Gilenya (fingolimod)

Medically Reviewed By Damilola Omopariola, PharmD, BCACP

About Gilenya

Gilenya is a brand-name prescription medication. It’s approved by the Food and Drug Administration (FDA) to treat relapsing forms of multiple sclerosis (MS) in adults and children ages 10 years and older. (Relapsing means the condition recurs, or comes back.) These relapsing forms of MS are:

Gilenya is also approved to treat clinically isolated syndrome in this group of people. This condition may be the first sign of MS, or it may not lead to MS. 

For details about these conditions and how the drug treats them, see the “Gilenya: Use for multiple sclerosis” section below.

Key points

The following table provides key facts about Gilenya.

Active drug fingolimod
Drug class sphingosine 1-phosphate receptor modulator
Form oral capsule

Finding a healthcare professional

If you’re interested in taking this drug, search here to find a doctor who might prescribe it.

Gilenya: Generic

Gilenya contains the active drug fingolimod. It only comes as a brand-name medication. And it isn’t currently available as a generic drug. A generic form may become available, although it’s not clear how soon.

A generic is an identical copy of the active drug found in a brand-name medication. Generics typically cost less than brand-name drugs.

Gilenya: Side effects

As with most drugs, it’s possible to have side effects with Gilenya. These can include some mild side effects but also some serious ones.

To learn more about Gilenya’s side effects, talk with your doctor or pharmacist. They may also provide information about managing certain side effects of this drug.

Note: The Food and Drug Administration (FDA) tracks side effects of drugs it has approved. If you would like to notify the FDA about a side effect you’ve had with Gilenya, you can do so through MedWatch.

Mild and serious side effects

Mild and serious side effects of Gilenya are listed below. This article does not include all of Gilenya’s possible side effects.

Mild side effects

Mild side effects* of Gilenya may include:

Most times, mild side effects of a drug go away within a few days or a couple of weeks. Talk with your doctor or pharmacist if any side effects become severe or don’t go away.

* This is not a complete list of Gilenya’s mild side effects. To learn about other mild side effects of this drug, ask your doctor or pharmacist. Or you can view the drug’s prescribing information.
† To learn more about allergic reaction, see below. An allergic reaction is possible after taking Gilenya, although this side effect wasn’t reported in clinical studies. However, it has been reported since the drug was approved for use.

Serious side effects

Serious side effects of Gilenya may include:

  • bradycardia (slow heart rate) or atrioventricular block (blocked electrical signals in part of the heart)
  • low level of lymphocytes (a type of white blood cell), which can raise the risk of serious infections, including herpes and pneumonia
  • progressive multifocal leukoencephalopathy
  • macular edema (swelling in the macula, which is part of the eye)
  • liver damage
  • posterior reversible encephalopathy syndrome (a rare condition that causes swelling and narrowing of blood vessels in the brain)
  • increased risk of skin cancer, including melanoma
  • tumefactive multiple sclerosis (MS), which is a rare form of MS involving a mass in the brain
  • high blood pressure
  • severe allergic reaction*

Serious side effects from Gilenya aren’t common, but they are possible. If you have serious side effects, call your doctor right away. However, if you’re having a medical emergency or your symptoms feel life threatening, call 911 or a local emergency number.

* To learn more about allergic reaction, see below. An allergic reaction is possible after taking Gilenya, although this side effect wasn’t reported in clinical studies. However, it has been reported since the drug was approved for use.

Allergic reaction

As with most drugs, some people can have an allergic reaction after taking Gilenya. A more severe allergic reaction is rare but possible.

Allergic reaction wasn’t reported in Gilenya’s clinical studies. However, it has been reported since the drug was approved for use.

Possible symptoms of mild and serious allergic reactions are listed in the table below.

Mild allergic reaction symptoms Serious allergic reaction symptoms
flushing swelling under your skin, possibly in your hands, feet, lips, or eyelids
rash swelling in your throat or mouth
itching trouble breathing

If you have an allergic reaction to Gilenya, call your doctor right away. This is important because the reaction could become severe.

However, if you’re having a medical emergency or your symptoms feel life threatening, call 911 or a local emergency number.

Gilenya: Cost

As with other medications, prices for Gilenya may vary. The drug’s price will depend on factors such as:

Cost considerations for Gilenya

Here are some things to consider when looking into the cost of Gilenya.

