{"id":20951,"date":"2022-04-18T18:31:30","date_gmt":"2022-04-18T18:31:30","guid":{"rendered":"https:\/\/zeepedia.com\/?p=20951"},"modified":"2022-04-22T16:40:15","modified_gmt":"2022-04-22T16:40:15","slug":"ponvory","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ponvory\/","title":{"rendered":"Ponvory &#8211; Ponesimod uses, dose and side effects"},"content":{"rendered":"\n<p>2 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7 mg, 8 mg, 9 mg, 10 mg, 20 mg&nbsp;film-coated tablets<br>ponesimod<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Ponvory is and what it is used f<\/h2>\n\n\n\n<p><strong>What Ponvory is<\/strong><\/p>\n\n\n\n<p>Ponvory contains the active substance ponesimod.&nbsp;Ponesimod belongs to a group of medicines called sphingosine 1\u2011&nbsp;phosphate&nbsp;(S1P) receptor modulators.<\/p>\n\n\n\n<p><strong>What Ponvory is used for<\/strong><\/p>\n\n\n\n<p>Ponvory is used to treat adults with &#8220;relapsing multiple sclerosis&#8221; (RMS) with active disease.\u00a0Active disease in RMS is when there is a\u00a0relapse\u00a0or when the results of a magnetic resonance imaging examination (magnetic resonance imaging, MRI) show signs of\u00a0inflammation.<\/p>\n\n\n\n<p><strong>What is\u00a0multiple sclerosis?<\/strong><\/p>\n\n\n\n<p>Multiple sclerosis&nbsp;(MS) affects the nerves in the brain and spinal cord (&nbsp;central nervous system&nbsp;).<\/p>\n\n\n\n<p>In MS, the body&#8217;s immune system (one of the body&#8217;s main defense systems) does not work properly.\u00a0The immune system attacks a protective shell on the nerve cells called myelin sheath &#8211; this causes\u00a0inflammation.\u00a0This breakdown of the myelin sheath (also called demyelinating) leads to the nerves not functioning properly.<\/p>\n\n\n\n<p>The symptoms of MS depend on which part of the brain and spinal cord is affected.\u00a0These can include gait and balance problems, weakness, numbness, double vision, and blurred vision, poor coordination, and bladder problems.<\/p>\n\n\n\n<p>When the&nbsp;relapse&nbsp;is over, the symptoms may disappear completely, but some problems may persist.<\/p>\n\n\n\n<p><strong>How Ponvory works<\/strong><\/p>\n\n\n\n<p>Ponvory reduces circulating&nbsp;lymphocytes&nbsp;(&nbsp;white blood cells&nbsp;involved in the immune system) by retaining them in the lymphatic organs (&nbsp;lymph nodes&nbsp;).&nbsp;This means that fewer&nbsp;lymphocytes&nbsp;are available to attack the myelin sheath around the nerves in the brain and spinal cord.<\/p>\n\n\n\n<p>By reducing nerve damage in patients with MS, the number of attacks (&nbsp;relapses&nbsp;) is reduced and thus the deterioration of the disease is slowed down.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Ponvory<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Ponvory<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to ponesimod or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if healthcare professionals have said that you have a severely weakened immune system.<\/li><li>if you have had a heart attack, chest pain called\u00a0unstable angina,\u00a0stroke\u00a0or minor\u00a0stroke\u00a0(\u00a0transient\u00a0ischemic attack,\u00a0TIA\u00a0), or certain types of\u00a0heart failure\u00a0in the last 6 months.<\/li><li>if you have certain types of heart block (normal heart curve on\u00a0ECG\u00a0[electrocardiogram], usually with a slow heart rhythm) or irregular or abnormal heartbeat (\u00a0arrhythmias\u00a0), if you do not have a pacemaker.<\/li><li>if you have a severe active\u00a0infection\u00a0or active\u00a0chronic\u00a0infection.<\/li><li>if you have active cancer.<\/li><li>if you have moderate or severe liver problems.<\/li><li>if you are pregnant or a\u00a0fertile\u00a0woman and do not use effective contraception.