Possible side effects

Before you choose a treatment for relapsing MS, you should consider possible side effects. Rebif® (interferon beta-1a) does have potential side effects. Some are common and others can be potentially serious and require immediate medical attention.

Please talk to your health care provider about any side effects you may have.

Please see important safety information below and the Rebif Medication Guide and Prescribing Information in the top right corner of this website, and speak with your health care provider for more information.

What are the possible side effects of Rebif?

Flu-like symptoms

Many people have flu-like symptoms following an injection. Specific symptoms can be fever, chills, sweating, muscle aches and tiredness. There are tips to help with reactions should they occur, such as taking your injection before you go to sleep. You should talk to your health care professional about whether taking an over-the-counter medication for pain or fever reduction before or after taking your dose of Rebif is recommended for you.

Learn tips that may help with flu-like symptoms from an MS neurologist.

What can I do with flu-like symptoms?

Flu-like symptoms are one of the more common side effects of Rebif. What we're talking about are fever, chills, and sweating, muscle aches and tiredness. We're not really talking about the diarrhea types of flu that people have when they get the flu at times.

We have discovered a few steps, over the years, that may help with these flu-like symptoms. Take an over-the-counter pain reliever, a fever reducer, as directed by your physician. Taking them just before the injection might help reduce these flu-like symptoms. Find a time of the day that works for you. For instance, some people inject before they go to bed at night. They sleep through the flu-like symptoms. Others will take it during the day and do better with that.

Injection-site reactions

Soreness, redness, pain, bruising or swelling may occur at the place of injection. If you experience an injection-site reaction with Rebif, don't be discouraged—MS LifeLines® is here to help. Often, a nurse can give you tips that may help manage these reactions.

Depression and anxiety

Some people taking interferons have become very depressed and/or anxious. There have been people taking interferons who have had thoughts about killing themselves. If you feel sad or hopeless, you should tell a friend or family member right away and call your doctor immediately.

Liver problems

Your liver function may be affected. If you develop symptoms of changes in your liver, including yellowing of the skin and whites of the eyes and easy bruising, call your health care provider immediately.

Blood problems

You may have a drop in the levels of infection-fighting blood cells, red blood cells or cells that help to form blood clots. If the drop in levels is severe, it can lessen your ability to fight infections, make you feel tired or sluggish, or cause you to bruise or bleed easily.

Thyroid problems

Your thyroid function may change. Symptoms of changes in the function of your thyroid include feeling cold or hot all the time, or a change in your weight (gain or loss) without a change in your diet or amount of exercise.

Allergic reactions

Some people have had hives, rash, skin bumps or itching while they were taking Rebif. Other people have had more serious allergic reactions, such as difficulty breathing or feeling light-headed. You should tell your health care provider if you think you are having an allergic reaction.

Hear more about possible side effects with Rebif from an MS neurologist.

What are the common side effects with Rebif? Are there any serious ones?

Many patients will have flu-like symptoms shortly after they've done their injection.

There are patients who have site reactions with Rebif, as well as other subcutaneous injections. And these are red marks on the skin that also can be limited by doing certain things such as proper injection technique, as well as rotating the sites. This can make a big difference with regards to these site reactions. There are a number of things that can be done from an educational standpoint to help prevent or at least diminish site reactions.

Rebif can affect the liver, as well as bone marrow function. So we monitor the patients with liver function testing, as well as a complete blood count, to make sure that the liver function testing is not too high, and that the white blood count has not gone too low. There are strategies that help us deal with both of these problems, particularly the liver issues. So sometimes we'll either decrease the amount of drug that's injected, or stop it for a period of time. And then we'll reintroduce it at a later date.

Have questions about certain side effects with Rebif?

The trained MS LifeLines Nurse Network can help. The MS LifeLines Nurse Network is a vast team of nurses who provide training and support to individuals with relapsing MS. MS-certified nurses provide education to patients and families about MS and tips for people taking Rebif.

Injection-site reactions and flu-like symptoms (fever, chills, sweating, muscle aches and tiredness) are the most common side effects of Rebif. But there may be things you can do to help with these side effects.

Get helpful tips for managing common symptoms and certain side effects should they occur by speaking to an MS LifeLines Nurse at 1-877-447-3243 Monday through Friday 8 AM to 10 PM ET and Saturday and Sunday 9 AM to 5 PM ET.

For more information about drug safety and adverse event reporting, visit the Food and Drug Administration website.

Rebecca, a member of the MS LifeLines Nurse Network, describes the diverse offerings available to the MS community.

Connect with others

Talk one-on-one with someone living with relapsing MS and taking Rebif.

Call 1-866-783-5189 today and make a connection.

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Have questions about relapsing MS or taking Rebif?

Call an MS LifeLines Nurse Support Specialist anytime Monday through Friday from 8 AM to 10 PM ET and Saturday and Sunday from 9 AM to 5 PM ET.

1-877-447-3243

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