Option for a 90-day supply. For some drugs, it’s possible to get a 90-day supply. If this option is approved by your insurance company, it can help lower the cost of the drug. It can also help you avoid frequent trips to your pharmacy. If you’d like to learn more about this option, ask your doctor, pharmacist, or insurance company.

Need for prior authorization. Before insurance coverage for Gilenya is approved, your insurance company may require prior authorization. In this case, your doctor and insurance company will communicate about your prescription for Gilenya. Then, the insurance company will decide if the drug will be covered. To find out if you need prior authorization for Gilenya, contact your insurance company.

Possible cost assistance options. Financial assistance to help lower the cost of Gilenya is available. The Go Program for Gilenya may help reduce its cost. To learn more and see if you’re eligible for support, visit the manufacturer’s website. Also, check out this article to learn about ways to save on prescription drugs.

Use of a mail-order pharmacy. Gilenya may be dispensed through mail-order pharmacies. Getting your prescription through a mail-order pharmacy could lower its cost. It can also allow you to get the drug without leaving home. To find out more about this option, check with your doctor, pharmacist, or insurance company.

Availability of a generic form. Gilenya doesn’t come in a generic form. A generic drug is an exact copy of the active drug in a brand-name medication. Typically, generics cost less than brand-name drugs.

Gilenya: Dosage

Below, you’ll find dosages that are commonly recommended for Gilenya. However, you should take the dosage your doctor prescribes for you. They’ll recommend the dosage that’s best for your needs.

The dosage of Gilenya that your doctor prescribes will depend on factors such as:

  • your age
  • body weight, when Gilenya is used in children

Gilenya’s forms and strengths

Gilenya is available as follows.

  • Form: oral capsules
  • Strengths:
    • 0.25 milligrams (mg)
    • 0.5 mg

Gilenya’s recommended dosages

Recommended dosages for Gilenya in adults and children are described below.

Adult dosage

The recommended dosage for Gilenya in adults is as follows.

  • Dose: 0.5 mg
  • Frequency: once per day

Child dosage

The recommended dosage for Gilenya in children depends on their body weight, as follows.

Body weight in kilograms (kg)* Approximate body weight in pounds (lb) Dose Frequency
40 kg or less 88 lb or less 0.25 mg once a day
more than 40 kg more than 88 lb 0.5 mg once a day

* One kg is about 2.2 lb.

For example, if a child weighs 35 kg (about 77 lb), their daily dose would be about 0.25 mg.

Dosage considerations

Below are some things to consider about Gilenya’s dosage.

  • Missing a dose. If you miss a dose of Gilenya, take it as soon as you remember. However, if it’s nearly time for your next dose, take the next dose at the scheduled time and skip the missed dose. Do not take more than one dose of Gilenya at a time. Try these medication reminder options to help avoid missing doses. You could also set an alarm, use a timer, or download a reminder app on your phone.
  • Length of treatment. Doctors typically prescribe Gilenya as a long-term treatment. You’ll likely take it long term if you and your doctor feel it’s safe and effective for your condition.

Gilenya: Questions you may have

Here are some common questions about Gilenya and brief answers to them. If you’d like to know more about these topics, ask your doctor.

Is Gilenya an immunosuppressant?

Yes, Gilenya is an immunosuppressant, which means it impacts the immune system.

The immune system helps protect us from germs and diseases. However, with certain conditions, the immune system causes some harm to the body’s own cells. One of these conditions is multiple sclerosis (MS).

Immunosuppressants are used to help lessen some of the symptoms resulting from this harm to the body.

For more information on how Gilenya works to treat MS, see the “Gilenya: How it works” section below.

Does Gilenya cause eye-related side effects?

Yes, Gilenya can cause eye-related side effects, although they’re rare. Some of these side effects are macular edema and posterior reversible encephalopathy syndrome (PRES), which may cause visual symptoms.

Macular edema causes swelling in the macula, which is part of the eye. The swelling can cause vision changes, such as how you see colors.

Macular edema typically happens as a serious complication of diabetic retinopathy, which occurs in people who have diabetes. However, Gilenya’s clinical studies didn’t include people with diabetes. So, because no one had diabetes and macular edema still occurred, anyone taking Gilenya is at risk of it. The risk appears to be highest during the first 3 to 4 months of taking the drug.

To help monitor for macular edema, your doctor will order an eye exam before treatment and periodically during it. While you’re taking Gilenya, let your doctor know right away if you experience symptoms of macular edema. This could include blurry vision. You and your doctor will decide whether you should continue taking the drug.