<\/li><\/ul>\n\n\n\n<p>If you are not sure if any of these apply to you, talk to your doctor before taking Ponvory.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking Ponvory if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have an irregular or abnormal or slow heartbeat<\/li><li>you have ever had a\u00a0stroke\u00a0or other diseases related to the blood vessels in the brain<\/li><li>you have suddenly fainted (\u00a0syncope\u00a0)<\/li><li>you have a fever or\u00a0infection<\/li><li>you have an immune system that is not working properly due to an illness or if you are taking medicines that weaken the immune system<\/li><li>you have never had chickenpox (varicella) and have not received a chickenpox vaccine.\u00a0Your doctor may take a blood sample for the chickenpox virus.\u00a0You may need to get a complete chickenpox vaccine program and then wait 1 month before starting Ponvory.<\/li><li>you have breathing problems (such as severe respiratory disease,\u00a0pulmonary fibrosis,\u00a0or chronic\u00a0obstructive pulmonary disease\u00a0)<\/li><li>you have liver problems<\/li><li>you have\u00a0diabetes.\u00a0The risk of developing macular edema (see below) is higher in patients with\u00a0diabetes.<\/li><li>you have eye problems, especially an\u00a0inflammation\u00a0of the eye called\u00a0uveitis<\/li><li>you have high\u00a0blood pressure.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor before taking Ponvory.<\/p>\n\n\n\n<p><strong>Tell your doctor immediately if<\/strong>&nbsp;you get any of the following&nbsp;side effects&nbsp;while taking Ponvory:<\/p>\n\n\n\n<p>Slow heart rate&nbsp;(&nbsp;bradycardia&nbsp;or bradyarrhythmia)<\/p>\n\n\n\n<p>Ponvory can make your heartbeat slower, especially after you have taken the first\u00a0dose.\u00a0You should do an\u00a0electrocardiogram\u00a0(\u00a0ECG, to check the electrical activity of the heart) before taking the first\u00a0dose\u00a0of Ponvory or before starting treatment with Ponvory after stopping treatment.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have an increased risk of\u00a0side effects\u00a0due to the heart beating more slowly, your doctor may monitor your heart rate and\u00a0blood pressure\u00a0for at least 4 hours after taking the first\u00a0dose\u00a0of Ponvory.<\/li><li>You may also have an\u00a0ECG\u00a0after the 4 hours.\u00a0If you still have a very slow or decreased heart rate, you may need to be monitored until these problems have been resolved.<\/li><\/ul>\n\n\n\n<p>Infection&nbsp;is<\/p>\n\n\n\n<p>Ponvory can increase the risk of serious\u00a0infections\u00a0that can be life-threatening.\u00a0Ponvory reduces the number of\u00a0lymphocytes\u00a0in the blood.\u00a0These\u00a0blood cells\u00a0fight\u00a0infection.\u00a0Their number usually returns to normal levels within 1 week after the end of treatment.\u00a0Your doctor will examine your\u00a0blood cells\u00a0in a blood sample taken before you start taking Ponvory.<\/p>\n\n\n\n<p>Contact your doctor immediately if you get any of these symptoms of an&nbsp;infection&nbsp;during treatment with Ponvory or 1 week after your last&nbsp;dose&nbsp;of Ponvory:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever<\/li><li>fatigue<\/li><li>body aches<\/li><li>overindulge<\/li><li>nausea<\/li><li>vomiting<\/li><li>headache with fever, stiffness in the neck, photosensitivity, nausea, and confusion (these can be symptoms of\u00a0meningitis\u00a0(\u00a0meningitis\u00a0), an\u00a0infection\u00a0of the membranes around the brain and spinal cord).<\/li><\/ul>\n\n\n\n<p>Macular edema<\/p>\n\n\n\n<p>Ponvory can cause vision problems called macular edema (accumulation of fluid in the back of the eye (retina) that can cause vision changes, including blindness).