Product image of Jaxteran (Dimethyl Fumarate) supplied by GNH India

Jaxteran

Active Ingredient:
Dimethyl Fumarate
Origin:
EU

Jaxteran (Dimethyl Fumarate)

Dimethyl fumarate, the active ingredient in Jaxteran, is an immunomodulating agent presented as an oral formulation for oral use. It is used as a disease-modifying therapy in adults with multiple sclerosis and as a systemic treatment for moderate to severe psoriasis.

GNH India supplies Jaxteran as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to EU quality standards and provides reliable sourcing for regulated markets. Our distribution network ensures timely delivery and compliance with local regulatory requirements.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Jaxteran (dimethyl fumarate) is an oral immunomodulating agent that acts on the Nrf2 pathway and is indicated for disease-modifying therapy in the following conditions:
  • Multiple sclerosis: reduces annual relapse rate and delays progression of disability in adult patients.
  • Relapsing‑remitting multiple sclerosis: decreases inflammatory lesions in the central nervous system and improves MRI outcomes.
  • Psoriasis: provides systemic control of plaque formation and reduces skin scaling in moderate to severe disease.
  • Active disease multiple sclerosis: improves patient-reported outcomes and quality of life.

How It Works

  • Dimethyl fumarate activates the nuclear factor erythroid 2‑related factor 2 (Nrf2) transcriptional pathway, leading to increased expression of antioxidant and cytoprotective genes. This results in reduced oxidative stress, modulation of inflammatory cytokine production, and protection of neural and skin cells, thereby contributing to its disease‑modifying effects in multiple sclerosis and psoriasis.

Side Effects

Common Side Effects

  • Flushing: transient warmth and redness, often mild.
  • Gastrointestinal upset: nausea, abdominal pain, or diarrhea.
  • Lymphopenia: reduced lymphocyte count, usually mild.
  • Headache: occasional mild to moderate pain.
  • Nausea: feeling of sickness without vomiting.

Serious or Rare Side Effects

  • Progressive multifocal leukoencephalopathy (PML): rare but potentially fatal brain infection.
  • Severe lymphopenia: markedly low lymphocyte levels increasing infection risk.
  • Hepatic injury: elevated liver enzymes or hepatitis.
  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Stevens‑Johnson syndrome: rare severe skin reaction.

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety measures.
  • Monitor lymphocyte counts: baseline and periodic testing recommended.
  • Assess hepatic function: check liver enzymes before initiation.
  • Avoid in patients with active infection: defer treatment until resolved.
  • Pregnancy and breastfeeding: use only if potential benefit outweighs risk.
  • Vaccinations: administer required vaccines before starting therapy.
  • Store at ambient temperature: keep below 25°C, protect from moisture and light.

Avoid Interactions

Dimethyl fumarate may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Live vaccines: contraindicated during treatment.
  • Immunosuppressants: may increase risk of severe infection.
  • Drugs causing lymphopenia: avoid concurrent use.

Moderate Interactions (Monitor Closely)

  • Antiepileptic drugs: may alter plasma levels.
  • Statins: potential increased risk of muscle toxicity.
  • Warfarin: monitor INR closely for anticoagulation changes.

Frequently Asked Questions

Jaxteran contains dimethyl fumarate and is prescribed as a disease‑modifying therapy for adults with relapsing forms of multiple sclerosis and as a systemic oral treatment for moderate to severe plaque psoriasis. It helps reduce relapse frequency in MS and controls skin lesions in psoriasis.

Dimethyl fumarate activates the Nrf2 transcription factor, which up‑regulates antioxidant and cytoprotective genes. This reduces oxidative stress and modulates inflammatory pathways, leading to decreased immune‑mediated damage in the central nervous system and skin, which underlies its efficacy in multiple sclerosis and psoriasis.

The dosage of Jaxteran is determined by the prescribing clinician based on the patient’s condition, tolerability, and clinical response. Physicians typically start with a low dose and may titrate upward, but the exact regimen should always follow the prescriber’s instructions and local labeling.

The pregnancy category for dimethyl fumarate is unknown, and safety data are limited. It should only be used during pregnancy or lactation if the potential benefit justifies the potential risk to the fetus or infant. Women should discuss family planning and breastfeeding considerations with their healthcare provider.

To request Jaxteran, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will verify trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

The primary alternative disease‑modifying therapies for multiple sclerosis include fingolimod and interferon‑beta products. Compared with fingolimod, dimethyl fumarate has a different safety profile, with fewer cardiac monitoring requirements but a higher incidence of flushing and gastrointestinal symptoms. Choice depends on individual patient factors and physician judgment.

Jaxteran should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in humid or excessively hot environments.

Jaxteran is taken orally, usually with water. The tablets should be swallowed whole and not crushed, chewed, or broken. Patients are advised to follow the dosing schedule prescribed by their clinician and to maintain consistent timing each day.

The most serious risks include severe lymphopenia, which can predispose to opportunistic infections such as progressive multifocal leukoencephalopathy (PML), as well as rare hepatic injury and severe skin reactions like Stevens‑Johnson syndrome. Regular laboratory monitoring and prompt reporting of new symptoms are essential.

Jaxteran is contraindicated in patients with known hypersensitivity to dimethyl fumarate or any excipients, those with active serious infections, and individuals receiving live vaccines. Caution is also advised for patients with severe hepatic impairment or existing severe lymphopenia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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