Rebif - (interferon beta-1a)

Is used in the treatment of multiple sclerosis.

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Side Effects and Warnings

Multiple Sclerosis is thought to be an autoimmune disease. Your immune system attacks the myelin sheath that surrounds nerve cells. This damage leads to muscle weakness, paralysis, poor coordination, balance problems, fatigue, and possible blindness.

Rebif (interferon beta-1a) has been approved by the FDA for the treatment of relapsing forms of multiple sclerosis.  
Rebif has been shown to decrease the frequency of clinical exacerbations and delay the accumulation of physical disability in patients with MS. 
The recommended dose of the product is 44 mcg three times per week to be administered by subcutaneous injection. 
Rebif is supplied in single-use, pre-filled syringes. 

Rebif previously was approved in Europe in 1998 and currently is registered for use in over 70 countries.

More Common Side Effects

Flu-like symptoms 
Abdominal pain 
Depression 
Elevation of liver enzymes 
Blood cell abnormalities
Depression and suicidal indeation have been reported to occur more frequently in patients 
being treated with interferon compounds, including Rebif.

Mechanism of action

Interferons are a family of naturally occurring proteins that are produced by eukaryotic cells in response to viral infection and other biological inducers. 
Interferons possess immunomodulatory, antiviral and antiproliferative biological activities. 
They exert their biological effects by binding to specific receptors on the surface of cells… 
Type 1 interferons have considerably overlapping but also distinct biological activities. 
Interferon beta is produced naturally by various cell types including fibroblasts and macrophages. 
Binding of interferon beta to its receptors initiates a complex cascade of intracellular events that 
leads to the expression of numerous interferon-induced gene products and markers, including 2’,5’-oligoadenylate synthetase, beta 2-microglubin and neopterin, which may mediate some of the biological activities. 
The specific interfereon-induced proteins and mechanisms by which interferon beta-1a exterts its effects in multiple sclerosis have not been fully defined. (from Rebif package insert)

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