<\/p>\n\n\n\n<p>The symptoms of macular edema can cause similar visual symptoms as in an MS\u2011\u00a0(\u00a0optic\u00a0neuritis\u00a0)\u00a0relapse.\u00a0In the early course, there may be no symptoms.\u00a0If you experience vision changes, be sure to tell your doctor.\u00a0If macular edema occurs, this usually happens during the first 6 months after you start taking Ponvory.<\/p>\n\n\n\n<p>Your doctor should check your vision before you start taking Ponvory and if you notice any vision changes during treatment.\u00a0The risk of developing macular edema is higher if you have\u00a0diabetes\u00a0or if you have had an\u00a0inflammation\u00a0of the eye called\u00a0uveitis.<\/p>\n\n\n\n<p>Contact a doctor immediately if you get any of the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>blurred vision or shadows in the middle of the&nbsp;field&nbsp;of view<\/li><li>a blind spot in the middle of the&nbsp;field&nbsp;of view<\/li><li>photosensitivity<\/li><li>unusually colored (toned) vision.<\/li><\/ul>\n\n\n\n<p>Liver problem<\/p>\n\n\n\n<p>Ponvory can cause liver problems.&nbsp;Your doctor will take blood samples to check your liver function before you start taking Ponvory.<\/p>\n\n\n\n<p>Contact your doctor immediately if you get any of the following symptoms of liver problems:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea<\/li><li>vomiting<\/li><li>abdominal pain<\/li><li>fatigue<\/li><li>reduced appetite<\/li><li>yellow skin or whites of the eyes<\/li><li>dark-colored urine.<\/li><\/ul>\n\n\n\n<p>Increased&nbsp;blood pressure<\/p>\n\n\n\n<p>Because Ponvory may increase your\u00a0blood pressure, your doctor should check\u00a0your blood pressure\u00a0regularly during treatment with Ponvory.<\/p>\n\n\n\n<p>Exposure to the sun and protection from the sun<\/p>\n\n\n\n<p>Because Ponvory may increase the risk of skin cancer, you should limit your exposure to sunlight and UV (ultraviolet) light by:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>wear sunscreen<\/li><li>regularly apply sunscreen with a high sun protection factor.<\/li><\/ul>\n\n\n\n<p>Respiratory problems<\/p>\n\n\n\n<p>Some people taking Ponvory experience shortness of breath.&nbsp;Contact a doctor immediately if you experience new or worsening breathing problems.<\/p>\n\n\n\n<p>Swelling and narrowing of the blood vessels in the brain<\/p>\n\n\n\n<p>A condition called PRES (posterior reversible encephalopathy syndrome) has arisen with drugs that work in a similar way to Ponvory.\u00a0The symptoms of PRES usually improve when you stop taking Ponvory.\u00a0If left untreated, however, it can lead to a\u00a0stroke.<\/p>\n\n\n\n<p>Contact your doctor immediately if you get any of the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>sudden severe headache<\/li><li>sudden confusion<\/li><li>sudden loss of vision or other changes in vision<\/li><li>cramps.<\/li><\/ul>\n\n\n\n<p>Exacerbation of&nbsp;multiple sclerosis&nbsp;after&nbsp;discontinuation of&nbsp;Ponvory<\/p>\n\n\n\n<p>If you stop taking Ponvory, the symptoms of MS may return.&nbsp;They may get worse compared to before or during treatment.&nbsp;Always talk to your doctor before stopping Ponvory.&nbsp;Tell your doctor if the symptoms of MS have worsened after you stop taking Ponvory.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Ponvory has not been studied in children and adolescents and is therefore not recommended for children and adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ponvory<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription, over-the-counter medicines,\u00a0vitamins,\u00a0and herbal supplements.