Drug Class: Disease-Modifying Antirheumatic Drug (DMARD) | Form: Tablet | Prescription Status: Prescription-Only (Rx) — DRAP Registered
What is Cara 20mg?
Cara 20mg is a prescription tablet containing Leflunomide 20mg, manufactured by S.J and G. Fazal Ellahie. It is the standard maintenance strength used to treat active rheumatoid arthritis (جوڑوں کی سوزش اور درد) in adults. Leflunomide belongs to the DMARD class of medicines that work by targeting the overactive immune cells responsible for attacking and damaging the joints. Cara 20mg reduces joint pain, swelling, and stiffness while slowing long-term joint destruction, helping patients maintain better physical function and quality of life over time.
What is Cara 20mg Used For?
Rheumatoid Arthritis: Treats chronic joint inflammation, pain, and stiffness caused by this autoimmune condition. Slowing Joint Damage: Reduces the progressive destruction of joints that occurs when rheumatoid arthritis is left untreated or inadequately managed. Improving Physical Function: Helps restore joint movement and daily physical activity in patients with active disease.
How Does Cara 20mg Work?
Leflunomide inhibits the enzyme dihydroorotate dehydrogenase, which overactive immune cells require to multiply. By reducing the activity of these immune cells, Leflunomide decreases the inflammation and damage they cause in the joints. Unlike pain relievers that only mask symptoms temporarily, Leflunomide modifies the underlying disease process, providing long-term disease control rather than short-term comfort alone.
Dosage and Administration
| Situation | Dose | Frequency |
|---|---|---|
| Standard maintenance dose | 1 tablet (20mg) | Once daily |
| Loading dose (if advised) | As directed by doctor | First few days only |
| As prescribed | Follow doctor's instructions | Do not change dose without advice |
Take with or without food. Regular liver function and blood tests are required throughout treatment. Never stop this medicine without consulting your doctor first.
Active Ingredient
| Ingredient | Role |
|---|---|
| Leflunomide 20mg | DMARD — suppresses overactive immune cells to reduce joint inflammation and slow disease progression |
Who Should NOT Use Cara 20mg?
Do not use if you have liver disease, severe kidney problems, or a known allergy to Leflunomide. This medicine must not be used during pregnancy as it carries serious risk of harm to the unborn baby. Effective contraception is required for both men and women during treatment and for a defined period after stopping. Inform your doctor about all other medicines you are currently taking.
Side Effects
Common: Nausea, diarrhea, headache, dizziness, mild hair thinning, skin rash, elevated blood pressure. Serious (seek immediate help): Signs of liver damage including yellowing of skin or eyes, dark urine, or severe stomach pain. Signs of serious infection including high fever or persistent cough. Unusual bruising or bleeding.
Storage
Store below 25°C in a dry place away from direct sunlight. Keep out of reach of children (بچوں کی پہنچ سے دور رکھیں). Do not use after the expiry date.
Frequently Asked Questions
How is Cara 20mg different from Cara 10mg?
Cara 20mg is the standard maintenance dose of Leflunomide for most adults with rheumatoid arthritis. Cara 10mg is a lower dose sometimes used when patients experience side effects at the higher strength. Your doctor will decide the most appropriate dose based on your response to treatment and tolerability.
Can I stop taking Cara 20mg once my joints feel better?
No. Do not stop Cara 20mg without consulting your doctor. Stopping suddenly can cause a return of symptoms. If the medicine needs to be discontinued, your doctor will use a washout procedure to safely remove Leflunomide from your body before stopping.
Medical Disclaimer: This description is for informational purposes only and does not replace professional medical advice. Always follow your doctor's prescription and consult your pharmacist for personal guidance.
DRAP Registered | Prescription Required (Rx) | Rheumatoid Arthritis | Manufactured by S.J and G. Fazal Ellahie