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Rebif vs. Lemtrada

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Rebif (interferon beta-1a) and Lemtrada (alemtuzumab) are both used to treat relapsing forms of multiple sclerosis (MS), but they have several key differences. Rebif is a biologic medication that you inject under the skin three times a week, while Lemtrada is an anti-CD52 monoclonal antibody given as an infusion through the veins once a year. Both medications can cause flu-like symptoms, headache, and fatigue, but Rebif can also cause and injection site reactions. Lemtrada is typically used only when other MS treatments haven't worked well, and it requires enrollment in a special REMS program due to its risks. In contrast, Rebif is one of the first disease-modifying therapies for MS and has a long history of use. Rebif can be self-injected at home and can be stored at room temperature for up to 30 days. On the other hand, Lemtrada is only given by a healthcare provider, and requires careful monitoring and pre-treatment with corticosteroids to manage infusion reactions.

Rebif

(interferon beta-1a)

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Lemtrada

(alemtuzumab)

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Summary for Rebif

Prescription only

Rebif (interferon beta-1a) is an injectable biologic used for the treatment of relapsing multiple sclerosis (MS). However, it can cause uncomfortable flu-like symptoms as a side effect.

Indications for Rebif

  • Relapsing forms of multiple sclerosis (MS)

Pros and Cons for Rebif

Pros

  • A disease-modifying therapy (DMT) that prevents worsening MS
  • One of the first DMTs approved for MS, so theres a lot of research and experience
  • Comes as an autoinjector pen and prefilled syringe for easy at-home injections
  • Can be stored at room temperature for up to 30 days

Cons

  • Needs to be injected 3 times a week (more often than alternative medications like Avonex)
  • Not a first-choice treatment option for relapsing MS
  • Has many unpleasant side effects
  • Might not be a good option for people with a history of mental health conditions

Common Side Effects for Rebif

  • Injection-site reaction (89%)
  • Headache (65%)
  • Flu-like symptoms (56%)
  • Fatigue (33%)
  • Fever (25%)
  • Muscle pain (25%)
  • Stomach pain (22%)

Warnings for Rebif

  • Mental health
  • Liver damage
  • Injection site reactions and infections
  • Lower blood cell counts
  • Seizures

Summary for Lemtrada

Prescription only

Lemtrada (alemtuzumab) is an anti-CD52 monoclonal antibody. It's used to treat relapsing forms of multiple sclerosis (MS) in adults, but only when other MS medications haven't worked well. Lemtrada (alemtuzumab) is given as an infusion through the veins once per year by a healthcare provider. Since this medication has many risks and side effects, it's only available through a Risk Evaluation and Mitigation Strategy (REMS) program) called the Lemtrada REMS program. Some common side effects of Lemtrada (alemtuzumab) include rash, headache, and fever.

Indications for Lemtrada

Pros and Cons for Lemtrada

Pros

  • Works well to treat relapsing forms of MS
  • Treatment courses are short and are only once per year
  • Not many known interactions with other medications

Cons

  • A lot of potential risks and side effects, including serious allergic reaction, blood problems, and liver problems
  • Each treatment will take a least 6 hours at the clinic because of pre-treatment, infusion time, and monitoring time
  • Needs to be given as an IV injection by a healthcare professional

Common Side Effects for Lemtrada

Warnings for Lemtrada

  • Lemtrada REMS program
  • Autoimmune problems
  • Severe allergy and infusion reactions
  • Stroke
  • Risk of cancers
  • Inflammatory problems
  • Serious infections

Prices with our coupons for Rebif vs. Lemtrada

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Rebif1 carton / 12 syringes of 44mcg
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Lemtrada1 vial / 1.2ml of 10mg/ml
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