\u00a0In particular, tell your doctor if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs to control heart rhythm (\u00a0antiarrhythmics\u00a0),\u00a0blood pressure\u00a0et (antihypertensive drugs), or heart rate (such as calcium channel blockers or\u00a0beta-blockers\u00a0that can reduce heart rate).<\/li><li>drugs that affect the immune system due to possible side effects on the immune system.<\/li><\/ul>\n\n\n\n<p><strong>Vaccine and Ponvory<\/strong><\/p>\n\n\n\n<p>Tell your doctor if you have recently received any vaccinations or if you are planning to get vaccinated.&nbsp;You should avoid receiving live vaccines during treatment with Ponvory.&nbsp;If you are given a live vaccine, you can get the&nbsp;infection&nbsp;that the vaccine would protect you against.&nbsp;Ponvory treatment should be stopped 1 week before and for 4 weeks after receiving a live vaccine.&nbsp;It is also possible that other vaccines do not work as well if they are given while you are being treated with Ponvory.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, contraception, and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.<\/p>\n\n\n\n<p>Pregnancy<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Do not use Ponvory during pregnancy.&nbsp;If Ponvory is used during pregnancy, there is a risk of harm to the unborn baby.<\/li><li>Do not use Ponvory if you are trying to conceive or if you are a woman who may become pregnant and is not using effective contraception.<\/li><\/ul>\n\n\n\n<p>Women who may become pregnant \/ contraceptives in women<\/p>\n\n\n\n<p>If you are a woman who may become pregnant:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Before starting treatment with Ponvory, your doctor will inform you about the risk of injuring your unborn child and you will perform a pregnancy test to check that you are not pregnant.<\/li><li>you must use effective contraception when you take Ponvory and for 1 week after you stop taking Ponvory.<\/li><\/ul>\n\n\n\n<p>Talk to your doctor about effective contraception.<\/p>\n\n\n\n<p>If you become pregnant while taking Ponvory, stop taking Ponvory and contact your doctor immediately.<\/p>\n\n\n\n<p>If you become pregnant within 1 week of stopping Ponvory, contact your doctor.<\/p>\n\n\n\n<p>Breast-feeding<\/p>\n\n\n\n<p>You should not breastfeed while taking Ponvory.\u00a0This is to prevent the risk of\u00a0side effects\u00a0in the baby as Ponvory may pass into breast milk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Ponvory is not expected to affect your ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ponvory contains lactose<\/h2>\n\n\n\n<p>Ponvory contains\u00a0lactose, which is a sugar.\u00a0If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<p><strong>Ponvory contains&nbsp;sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Ponvory<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>How to take<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Take Ponvory exactly as your doctor has told you.&nbsp;Do not change&nbsp;dose&nbsp;one and do not stop taking Ponvory unless your doctor tells you to.<\/li><li><strong>Take only 1 tablet per day.&nbsp;<\/strong>To help you remember to take your medicine, you should take it at the same time each day.<\/li><li>Taken with or without food.<\/li><\/ul>\n\n\n\n<p><strong>Deposit packaging (14 days)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Only use Ponvory&#8217;s deposit pack when starting treatment.\u00a0The deposit pack is used to gradually increase your\u00a0dose\u00a0over 14 days.\u00a0The purpose of the step-by-step injection is to reduce any\u00a0side effects\u00a0due to your heart beating slower at the beginning of treatment.<\/li><li>Make a note of the date you start taking the medicine next to day 1 on the Ponvory deposit pack.