Fingolimod HCl 0.5mg capsules What Fingolimod HCl is used for : Fingolimod HCl is used to treat relapsing forms or severe rapidly progressing cases of multiple sclerosis (MS). Do not take Fingolimod HCl : If you’re allergic to the active substances or any other component of this medicine. If you have had a heart attack, unstable angina, stroke or mini-stroke or certain types of heart failure in the last 6 months. If have certain types of irregular or abnormal heartbeat (arrhythmia) or heart rhythm. If you have a heart rhythm problem that needs treatment with certain medicines. If you are at risk of having infections due to decreased immunity. Warnings and precautions : Talk to your doctor about all your medical conditions before taking this medicine including: If you have any heart problems including irregular heartbeat or rhythm. If you have a history of stroke or mini-stroke. If you have a history of repeated fainting (syncope). If you have a fever or infection, or you are unable to fight infections due to a disease or medicines that lower your immune system. If you recently received a vaccine or are scheduled to receive a vaccine. If you have eye problems. If you have diabetes. If you have breathing problems, including during your sleep. If you have liver problems. If you have high blood pressure. If you have certain types of skin cancer called basal cell carcinoma (BCC) or melanoma. After the first dose of Fingolimod HCl, a transient decrease in heart rate may be observed. As a result, you may feel dizzy or tired, or be consciously aware of your heartbeat, or your blood pressure may drop. This medicine puts you at risk of having infections easily. Possible side effects : Stop using this product and seek immediate medical help if you develop rash; hives; itching; red, swollen, blistered, or peeling skin; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Serious side effects : Slow heart rate (bradycardia) Liver damage Swelling of the blood vessels in your brain called PRES (Posterior Reversible Encephalopathy Syndrome) where you experience headache and confusion Trouble breathing A problem with your vision called macular edema Types of skin cancer called basal cell carcinoma (BCC) and melanoma High blood pressure Other medicines and Fingolimod HCl : Tell your doctor about all the medicines you are taking. Medications that interact with Fingolimod HCl include: Medicines that decrease your immunity Corticosteroids Medicines that affect your heartbeats or heart rhythm Drugs for seizures Some anti-infectives (ketoconazole, azole antifungals, clarithromycin) Vaccines How to take Fingolimod HCl : This medicine is intended for adults and children 10 years of age and older. Take this medicine as indicated by your doctor. The usual recommended dose for adults is one 0.5 mg capsule daily. For children and adolescents with body weight equal to or below 40 kg, the recommended dose is one 0.25 mg capsule per day. For children and adolescents with body weight above 40 kg, the recommended dose is one 0.5 mg capsule per day. How to store Fingolimod HCl : Store at room temperature 68 to 77°F (20 to 25°C). Keep this medicine out of reach of children. Do not use this medicine after the expiry date stated on the package. The expiry date refers to the last day of that month. A valid prescription should be available upon delivery