Skip to content
Arava

Arava

Leflunomide

Leflunomide tablets for rheumatoid arthritis. It stays in the body for weeks after stopping, so side effects may persist long after the last dose.

All strengths and pack prices
StrengthPackPricePer unit
10mg30 tablets$87.00$2.90
10mg60 tablets$141.00$2.35
10mg90 tablets$193.00$2.14
10mg120 tablets$246.00$2.05
10mg180 tablets$352.00$1.96
10mg270 tablets$512.00$1.90
20mg30 tablets$102.00$3.40
20mg60 tablets$167.00$2.78
20mg90 tablets$230.00$2.56
20mg120 tablets$295.00$2.46
20mg180 tablets$421.00$2.34
20mg270 tablets$615.00$2.28
Active ingredient
Leflunomide
Route
Oral use
Form
Tablet
Strengths
10mg · 20mg

Arava is the reference name. You receive a generic with the same active ingredient and strength.

No prescription needed: we place your order for Arava on your behalf.

Alternative names
leflunomide
Therapeutic class
Disease-Modifying Antirheumatic Drug (DMARD)
Pharmacological class
Pyrimidine Synthesis Inhibitor
Known off-label uses
psoriatic arthritis
Contraindications
pregnancy; severe hepatic impairment; severe immunodeficiency
Minor side effects
diarrhoea; nausea; headache
Moderate side effects
hair thinning; elevated liver enzymes; elevated blood pressure
Dosage forms
Tablet
Administration route
Oral use
Originator
Sanofi-Aventis
Onset time
4–8 weeks
Duration
1–2 weeks
Storage instructions
Store below 25°C.
Drug interactions
Cholestyramine; Warfarin; Methotrexate
Age restrictions
Approved for adults.
Serious side effects

severe hepatotoxicity, requires immediate medical attention; pancytopenia, requires immediate medical attention

Patient summary

Leflunomide tablets for rheumatoid arthritis. It stays in the body for weeks after stopping, so side effects may persist long after the last dose.

Mechanism of action

Inhibits the mitochondrial enzyme dihydroorotate dehydrogenase, blocking pyrimidine synthesis and suppressing autoimmune T-cell proliferation.

Pregnancy and breastfeeding

Pregnancy: Highly teratogenic. Do not use under any circumstances during pregnancy. Breastfeeding: Contraindicated.

FAQ

Will I receive the original Arava?

No. Arava is the original brand, made by Sanofi-Aventis, and Direct Meds uses the name to identify the medicine: you receive a generic with the same active ingredient (leflunomide) at the strength you choose. The generic brand and manufacturer depend on available stock.

How much does Arava cost in South Africa?

The price varies with strength and pack size. Arava comes in 10mg and 20mg strengths, in packs of 30 to 270 tablets, and the price of every option is shown above. Prices are set in US dollars and converted. Larger packs cost less per tablet.

Payment and prices →

What other names is Arava sold under?

In South Africa, leflunomide is also sold under brand names such as Rheumalef and Lunar.

What is Arava used for?

Arava contains leflunomide, used for rheumatoid arthritis.

How quickly does Arava work?

Leflunomide usually starts to work within 4 to 8 weeks. The exact timing differs between people.

What side effects can Arava cause?

The common side effects of leflunomide are diarrhoea, nausea and headache. Less common ones include hair thinning, elevated liver enzymes and elevated blood pressure. Serious but less common side effects include severe liver damage (hepatotoxicity) and pancytopenia, which need urgent medical attention.

What does Arava interact with?

Leflunomide can interact with colestyramine, warfarin and methotrexate. Tell your doctor or pharmacist about every medicine you take before you start taking Arava.

Can I buy Arava over the counter in South Africa?

Online, yes: Direct Meds does not ask for a prescription to order Arava. We are a broker, not a dispensing pharmacy. We arrange orders and delivery with our affiliated supplier on your behalf.

Ordering without a prescription →

Where can I buy Arava in South Africa?

On Direct Meds: choose the strength and pack, then check out. Our affiliated supplier delivers across South Africa. Estimated delivery is 7 days with Express Delivery, which includes online tracking, or up to 3 weeks with Regular Delivery.

How ordering works →

What you will receive

Arava names the medicine you are looking for. What ships is a generic version of it.

  • A generic containing Leflunomide at the strength you pick.
  • Which generic brand and maker ships depends on stock and destination.
  • Check the active ingredient, strength, form, pack, seal, batch and expiry when it arrives.

How we compare medicine brands and generics