<\/li><li>Follow this 14-day schedule.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Deposit packaging day<\/strong><\/td><td><strong>Daily&nbsp;dose<\/strong><\/td><\/tr><tr><td>Day 1<\/td><td>2 mg<\/td><\/tr><tr><td>Day 2<\/td><td>2 mg<\/td><\/tr><tr><td>Day 3<\/td><td>3 mg<\/td><\/tr><tr><td>Day 4<\/td><td>3 mg<\/td><\/tr><tr><td>Day 5<\/td><td>4 mg<\/td><\/tr><tr><td>Day 6<\/td><td>4 mg<\/td><\/tr><tr><td>Day 7<\/td><td>5 mg<\/td><\/tr><tr><td>Day 8<\/td><td>6 mg<\/td><\/tr><tr><td>Day 9<\/td><td>7 mg<\/td><\/tr><tr><td>Day 10<\/td><td>8 mg<\/td><\/tr><tr><td>Day 11<\/td><td>9 mg<\/td><\/tr><tr><td>Day 12<\/td><td>10 mg<\/td><\/tr><tr><td>Day 13<\/td><td>10 mg<\/td><\/tr><tr><td>Day 14<\/td><td>10 mg<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Maintenance dose<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>After<\/strong>&nbsp;taking the tablets in the insert pack, continue treatment with the maintenance dose of 20 mg.<\/li><li>Make a note of the date you start taking the 20 mg maintenance dose next to week 1 on the Ponvory 20 mg blister pack.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Ponvory than you should<\/h2>\n\n\n\n<p>If you take more Ponvory than you should, contact a doctor or hospital immediately.&nbsp;Take the medicine pack and this leaflet with you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Ponvory<\/h2>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you forget to take up to 3 tablets in a row, either from the insert pack or the maintenance dose, you can continue treatment by taking the\u00a0<strong>first\u00a0<\/strong>dose\u00a0you missed.\u00a0Take\u00a0<strong>1<\/strong>\u00a0tablet as soon as you remember and then take 1 tablet a day to continue with the insertion pack dose or the maintenance dose as planned.<\/li><li>If you have forgotten 4 or more Ponvory tablets in a row, either from the deposit pack or the maintenance dose, you will need to start treatment again with a new 14-day deposit pack.\u00a0Contact your doctor immediately if you miss 4 or more\u00a0doses\u00a0of Ponvory.<\/li><\/ul>\n\n\n\n<p>Make a note of the date you start taking the medicine so that you know if you have missed 4 or more&nbsp;doses&nbsp;in a row.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do not stop taking Ponvory without talking to your doctor.<\/h2>\n\n\n\n<p>Do not start Ponvory again after stopping treatment for more than 4 consecutive days without consulting your doctor.&nbsp;You will need to start treatment again with a new deposit pack.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Some\u00a0side effects\u00a0may be or maybe\u00a0<strong>serious<\/strong><\/p>\n\n\n\n<p>If any of the side effects gets serious, or if you notice any&nbsp;side effects&nbsp;not listed in this leaflet, please tell your doctor or pharmacist.<\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>urinary tract infection<\/li><li>tracheal catarrh<\/li><li>influenza<\/li><li>viral infection of the nose, throat, or breast (viral infection of the respiratory tract)<\/li><li>virus infection<\/li><li>herpes\u00a0zoster virus infection (\u00a0shingles\u00a0)<\/li><li>pneumonia\u00a0_\u00a0_\u00a0_<\/li><li>spinning sensation (dizziness)<\/li><li>fever (\u00a0pyrexia\u00a0)<\/li><li>accumulation of fluid in the back of the eye (retina) that can lead to vision changes, including blindness (\u00a0macular\u00a0edema\u00a0)<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>slow heart rate (&nbsp;bradycardia&nbsp;)<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;are<\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>infection\u00a0of the nose, sinuses, or throat (\u00a0nasopharyngitis, respiratory tract infection)<\/li><li>elevated