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Dimethyl Fumarate

Dimethyl Fumarate Side Effects

Allison Gourley, PharmDRobert Chad Hakim, PharmD, BCCCP
Reviewed by Allison Gourley, PharmD, Robert Chad Hakim, PharmD, BCCCP
Last reviewed on June 20, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Flushing (40%)
  • Stomach pain (18%)
  • Diarrhea (14%)
  • Nausea (12%)
  • Vomiting (9%)
  • Itchiness (8%)
  • Rash (8%)

Less Common Side Effects

Dimethyl Fumarate serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Liver damage: fever, feeling tired, nausea, vomiting, yellowing of the skin or whites of the eyes, clay-colored stool, dark urine
  • Serious infection: fever, cough, weakness, difficulty speaking or thinking, muscle pain, changes in personality, confusion
  • Stomach or gut issues: rectal bleeding, bloody diarrhea, severe vomiting or diarrhea, severe stomach pain
  • Serious allergic reaction: difficulty breathing, rash, swelling of lips or tongue

Source: DailyMed

The following Dimethyl Fumarate side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Chills

cough

feeling of warmth

fever

hoarseness

lower back or side pain

painful or difficult urination

redness of the face, neck, arms, and occasionally, upper chest

Incidence not known

Black, tarry stools

chest pain

difficulty with swallowing

dizziness

fast heartbeat

hives, itching, or skin rash

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or genitals

painful blisters on the trunk of the body

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

sore throat

sores, ulcers, or white spots on the lips or in the mouth

swollen glands

tightness in the chest

trouble breathing

unusual bleeding or bruising

unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Diarrhea

nausea

stomach pain

vomiting

Less common

Belching

heartburn

indigestion

stomach discomfort or upset

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Allison Gourley, PharmD, is a kidney and pancreas transplant pharmacist at a teaching hospital in the San Francisco Bay Area. When she’s not educating patients about their immunosuppressants, she's actively involved in transplant research.
Robert Chad Hakim, PharmD, BCCCP, started his full-time career as a clinical pharmacist at UCLA Health in the general medicine, general cardiology, and ICU units after completing residency in 2016. He also was the preceptor for the general medicine rotation from 2017 to 2021, which was a required rotation for all pharmacy residents.

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