PRES is a rare condition that causes swelling and narrowing of blood vessels in the brain. It is a serious side effect of Gilenya that can cause vision changes. Additional symptoms of PRES include severe headache, confusion or difficulty thinking, and seizure.

Without treatment, PRES can cause a stroke or bleeding in your brain. Your doctor will have you stop taking Gilenya if you develop symptoms of PRES.

Will I have withdrawal symptoms when stopping Gilenya?

No, withdrawal symptoms when stopping Gilenya aren’t expected. (Withdrawal symptoms occur when you stop a drug your body is physically dependent on. Dependence means your body needs a drug in order to function as usual.)

However, your multiple sclerosis (MS) symptoms may worsen if you stop taking Gilenya. Since the time Gilenya was approved for use, people have reported severe disability after stopping treatment with Gilenya. Most times, the disability happened within 12 weeks of stopping the drug. However, it also occurred up to 24 weeks after the last dose of Gilenya.

It’s important that you speak with your doctor before stopping Gilenya. This way, your doctor can help monitor for symptoms of worsening MS. They can also review other MS treatments that may be a better fit for you.

Is weight loss a side effect of Gilenya?

No, weight loss isn’t expected with Gilenya treatment. This side effect wasn’t reported in the drug’s clinical studies.

Since the time Gilenya was approved for use, a few people who have taken the drug have had liver failure. This can decrease appetite and lead to weight loss. However, liver damage with Gilenya is a rare side effect.

Some people who have multiple sclerosis (MS) may have weight loss or gain. For example, they may have trouble swallowing, which can make eating difficult. In addition, MS may cause anxiety and stress, which can cause a decreased appetite and unintended weight loss.

If you’re concerned about your weight, talk with your doctor. They can also discuss how medications for MS, such as Gilenya, may help relieve your MS symptoms. A decrease in MS symptoms may help with factors contributing to weight changes.

Gilenya: Alternatives

Doctors may prescribe drugs other than Gilenya for your condition. Certain drugs may work better for you than others.

Gilenya is used to treat multiple sclerosis (MS). Here’s a summary of other drugs that doctors sometimes prescribe for MS.

To learn more about some alternatives to Gilenya, view the following articles:

Your doctor can tell you about other similar drugs, such as natalizumab (Tysabri), glatiramer acetate (Copaxone), and ocrelizumab (Ocrevus).

For additional information about alternatives to Gilenya, ask your doctor. They can tell you about other medications that could be prescribed for your condition.

Gilenya: Use for multiple sclerosis

Prescription drugs such as Gilenya are approved by the Food and Drug Administration (FDA) to treat certain conditions.

Using Gilenya for multiple sclerosis

Gilenya is approved to treat relapsing forms of multiple sclerosis (MS) in adults and children ages 10 years and older. (Relapsing means the condition recurs, or comes back.) These relapsing forms of MS include:

Gilenya is also approved to treat clinically isolated syndrome (CIS) in this group of people. This condition may be the first sign of MS, or it may not lead to MS.   

MS is a progressive, neurological autoimmune condition.

  • “Progressive” means symptoms of the condition generally worsen over time.
  • “Neurological” means the condition affects the nervous system.
  • “Autoimmune” means the immune system mistakenly attacks the body’s own cells.

With MS, the immune system attacks cells in the body’s central nervous system. This can cause significant nerve damage and lead to symptoms such as:

  • problems with balance, coordination, or walking
  • muscle weakness
  • difficulty moving your arms or legs
  • muscle spasms
  • fatigue
  • bowel problems such as constipation or incontinence
  • sexual dysfunction

Some forms of MS recur, or come back. These are known as relapsing forms. Gilenya is approved to treat the relapsing forms of MS described below.

Clinically isolated syndrome

Gilenya is approved to treat the relapsing form of MS called CIS. With CIS, you have an episode of one or more MS symptoms lasting at least 24 hours. Although CIS can indicate the start of having MS, not everyone who has had CIS develops MS.

Relapsing-remitting MS

Gilenya is approved to treat the relapsing form of MS called RRMS. This form of MS includes periods of MS symptoms, followed by periods of no symptoms (also called remission).

Active secondary progressive MS

Gilenya is approved to treat the relapsing form of MS called active SPMS. This form of MS involves symptoms that continually worsen over time. Unlike RRMS, symptoms of SPMS don’t go into remission. Over time, most people with RRMS will develop SPMS.