levels of liver enzymes in the blood (a sign of liver problems)<\/li><li>the low number of a type of\u00a0white blood cell\u00a0called\u00a0lymphocyte\u00a0(lymphopenia)<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>high\u00a0blood pressure\u00a0(\u00a0hypertension\u00a0)<\/li><li>back pain<\/li><li>great feeling of tiredness (fatigue)<\/li><li>dizziness<\/li><li>shortness of breath (\u00a0dyspnoea\u00a0)<\/li><li>high levels of\u00a0cholesterol\u00a0in the blood (\u00a0hypercholesterolemia\u00a0)<\/li><li>joint pain (\u00a0arthralgia\u00a0)<\/li><li>arm or leg pain<\/li><li>Depression<\/li><li>insomnia<\/li><li>cough<\/li><li>itchy or runny nose or nasal congestion (\u00a0rhinitis\u00a0), infected or irritated throat (\u00a0pharyngitis,\u00a0laryngitis\u00a0), sinus infection (\u00a0sinusitis\u00a0)<\/li><li>anxiety (anxiety)<\/li><li>impaired sensation or sensitivity, especially in the skin (\u00a0hypoesthesia\u00a0)<\/li><li>increased levels of a\u00a0protein\u00a0in the blood that may indicate an\u00a0infection\u00a0or\u00a0inflammation\u00a0(increased C \u2011 reactive\u00a0protein\u00a0(CRP))<\/li><li>drowsiness (\u00a0somnolence\u00a0)<\/li><li>digestive problems (\u00a0dyspepsia\u00a0)<\/li><li>swollen hands, ankles, or feet (peripheral\u00a0edema\u00a0)<\/li><li>migraine<\/li><li>ligament sprain<\/li><li>the feeling of discomfort in the chest<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>high levels of\u00a0potassium\u00a0in the blood (hyperkalemia)<\/li><li>joint swelling<\/li><li>dry mouth<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Ponvory<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton and blister after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Medicines should n<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>not be disposed of via wastewater or household waste.\u00a0Ask your pharmacist how to dispose of medicines no longer required.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is ponesimod<\/li><li>Other ingredients are: Tablet core Croscarmellose<br>sodium,\u00a0lactose monohydrate\u00a0(see &#8216;Ponvory contains lactose&#8217;), magnesium stearate, microcrystalline cellulose, Povidone K30,\u00a0colloidal\u00a0anhydrous silica, and sodium lauryl sulfate.\u00a0Tablet\u00a0coating Hypromellose,\u00a0lactose monohydrate, macrogol, titanium dioxide, and triacetin.\u00a0<em>Ponvory 3 mg film-coated tablets<\/em>\u00a0Red iron oxide (E172) and yellow iron oxide (E172)\u00a0<em>Ponvory 4 mg film-coated tablets<\/em>\u00a0Red iron oxide (E172) and black iron oxide (E172)\u00a0<em>Ponvory 5 mg film-coated tablets<\/em>\u00a0Black iron oxide (E172) and yellow iron oxide (E172\u00a0<em>) mg film-coated tablets<\/em>\u00a0Red iron oxide (E172) and yellow iron oxide (E172)<br><br><br><br><em><br><\/em><br><br><em><br><\/em><br><br><em><br><\/em><br><br><em><br><\/em><br><br><em><br>Ponvory 8 mg film-coated tablets<\/em><br>Red iron oxide (E172) and black iron oxide (E172)\u00a0<em>Ponvory 9 mg film-coated tablets<\/em>\u00a0Red iron oxide (E172) and black iron oxide (E172), yellow iron oxide (E172)\u00a0<em>Ponvory 10 mg film-coated tablets<\/em>\u00a0Red iron oxide (E172) iron oxide (E172)\u00a0<em>Ponvory 20 mg film-coated tablets<\/em>\u00a0Yellow iron oxide (E172)<br><em><br><\/em><br><br><em><br><\/em><br><br><em><br><\/em><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Ponvory 2 mg film-coated tablets are white, round, biconvex, 5 mm diameter film-coated tablets with \u201c2\u201d on one side and a bow on the other side.<\/p>\n\n\n\n<p>Ponvory 3 mg film-coated tablets are red, round, biconvex, 5 mm diameter film-coated tablets with \u201c3\u201d on one side and an arc on the other side.