sclerifuma 120 capsule dr - Dimethyl fumarate (120mg) medicine

Sclerifuma 120 Capsule DR: Complete Medicine Guide

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🏭 Sun Pharmaceutical Industries Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not assigned. Use only if clearly needed. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for multiple sclerosis.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • New or worsening neurological symptoms such as weakness, confusion, or vision changes
  • Severe allergic reactions like rash, hives, or swelling of face or throat
  • Yellowing of skin or eyes, dark urine, or severe fatigue
  • Persistent fever, chills, or sore throat
  • Unusual bleeding or bruising
  • Severe abdominal pain or persistent vomiting

If experiencing severe symptoms, call emergency services immediately.

What is sclerifuma 120 capsule dr used for?

This medicine is a delayed-release capsule containing dimethyl fumarate 120 mg, used to treat relapsing forms of multiple sclerosis. It works by reducing inflammation and oxidative stress, helping to lower relapse rates and slow disability progression.

  • Generic Name: Dimethyl fumarate (120mg)
  • Manufacturer: Sun Pharmaceutical Industries Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 sclerifuma 120 capsule dr के बारे में (Hindi Summary)

उपयोग: यह दवा डाइमिथाइल फ्यूमरेट 120 मिलीग्राम युक्त एक डिलेड-रिलीज़ कैप्सूल है, जिसका उपयोग मुख्य रूप से रिलैप्सिंग मल्टीपल स्क्लेरोसिस के इलाज के लिए किया जाता है। यह सूजन और ऑक्सीडेटिव तनाव को कम करके रिलैप्स की संख्या घटाने और विकलांगता की प्रगति को धीमा करने में मदद करती है। यह दवा केवल डॉक्टर के पर्चे पर ही ली जानी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में फ्लशिंग, पेट दर्द, दस्त, मतली और उल्टी शामिल हैं। गंभीर दुष्प्रभावों में प्रोग्रेसिव मल्टीफोकल ल्यूकोएन्सेफैलोपैथी (पीएमएल), गंभीर एलर्जी, लीवर की क्षति और सफेद रक्त कोशिकाओं की कमी हो सकती है। कोई भी नए लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। कैप्सूल को पूरा निगलें, चबाएं या खोलें नहीं। इसे भोजन के साथ लेने से फ्लशिंग और पेट की परेशानी कम हो सकती है। डॉक्टर की सलाह के बिना दवा बंद न करें। लीवर एंजाइम और रक्त गणना की नियमित जांच कराएं। गर्भवती होने या स्तनपान कराने पर डॉक्टर को बताएं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 sclerifuma 120 capsule dr Uses & Benefits

[{"condition":"Relapsing-remitting multiple sclerosis","description":"Reduces relapse rate and slows disability progression in adults with relapsing forms of MS.","evidence":"Well-established"},{"condition":"Psoriasis","description":"May be used off-label for moderate-to-severe plaque psoriasis in some patients.","evidence":"Limited"}]

Off-label uses: [{"condition":"Psoriasis","description":"Sometimes prescribed off-label for moderate-to-severe plaque psoriasis.","evidence":"Limited"}]

