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Mayzent
siponimod
Adult Dosing .
Dosage forms: TAB: 0.25 mg, 1 mg, 2 mg
multiple sclerosis, relapsing forms
- [CYP2C9 genotype *1/*1 or *1/*2 or *2/*2]
- Dose: 2 mg PO qd; Start: 0.25 mg PO qd x2 days, then 0.5 mg PO qd x1 day, then 0.75 mg PO qd x1 day, then 1.25 mg PO qd x1 day, then 2 mg PO qd; Info: for patients w/ clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease; restart titration if titration dose missed >24h or if maintenance tx interrupted >4 days; do not cut/crush/chew tab
- [CYP2C9 genotype *1/*3 or *2/*3]
- Dose: 1 mg PO qd; Start: 0.25 mg PO qd x2 days, then 0.5 mg PO qd x1 day, then 0.75 mg PO qd x1 day, then 1 mg PO qd; Info: for patients w/ clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease; restart titration if titration dose missed >24h or if maintenance tx interrupted >4 days; do not cut/crush/chew tab
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [see below]
- hepatic impairment: no adjustment; significant liver disease history: not defined, caution advised
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.