<\/p>\n\n\n\n<p>Ponvory 4 mg film-coated tablets are purple, round, biconvex, 5 mm diameter film-coated tablets with \u201c4\u201d on one side and a bow on the other side.<\/p>\n\n\n\n<p>Ponvory 5 mg film-coated tablets are green, round, biconvex, 8.6 mm-diameter film-coated tablets with a \u201c5\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 6 mg film-coated tablets are white, round, biconvex, 8.6 mm diameter film-coated tablets with a \u201c&nbsp;6&nbsp;\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 7 mg film-coated tablets are red, round, biconvex, film-coated tablets with a diameter of 8.6 mm with a \u201c7\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 8 mg film-coated tablets are purple, round, biconvex, film-coated tablets with a diameter of 8.6 mm with \u201c8\u201d on one side and a bow and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 9 mg film-coated tablets are brown, round, biconvex, film-coated tablets with a diameter of 8.6 mm with a \u201c&nbsp;9&nbsp;\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 10 mg film-coated tablets are orange, round, biconvex, 8.6 mm diameter film-coated tablets with a \u201c10\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory 20 mg film-coated tablets are yellow, round, biconvex, 8.6 mm-diameter film-coated tablets with \u201c20\u201d on one side and an arc and an \u201cA\u201d on the other side.<\/p>\n\n\n\n<p>Ponvory deposit packaging&nbsp;(folding packaging)<\/p>\n\n\n\n<p>Each blister pack of 14 film-coated tablets for 2 weeks of treatment contains:<\/p>\n\n\n\n<p>2 film-coated tablets of 2 mg<\/p>\n\n\n\n<p>2 film-coated tablets of 3 mg<\/p>\n\n\n\n<p>2 4 mg film-coated tablets<\/p>\n\n\n\n<p>1 5 mg film-coated tablet<\/p>\n\n\n\n<p>1 film-coated tablet of 6 mg<\/p>\n\n\n\n<p>1 film-coated tablet of 7 mg<\/p>\n\n\n\n<p>1 8 mg film-coated tablet<\/p>\n\n\n\n<p>1 9 mg film-coated tablet<\/p>\n\n\n\n<p>3 film-coated tablets of 10 mg<\/p>\n\n\n\n<p>Ponvory 20 mg film-coated tablets (maintenance&nbsp;pack) (folding pack)<\/p>\n\n\n\n<p>A pack containing 28 film-coated tablets for 4 weeks of treatment or a multi-pack containing 84 (3 packs of 28) film-coated tablets for 12 weeks of treatment.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Janssen \u2011 Cilag International NV<\/p>\n\n\n\n<p>Turnhoutseweg 30<\/p>\n\n\n\n<p>B \u2011 2340 Beerse<\/p>\n\n\n\n<p>Belgium<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Janssen Pharmaceutica NV<\/p>\n\n\n\n<p>Turnhoutseweg 30<\/p>\n\n\n\n<p>B \u2011 2340 Beerse<\/p>\n\n\n\n<p>Belgium<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ponvory contains the active substance ponesimod. Ponesimod belongs to a group of medicines called sphingosine 1\u2011 phosphate (S1P) receptor modulators.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18527],"tags":[21446,21442,21445,21472,21447,21450,21473,21443,21448,21444,21449],"class_list":["post-20951","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-ponesimod","tag-ponesimod","tag-ponesimod-side-effects","tag-ponesimod-tablet","tag-ponvory","tag-ponvory-side-effects","tag-ponvory-tablet","tag-what-is-ponesimod","tag-what-is-ponvory","tag-what-ponesimod-is-used-for","tag-what-ponvory-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20951","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=20951"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20951\/revisions"}],"predecessor-version":[{"id":20992,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20951\/revisions\/20992"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=20951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=20951"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=20951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}