Primary treatment for: Relapsing-remitting multiple sclerosis

Also treats: Psoriasis

📋 Drug Information

Generic Name(s)Dimethyl fumarate (120mg)
Brand Namesclerifuma 120 capsule dr
ManufacturerSun Pharmaceutical Industries Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassImmunomodulator- Multiple sclerosis (oral)
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in the original container. Protect from light and moisture.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce flushing and stomach upset.
2
Swallow the capsule whole; do not crush, chew, or open it.
3
Stay well hydrated throughout the day.
4
Avoid alcohol while taking this medicine.
5
Do not stop this medicine without consulting your doctor.
6
Report any new neurological symptoms immediately.
7
Regular blood tests for liver and blood counts are important.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Multiple sclerosis relapses
This medicine is commonly prescribed for this.
Likely Use
✅
Psoriasis
May be used off-label for psoriasis.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDimethyl fumarate is rapidly absorbed after oral administration and converted to its active metabolite, monomethyl fumarate. Food does not significantly affect absorption.
DistributionMonomethyl fumarate is widely distributed in the body, but specific tissue distribution data are not well established.
Protein BindingProtein binding of monomethyl fumarate is not established from the available information.
MetabolismDimethyl fumarate is metabolized by esterases in the gastrointestinal tract, blood, and tissues to monomethyl fumarate. It does not rely on cytochrome P450 enzymes.
Half-LifeThe elimination half-life of monomethyl fumarate is approximately 1 hour.
ExcretionMonomethyl fumarate is primarily excreted through the lungs as carbon dioxide, with a smaller amount excreted in urine.
BioavailabilityThe bioavailability of dimethyl fumarate is not established from the available information.
Onset of ActionThe onset of therapeutic effect may take several weeks to months.
Peak Plasma TimePeak plasma concentration of monomethyl fumarate occurs 2 to 2.5 hours after oral administration.
Duration of ActionThe duration of action is not established from the available information.

How It Works

Dimethyl fumarate is a prodrug that is metabolized to monomethyl fumarate, which activates the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway. This activation leads to increased expression of antioxidant response element genes, reducing oxidative stress. It also modulates immune cell function by shifting cytokine production from a pro-inflammatory Th1/Th17 profile toward a Th2 anti-inflammatory profile. Additionally, it may reduce lymphocyte counts and affect cell survival pathways.

Mechanism Steps

1
Prodrug conversion: Dimethyl fumarate is rapidly converted to monomethyl fumarate in the body.
2
Nrf2 activation: Monomethyl fumarate activates the Nrf2 pathway, which increases antioxidant gene expression.
3
Immune modulation: This shifts cytokine production from pro-inflammatory to anti-inflammatory patterns.
4
Reduced lymphocyte activity: It decreases the number and activity of certain immune cells, reducing attacks on myelin.

💡 How to Take sclerifuma 120 capsule dr

Strength: Delayed-release capsule, 120 mg

1Swallow the capsule whole with a glass of water.
2Do not crush, chew, or open the capsule.
3Take with food to reduce flushing and stomach upset.
4Take at the same times each day.
5If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual starting dose is 120 mg twice daily for 7 days, then 240 mg twice daily thereafter. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustment is recommended for elderly patients, but use with caution due to potential for reduced renal or hepatic function.
Renal ImpairmentNo dose adjustment is needed for mild renal impairment. Use with caution in severe renal impairment.
Hepatic ImpairmentNo dose adjustment is needed for mild hepatic impairment. Use with caution in severe hepatic impairment.
Maximum Daily Dose480 mg per day (as 240 mg twice daily).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces flushing and stomach upset.
Alcohol
Avoid
May worsen flushing and stomach irritation.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of sclerifuma 120 capsule dr

✅ Common Side Effects

Flushing (Common (up to 40%))
Taking with food or aspirin may reduce flushing. It often decreases over time.
Abdominal pain (Common (10-20%))
Take with food. Consult doctor if severe or persistent.
Diarrhea (Common (10-20%))
Stay hydrated. Consult doctor if persistent.
Nausea (Common (10-20%))
Take with food. Consult doctor if severe.

🚨 Serious Side Effects

Progressive multifocal leukoencephalopathy (PML) (Rare (<0.1%))
Seek immediate medical attention if you experience new neurological symptoms such as weakness, confusion, vision changes, or speech difficulties.
Severe allergic reactions (Rare)
Seek emergency help if you have rash, hives, swelling of face or throat, or difficulty breathing.
Liver injury (Uncommon)
Report yellowing of skin or eyes, dark urine, or severe fatigue to your doctor immediately.
Low white blood cell count (Uncommon)
Regular blood tests are needed. Report fever, chills, or persistent sore throat.