Using Gilenya in children

Gilenya is approved to treat relapsing forms of multiple sclerosis (MS) in children ages 10 years and older. (Relapsing means the condition recurs, or comes back.) These relapsing forms of MS include:

Gilenya is also approved to treat clinically isolated syndrome (CIS) in this group of children. This condition may be the first sign of MS, or it may not lead to MS.   

See the section above called “Using Gilenya for multiple sclerosis” for information on these conditions.

Finding a healthcare professional for Gilenya

If you’re interested in taking Gilenya, search here to find a doctor who might prescribe it. Consider reviewing this MS appointment guide to help you feel more comfortable discussing MS with your doctor.

Gilenya: How it works

Gilenya is approved to treat relapsing forms of multiple sclerosis (MS) in adults and children ages 10 years and older. (Relapsing means the condition recurs, or comes back.) These relapsing forms of MS include:

Gilenya is also approved to treat clinically isolated syndrome (CIS) in this group of people. This condition may be the first sign of MS, or it may not lead to MS.   

To learn more about CIS and the relapsing forms of MS that Gilenya is approved to treat, see the “Gilenya: Use for multiple sclerosis” section above.

A drug’s mechanism of action refers to how it works. Gilenya’s mechanism of action for treating MS isn’t fully understood. It’s believed that the drug prevents cells from leaving your immune system and getting into your blood. If these cells were able to reach your blood, they could travel to your nervous system and cause damage.

How long does Gilenya take to start working?

It may take several weeks or months before you notice effects of Gilenya on your MS symptoms. Keep in mind that the drug can affect each person differently. It’s possible that Gilenya may not address your current MS symptoms, but it may stop your condition from worsening. Gilenya works over time to help slow the progression of MS and the worsening of symptoms.

Talk with your pharmacist or doctor if you have additional questions about how Gilenya works. You and your doctor can monitor your symptoms and the effects Gilenya has on your condition.

Gilenya: How to take

Your doctor will recommend how you should take Gilenya. It’s important to take the drug exactly as your doctor instructs.

Gilenya comes as capsules that you swallow.

First-dose observation with Gilenya

Most people experience a decrease in their heart rate when they start Gilenya treatment. Because of this, you’ll likely take your first dose where your heart health can be monitored. It will need to be monitored for at least 6 hours after taking the first dose.

You may take the first dose at your doctor’s office or another medical facility. Another option may be to take it at home and have a healthcare professional monitor you there. To learn more about taking it at home, call the Go Program for Gilenya at 800-445-3692 or visit the manufacturer’s website. Your doctor may be able to help you decide where to take your first dose.

An ECG may be used to monitor your heart rate. (An ECG is a test that records electrical activity of the heart.) If you develop symptoms of bradycardia (slowed heart rate), your doctor or another healthcare professional will be able to treat them quickly.

If you stop Gilenya for 14 or more days and then restart treatment, this first-dose observation must be repeated.

Questions about taking Gilenya

Here’s a list of common questions related to taking Gilenya.

  • When should I take Gilenya? You should take Gilenya once a day according to your doctor’s instructions. Try these medication reminder options to help avoid missing doses of Gilenya. You could also set an alarm, use a timer, or download a reminder app on your phone.
  • Do I need to take Gilenya with food? Gilenya doses may be taken with or without food.
  • Can Gilenya be chewed, split, or crushed? The manufacturer of Gilenya hasn’t stated whether capsules may be opened and sprinkled on food, such as applesauce. However, you should not chew, split, or crush the capsules. If you’re having trouble swallowing pills, talk with your pharmacist or doctor.
  • Is there a best time of day to take Gilenya? No, there’s no best time of day to take Gilenya doses. You may take them at a time that’s convenient for you.

Gilenya: Taking while pregnant

It’s not known whether it’s safe to take Gilenya while pregnant.

Animal studies have shown that the drug could be harmful if taken during pregnancy. However, animal studies don’t always predict how a drug will affect humans.

Even so, it’s possible that the drug could cause harm in pregnancy. Because of this risk, the drug’s manufacturer recommends stopping Gilenya at least 2 months before attempting to become pregnant. Also, if you can become pregnant, your doctor may order a pregnancy test for you. They will check that it’s negative before prescribing Gilenya. They may also recommend that you use birth control during treatment.

Talk with your doctor if you have additional questions about Gilenya and pregnancy.

Gilenya: Birth control needs

Doctors aren’t sure whether it’s safe to take Gilenya during pregnancy. Talk with your doctor about your birth control needs with Gilenya if you’re sexually active and you or your partner can become pregnant. Your doctor can recommend whether you should use birth control with this medication.

