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    If you titrated more slowly ...

    than the 120 mg 2x/day for a week and then moving to 240 mg 2x/day, how did you do it?

    My husband and I just had to reschedule our anniversary getaway (again! Our anniversary was in August ) and now it will probably be next weekend. I would be scheduled to move up to the full dose our first morning away and I'm just thinking that would kind of stink.

    So I'm thinking about doing 120mg 1x/day for 4 days, then moving up to 120mg 2x/day for 5 days, then moving to the 240 mg 2x/day after that. Does that sound reasonable or similar to what any of you did?
    2001: 1st 2 relapses, "probable MS." 2007: 3rd relapse. Dx of RRMS confirmed by MS specialist. Started Cpx. (Off Cpx Feb 08-Mar 09 to start a family; twins!) Dec '09: Started Beta. Oct '13: Started Tecfidera. May '15: Considering Gilenya.

    #2
    My body doesn't respond well to many medications. I spent an entire month on 120 before moving up to 240. DMTs are a medication "for a lifetime" so no point in rushing it.

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      #3
      Titrating Slowly

      I titrated slowly by taking 120mg once a day for 4 days, 120mg twice a day for 2 days, then 120mg each morning and 240mg each evening for 6 days. After that, I went to 240mg twice a day. I also took dose of pepto bismol before each dose of Tecfidera for the titration period, plus 1 Claritin and 1 Nexium each day. I began Tec 9/7 & have had occasional mild GI problems, flushing, itching. I've had constant headache and periods of dizziness, anxiety and being off-balance which were so severe for past 2 days that I skipped morning dose to see if it made any difference. It's hard to know which are side effects of Tec and which are just good old MS. I wish you the best.

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        #4
        Titrating Tecfidera

        My doctor had put 8 patients on Tecfidera before I switched over to Tecfidera from Rebif. Based on what he learned from the previous 8 patients he had me on the 120 mg dose for two weeks rather than the manufacturer's recommended one week. That seemed to go pretty well so I went up to the full 240mg dose and have been on that ever since (3 months). So far so good.

        I wish you luck. Hope the anniversary trip went/goes well.

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          #5
          Thank you so much for the responses!

          I did 5 days of 120mg 1x/day and today is my first day of 120mg 2x/day. I think I'll play it by ear for our getaway and not do the evening dose if it seems to be bothering me. PP, that's a good point there's no need to rush it!
          2001: 1st 2 relapses, "probable MS." 2007: 3rd relapse. Dx of RRMS confirmed by MS specialist. Started Cpx. (Off Cpx Feb 08-Mar 09 to start a family; twins!) Dec '09: Started Beta. Oct '13: Started Tecfidera. May '15: Considering Gilenya.

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