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Tips for most
common side
effects

Learn more about common side effects, and get tips that could help you handle them

If you’re taking VUMERITY® (diroximel fumarate), you may already know about its common side effects. On this page, you’ll learn tips that may help you manage them.

Choose a common side effect to
learn more:

What is flushing?

Symptoms are usually described as redness, itching, or rash. In clinical studies, this is one of the most common side effects of dimethyl fumarate.

Tips for handling flushing

Call your healthcare provider if you have any questions about VUMERITY side effects or treatment in general

Your healthcare provider may recommend taking a non-coated aspirin (up to 325 mg) before taking VUMERITY to help with flushing

Taking VUMERITY with food (avoid high-fat, high-calorie meal or snack) may help with flushing

Find what works for you

Taking aspirin may help manage flushing. Talk to your healthcare provider or pharmacist for suggestions. Remember to read the directions on the package when taking any over-the-counter medications, and only take as instructed.

If side effects bother you or don’t go away, or if you have general questions about side effects, talk to your healthcare provider.

*In a small 12-week study of people taking dimethyl fumarate, people recorded their experience of stomach problems, and what they did to manage them. They found that taking over-the-counter medicines helped.

SEE TIPS FOR STOMACH PROBLEMS

What are stomach problems?

Symptoms include nausea, vomiting, diarrhea, stomach pain, or indigestion. In clinical studies, these were some of the most common side effects of dimethyl fumarate. Some gastrointestinal problems can be serious. Get more information about serious side effects.

Tips for handling stomach problems

Call your healthcare provider if you have any questions about VUMERITY side effects or treatment in general.

Over-the-counter medications, like antacids, may help relieve stomach problems*

Talk to your healthcare provider or pharmacist for suggestions. Remember to read the directions on the package when taking any over-the-counter medications, and only take as instructed.

If side effects bother you or don’t go away, or if you have general questions about side effects, talk to your healthcare provider.

*In a small 12-week study of people taking dimethyl fumarate, people recorded their experience of stomach problems, and what they did to manage them. They found that taking over-the-counter medicines helped.

Stomach problems occurred most frequently in the first month and lessened thereafter.

SEE TIPS FOR FLUSHING

Decrease in common side effects over time

Flushing and stomach problems are the most common reactions, especially at the start of therapy, and may decrease over time. These are not all of the possible side effects of VUMERITY.

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Thank you for your response.

You may find it helpful to explore this information on flushing and stomach problems, including tips for managing them.

Indication and Important Safety Information

What is VUMERITY® (diroximel fumarate)?

  • VUMERITY is a prescription medicine used to treat people with relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease in adults

  • It is not known if VUMERITY is safe and effective in children

Important Safety Information

Do not take VUMERITY if you:

  • have had an allergic reaction (such as welts, hives, swelling of the face, lips, mouth or tongue, or difficulty breathing) to diroximel fumarate, dimethyl fumarate, or any of the ingredients in VUMERITY

  • are taking dimethyl fumarate

Before taking and while you take VUMERITY, tell your healthcare provider about all of your medical conditions, including if you:

  • have liver problems

  • have kidney problems

  • have or have had low white blood cell counts or an infection

  • are pregnant or plan to become pregnant. It is not known if VUMERITY will harm your unborn baby

    • If you become pregnant while taking VUMERITY, talk to your healthcare provider about enrolling in the BlossoMS Pregnancy Registry. You can enroll in this registry by calling 1-833-569-2635 or visiting www.blossomspregnancyregistry.com. The purpose of this registry is to monitor the health of you and your baby

  • are breastfeeding or plan to breastfeed. It is not known if VUMERITY passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby while using VUMERITY

Tell your healthcare provider about all the medicines you take including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What should I avoid while taking VUMERITY?

  • Do not drink alcohol at the time you take a VUMERITY dose

What are the possible side effects of VUMERITY?

VUMERITY may cause serious side effects including:

  • allergic reaction (such as welts, hives, swelling of the face, lips, mouth or tongue, or difficulty breathing). Stop taking VUMERITY and get emergency medical help right away if you get any of these symptoms

  • PML (progressive multifocal leukoencephalopathy) a rare brain infection that usually leads to death or severe disability over a period of weeks or months. Tell your healthcare provider right away if you get any of these symptoms of PML:

    • weakness on one side of the body that gets worse

    • clumsiness in your arms or legs

    • vision problems

    • changes in thinking and memory

    • confusion

    • personality changes

  • herpes zoster infections (shingles), including central nervous system infections

  • other serious infections

  • decreases in your white blood cell count. Your healthcare provider should do a blood test to check your white blood cell count before you start treatment with VUMERITY and while you are on therapy. You should have blood tests after 6 months of treatment and every 6 to 12 months after that

  • liver problems. Your healthcare provider should do blood tests to check your liver function before you start taking VUMERITY and during treatment if needed. Tell your healthcare provider right away if you get any of these symptoms of a liver problem during treatment

    • severe tiredness

    • loss of appetite

    • pain on the right side of your stomach

    • have dark or brown (tea color) urine

    • yellowing of your skin or the white part of your eyes

  • serious gastrointestinal problems, including bleeding, ulcers, blockage, and tears (perforation) of the stomach or intestines. Tell your healthcare provider right away if you have any of these symptoms during treatment:

    • stomach-area pain that does not go away

    • bright red or black stools (that look like tar)

    • severe vomiting

    • severe diarrhea

    • coughing up blood or blood clots

    • vomiting blood or your vomit looks like “coffee grounds”

The most common side effects of VUMERITY include:

  • flushing, redness, itching, or rash

  • nausea, vomiting, diarrhea, stomach pain, or indigestion

  • Flushing and stomach problems are the most common reactions, especially at the start of therapy, and may decrease over time. Taking VUMERITY with food (avoid high-fat, high-calorie meal or snack) may help reduce flushing. Call your healthcare provider if you have any of these symptoms and they bother you or do not go away. Ask your healthcare provider if taking aspirin before taking VUMERITY may reduce flushing

These are not all the possible side effects of VUMERITY. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information go to dailymed.nlm.nih.gov

Please see full Prescribing Information, including Patient Information.

 

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