If you’d like to learn more about taking Gilenya during pregnancy, see the “Gilenya: Taking while pregnant” section above.

Note: Sex and gender exist on spectrums. In this article, use of the terms “male” and “female” refers to sex assigned at birth.

For females taking Gilenya

If you’re a female and are able to become pregnant, it’s recommended that you use effective birth control while taking Gilenya. It’s also recommended to continue using birth control for at least 2 months after taking your last dose.

Talk with your doctor about effective birth control options for you while you’re taking Gilenya.

For males taking Gilenya

Gilenya’s manufacturer hasn’t given birth control recommendations for males taking Gilenya. If you’re a male whose sexual partner could become pregnant, ask your doctor about your birth control needs with Gilenya treatment.

Gilenya: Taking while breastfeeding

Doctors don’t know whether it’s safe to take Gilenya while breastfeeding. It isn’t known whether the drug appears in human breast milk or causes side effects in a child who is breastfed.

Gilenya is known to appear in the milk of rats given the drug. However, effects caused by a drug in animals don’t always predict what will happen when it’s used in people.

Talk with your doctor about whether you should take Gilenya while breastfeeding. They may discuss other feeding options for your child.

Gilenya: Consuming alcohol during treatment

Alcohol and Gilenya don’t have a known interaction.

However, Gilenya and alcohol can cause some of the same side effects. This includes mild side effects, such as diarrhea and nausea. This also can include the serious side effect of liver damage. So combining alcohol and Gilenya could raise your risk of these side effects.

If you consume alcohol, talk with your doctor about how much, if any, is safe to take while you’re taking Gilenya.

Gilenya: Interactions

Gilenya may interact with other medications, certain supplements, and certain foods.

Different interactions can cause different effects. Some interactions can interfere with a drug’s effectiveness. Others can increase a drug’s side effects or cause them to be severe.

Before you start Gilenya, be sure to tell your doctor about any medications, herbs, vitamins, or supplements you take. They can check for any possible interactions between these products and Gilenya.

If any of the interactions listed below might pertain to you, talk with your doctor. They can tell you what you need to do to avoid the interaction.

  • Gilenya and certain other drugs. Gilenya’s manufacturer advises caution before taking certain drugs with it. Be sure to discuss this with your doctor if any of these drugs have been prescribed for you with Gilenya. The drugs include:
    • certain mental health drugs, including citalopram (Celexa), chlorpromazine, and haloperidol (Haldol)
    • the opioid methadone (Methadose)
    • the antibiotic erythromycin (Eryc)
    • the antifungal ketoconazole
    • beta-blockers, such as metoprolol (Lopressor, Toprol XL) and carvedilol (Coreg)
    • calcium channel blockers, such as diltiazem (Cardizem CD, others) and verapamil (Calan SR, others)
  • Gilenya and herbs and supplements. Gilenya isn’t known to interact with any herbs or supplements.
  • Gilenya and foods. Gilenya isn’t known to interact with any foods.
  • Gilenya and lab tests. In some cases, medications can affect the results of certain lab tests. This is possible with Gilenya and blood count tests, such as a complete blood count.
  • Gilenya and vaccines. It’s recommended that you do not receive live vaccines while taking Gilenya and for 2 months after your last dose. (Live vaccines contain live forms of bacteria or viruses they’re meant to protect against.) Examples of vaccines that should be avoided with Gilenya include:
    • measles, mumps, and rubella (MMR)
    • chickenpox (varicella)
    • flu vaccine that’s given as a nasal spray (FluMist)
    • yellow fever
    • rotavirus

For information about drug-condition interactions, see the “Gilenya: Precautions” section below.

Gilenya: Precautions

Tell your doctor about your health history before starting treatment with Gilenya. Your doctor may not recommend this medication if you have certain factors affecting your health or specific medical conditions. These situations are known as drug-condition interactions.

These factors and conditions include those listed below.

