses, consult your healthcare provider or pharmacist for guidance. Consistency in taking medication is important for maintaining its effectiveness.

What side effects can this medication cause?

Bafiertam (generic monomethyl fumarate) can cause various side effects, although not everyone experiences them. Common side effects of Bafiertam may include:

  • Flushing: Flushing, characterized by redness, warmth, or itching of the skin, is one of the most common side effects of Bafiertam. It typically occurs shortly after taking the medication and may improve over time with continued use.
  • Gastrointestinal Upset: Bafiertam can cause gastrointestinal side effects such as nausea, diarrhea, vomiting, and abdominal pain. These symptoms may be mild to moderate and usually improve over time as the body adjusts to the medication.
  • Abnormal Liver Function Tests: Some individuals may experience abnormalities in liver function tests while taking Bafiertam. These changes are typically reversible and resolve after discontinuation of the medication or dose adjustment.
  • Lymphopenia: Bafiertam may lead to a decrease in the number of lymphocytes (a type of white blood cell) in the blood, a condition known as lymphopenia. Monitoring of blood cell counts may be recommended by healthcare providers during treatment.
  • Infections: Bafiertam can suppress the immune system, increasing the risk of infections. Patients may be more susceptible to respiratory infections, urinary tract infections, and other bacterial or viral illnesses while taking Bafiertam.
  • Headache: Headache is a common side effect reported by some individuals taking Bafiertam. Headaches may vary in intensity and duration and may improve over time with continued use.
  • Elevated Blood Pressure: Bafiertam may cause an increase in blood pressure in some patients. Blood pressure should be monitored regularly during treatment, and adjustments to antihypertensive medications may be necessary.
  • Allergic Reactions: In rare cases, Bafiertam may cause allergic reactions, including rash, itching, swelling, or difficulty breathing. Any signs of an allergic reaction should be reported to a healthcare provider immediately.
  • Other Side Effects: Additional side effects of Bafiertam may include dizziness, fatigue, back pain, joint pain, and flushing of the throat or chest.

It’s important to note that this list is not exhaustive, and other side effects may occur. Patients should report any new or worsening symptoms to their healthcare provider promptly. Additionally, individuals should not discontinue Bafiertam without consulting their healthcare provider, as sudden discontinuation may lead to an exacerbation of MS symptoms.

What should I know about storage and disposal of this medication?

Here’s what you should know about the storage and disposal of Bafiertam:


  • Bafiertam should be stored at room temperature, typically between 68°F to 77°F (20°C to 25°C).
  • Keep the medication in its original container, tightly closed, and away from moisture and heat.
  • Store Bafiertam out of reach of children and pets.


  • Dispose of any unused or expired Bafiertam properly, following the instructions provided by your healthcare provider or pharmacist.
  • Do not flush Bafiertam down the toilet or pour it down the drain unless instructed to do so.
  • Contact your local waste disposal or recycling center for guidance on how to dispose of medications safely.

In case of emergency/overdose

  • In case of an overdose or emergency situation, such as accidental ingestion of too much Bafiertam, contact your local poison control center (1-800-222-1222 in the United States) or seek emergency medical assistance immediately.
  • Provide healthcare providers with as much information as possible, including the amount of Bafiertam ingested and any symptoms experienced.

What other information should I know?

  • Keep all appointments with your healthcare provider for monitoring and follow-up during treatment with Bafiertam.
  • Inform all healthcare providers involved in your care, including dentists and specialists, that you are taking Bafiertam.
  • It’s essential to adhere to the prescribed dosage and administration instructions provided by your healthcare provider. Do not adjust the dose or stop taking Bafiertam without consulting your healthcare provider.
  • If you are planning to undergo surgery or dental procedures, inform your healthcare provider that you are taking Bafiertam, as temporary discontinuation of the medication may be necessary.
  • Bafiertam may interact with certain medications, so inform your healthcare provider about all prescription and over-the-counter drugs, vitamins, and supplements you are taking.
  • If you have any questions or concerns about Bafiertam or its use, consult your healthcare provider or pharmacist for guidance.

By following these guidelines and staying informed about the storage, disposal, emergency procedures, and other important information regarding Bafiertam, you can ensure the safe and effective use of the medication in managing your condition.

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