⚠️ Rare Side Effects

Progressive multifocal leukoencephalopathy
Seek immediate medical attention for neurological symptoms.
Severe liver injury
Report symptoms like jaundice, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Live vaccines Major
Immunosuppressants Major
Aspirin Moderate

🚨 Major Interactions

  • Live vaccines
  • Immunosuppressants

⚡ Moderate Interactions

  • Aspirin
  • Nephrotoxic drugs

🍷 Alcohol Interaction

Alcohol may worsen flushing and stomach upset. It is advisable to limit or avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to dimethyl fumarate or any component","Concurrent use of live vaccines"]

⚠️ Warnings & Precautions

["Progressive multifocal leukoencephalopathy (PML) has been reported.","Liver injury may occur.","Low white blood cell counts may occur.","Flushing is common but usually decreases over time.","Avoid live vaccines during treatment."]

🤱 Lactation Safety

It is not known if dimethyl fumarate passes into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

There is no specific antidote. In case of overdose, seek immediate medical attention and provide supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Swallow the capsule whole; do not crush, chew, or open it. Taking it with food may reduce flushing and stomach upset. Do not stop this medicine without consulting your doctor, as stopping suddenly may worsen your condition. Avoid live vaccines while on this medicine. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Regular blood tests to monitor liver enzymes and complete blood count are important. Report any signs of infection, unusual bruising, or bleeding promptly.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to side effects. Use with caution and monitor renal and hepatic function.

🤰 Pregnancy Planning (TTC)

Consult your doctor if you are planning pregnancy. This medicine should be used during pregnancy only if clearly needed. Effective contraception is recommended for women of childbearing potential.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may affect wound healing and infection risk.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. It may increase risk of bleeding or infection. Good oral hygiene is important.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on your body.
🥗
Engage in regular low-impact exercise like swimming or walking.
😴
Practice stress-reduction techniques such as meditation.
💧
Get adequate sleep to support immune function.
🧘
Eat a balanced diet rich in fruits and vegetables.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but avoid overexertion if you feel fatigued. Consult your doctor before starting a new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseed.
Reduce processed food intake.
Stay well hydrated.
Limit alcohol consumption.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some patients. Avoid driving or operating heavy machinery until you know how it affects you. Most patients can continue their normal activities.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects, your doctor may advise stopping or changing the treatment.

📅 Long-Term Use Effects

Long-term use may require regular monitoring of liver enzymes and blood counts. Some patients may experience persistent flushing or gastrointestinal symptoms. The risk of PML increases with prolonged use and certain other factors. Regular follow-up with your neurologist is essential.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can help manage symptoms and improve mobility.

Evidence: Well-established
Vitamin D supplementation

May have a role in managing multiple sclerosis, but evidence is limited.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Avoid live vaccines while taking this medicine. Inactivated vaccines are generally safe, but consult your doctor for timing.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from light and moisture. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with relapsing-remitting multiple sclerosis
She started this medicine as prescribed. Initially experienced flushing, which decreased after a few weeks. Her relapse rate reduced significantly over six months. She emphasizes taking it with food to minimize stomach upset.
💡 Lesson: Consistency and taking with food improve tolerability and outcomes.
👤 A 50-year-old man with multiple sclerosis
He was hesitant to start due to fear of side effects. After discussing with his doctor, he began treatment. He experienced mild diarrhea initially, which resolved. His disability progression slowed, and he remains active.
💡 Lesson: Open communication with your doctor helps manage expectations and side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take several weeks to months to see the full benefit.

Q: Can I take it with food?

A: Yes, taking it with food can reduce flushing and stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver function?
  • Can I drive after taking this medicine?
  • Does it interact with my other medicines?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for sclerifuma 120 capsule dr

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine cures multiple sclerosis.
    Fact: It helps manage the disease but does not cure it.
  • Myth: You can stop this medicine anytime.
    Fact: Stopping suddenly may worsen your condition. Always consult your doctor.

🔄 Alternative Options

Generic Alternatives

  • Dimethyl fumarate delayed-release capsules

Brand Alternatives

  • Sclerifuma 120 capsule dr

📊 Comparison with Similar Medicines

[{"medicine":"Dimethyl fumarate","class":"Fumaric acid ester","route":"Oral","common_side_effects":"Flushing, GI upset"},{"medicine":"Teriflunomide","class":"Pyrimidine synthesis inhibitor","route":"Oral","common_side_effects":"Headache, diarrhea, hair thinning"}]

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