  • Conditions that are contraindications to Gilenya. A contraindicationisa factor or condition that could prevent your doctor from prescribing a drug due to a risk of harm. Doctors typically won’t prescribe Gilenya if you’ve experienced any of the following in the past 6 months:
  • Heart problems, including irregular heart rhythm. Gilenya can cause side effects affecting your heart. These can include a change in heart rhythm and an increase in blood pressure. If you have heart problems, including irregular heart rhythm, and take Gilenya, your risk of heart-related side effects may be higher. You could also be at risk of worsening your existing heart problem. Talk with your doctor to learn more about whether it’s safe for you to take Gilenya.
  • Being immunocompromised (having a weakened immune system). Treatment with Gilenya weakens your immune system. If you’re already immunocompromised, Gilenya could worsen this condition. This can place you at higher risk of infection, including serious infections such as pneumonia. Talk with your doctor about whether treatment with Gilenya is safe for you.
  • Eye problems. If you have an eye problem such as uveitis, treatment with Gilenya may worsen your condition. You also may be at higher risk of macula edema (swelling in part of the eye), a rare but serious side effect of Gilenya. Ask your doctor whether treatment with Gilenya is safe to take with your eye problems.
  • Diabetes. If you have diabetes, you could be at higher risk of macular edema. This is a rare but serious side effect of Gilenya. Talk with your doctor about whether treatment with Gilenya is safe if you have diabetes.
  • Liver problems. Treatment with Gilenya can cause liver damage. If you have existing liver problems, such as alcohol-related liver disease, Gilenya could worsen your condition. Ask your doctor whether Gilenya is safe for you to take with your liver problems.
  • Skin cancer. Gilenya raises the risk of skin cancer, especially melanoma and basal cell carcinoma. If you have skin cancer or are at risk of it, treatment with Gilenya may not be safe for you. Talk with your doctor to learn whether Gilenya or another treatment is appropriate.
  • Allergic reaction. Your doctor will likely not prescribe Gilenya if you’ve had an allergic reaction to it or any of its ingredients. To find out about other treatment options, talk with your doctor.
  • Pregnancy. If you’d like additional information about taking Gilenya while pregnant, view the “Gilenya: Taking while pregnant” section above.
  • Breastfeeding. If you’d like additional information about taking Gilenya while breastfeeding, view the “Gilenya: Taking while breastfeeding” section above.

To learn more about effects of Gilenya that could be harmful, see the “Gilenya: Side effects” section above.

Gilenya: Overdose

Serious effects can occur if you take more than the recommended dosage of Gilenya. Do not take more Gilenya than your doctor recommends.

Symptoms of overdose

Symptoms that an overdose could cause include:

What to do in case of overdose

Call your doctor if you think you’ve taken too much of this drug. Also, you can call the American Association of Poison Control Centers at 800-222-1222 or use its online tool. However, if your symptoms are severe, call 911 or a local emergency number. Or go to the nearest emergency room right away.

Gilenya: Expiration, storage, and disposal

Here’s some information about Gilenya’s expiration date, as well as how to store and dispose of the drug.

Expiration. Your pharmacist will add an expiration date to the label on Gilenya’s bottle or packaging. This date is usually 1 year from the date the medication was dispensed to you. Expiration dates help ensure that a medication is effective during a period of time.

The Food and Drug Administration (FDA) advises Trusted Source Food and Drug Administration (FDA) Governmental authority Go to source that you avoid taking expired drugs. If you have an unused medication and it’s past the drug’s expiration date, talk with your pharmacist. They can let you know whether you might still be able to use the medication.

Storage. Many factors determine how long a medication remains good to use. These factors include how and where you store the drug. Gilenya capsules should be stored at room temperature, from 68°F to 77°F (20°C to 25°C). Avoid storing it in areas where it could get damp or wet, such as bathrooms.

Disposal. It’s important to safely dispose of Gilenya if you no longer need to take it and have unused medication. Doing so helps prevent others, including children and pets, from accidentally taking the drug. It also helps avoid causing harm to the environment.

Ask your pharmacist for information about disposing of Gilenya. Also, check out this page for several tips on safe medication disposal.

Gilenya: Questions for your doctor

If you have questions about Gilenya, talk with your doctor. They can help advise you on whether Gilenya could be a good treatment option for you.

Here’s a list of questions you may want to ask your doctor:

  • How does Gilenya compare with other treatment options for my condition?
  • If I have side effects from Gilenya, is there a lower dosage you could prescribe?
  • Should I take Gilenya with other treatments for my condition?
  • Can you tell me more about blood tests I’ll need to have while taking Gilenya?

Your doctor may also tell you about other treatment options for your condition. You may find this article helpful in learning about alternative drugs for multiple sclerosis (MS). And you can also view our selection of videos on MS.

Disclaimer: Healthgrades has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.


Medical Reviewer: Damilola Omopariola, PharmD, BCACP
Last Review Date: 2022 Aug 12
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