Basic Information
EMA regulatory identification and product classification information
EMA Identifiers
Overview Summary
Comprehensive product overview and regulatory summary
Dimethyl fumarate Mylan is a medicine used to treat multiple sclerosis (MS), a disease in which inflammation damages the protective insulation around nerves (demyelination) as well as the nerves themselves. It is used in adults and adolescents from 13 years of age with a type of MS known as relapsing-remitting MS, where the patient has flare-ups of symptoms (relapses) followed by periods of recovery (remissions).
Dimethyl fumarate Mylan contains the active substance dimethyl fumarate and is a ‘generic medicine’. This means that Dimethyl fumarate Mylan contains the same active substance and works in the same way as a ‘reference medicine’ already authorised in the EU. The reference medicine for Dimethyl fumarate Mylan is Tecfidera. For more information on generic medicines, see the question-and-answer document here.
Active Substances (1)
dimethyl fumarate
Documents (8)
CHMP summary of positive opinion for Dimethyl fumarate Mylan
March 22, 2024
CHANGES_SINCE_INITIAL_AUTHORISATION
Dimethyl fumarate Mylan : EPAR - Risk-management-plan
July 11, 2024
RISK_MANAGEMENT_PLAN_SUMMARY
Dimethyl fumarate Mylan : EPAR - Medicine overview
July 11, 2024
OVERVIEW_DOCUMENT
Dimethyl fumarate Mylan : EPAR - All authorised presenations
July 11, 2024
AUTHORISED_PRESENTATIONS
Dimethyl fumarate Mylan : EPAR - Product information
July 11, 2024
DRUG_PRODUCT_INFORMATION
Dimethyl fumarate Mylan : EPAR - Public assessment report
July 11, 2024
CHANGES_SINCE_INITIAL_AUTHORISATION
Dimethyl fumarate Mylan : EPAR - Procedural steps taken and scientific information after authorisation
May 12, 2025
CHANGES_SINCE_INITIAL_AUTHORISATION
Dimethyl fumarate Mylan : EPAR - Procedural steps taken and scientific information after authorisation (archive)
February 13, 2025
CHANGES_SINCE_INITIAL_AUTHORISATION
Overview Q&A (7)
Question
How is Dimethyl fumarate Mylan used?
Answer
Dimethyl fumarate Mylan can only be obtained with a prescription and treatment should be started under the supervision of a doctor experienced in treating MS.
Dimethyl fumarate Mylan is available as capsules to be taken by mouth, twice a day with food. During the first week of treatment a lower dose is taken, which is then increased from the second week. The dose may be reduced temporarily in patients experiencing side effects of flushing and gastrointestinal (stomach and gut) problems.
For more information about using Dimethyl fumarate Mylan, see the package leaflet or contact your doctor or pharmacist.
Question
How does Dimethyl fumarate Mylan work?
Answer
In MS, the immune system (the body’s natural defences) attacks and damages the protective insulation around the nerves and the nerves themselves in the brain, spinal cord and optic nerve of the eye. The active substance in this medicine, dimethyl fumarate, is thought to work by activating a protein called ‘Nrf2’ that regulates certain genes that produce ‘antioxidants’ involved in protecting cells from damage.
Dimethyl fumarate has been shown to reduce inflammation and modulate the activity of the immune system.
Question
How has Dimethyl fumarate Mylan been studied?
Answer
Studies on the benefits and risks of the active substance in the authorised use have already been carried out with the reference medicine, Tecfidera, and do not need to be repeated for Dimethyl fumarate Mylan.
As for every medicine, the company provided studies on the quality of Dimethyl fumarate Mylan. The company also carried out studies that showed that it is ‘bioequivalent’ to the reference medicine. Two medicines are bioequivalent when they produce the same levels of the active substance in the body and are therefore expected to have the same effect.
Question
What are the benefits and risks of Dimethyl fumarate Mylan?
Answer
Because Dimethyl fumarate Mylan is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.
Question
Why is Dimethyl fumarate Mylan authorised in the EU?
Answer
The European Medicines Agency concluded that, in accordance with EU requirements, Dimethyl fumarate Mylan has been shown to have comparable quality and to be bioequivalent to Tecfidera. Therefore, the Agency’s view was that, as for Tecfidera, the benefits of Dimethyl fumarate Mylan outweigh the identified risks and it can be authorised for use in the EU.
Question
What measures are being taken to ensure the safe and effective use of Dimethyl fumarate Mylan?
Answer
Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Dimethyl fumarate Mylan have been included in the summary of product characteristics and the package leaflet.
As for all medicines, data on the use of Dimethyl fumarate Mylan are continuously monitored. Suspected side effects reported with Dimethyl fumarate Mylan are carefully evaluated and any necessary action taken to protect patients.
Question
Other information about Dimethyl fumarate Mylan
Answer
Dimethyl fumarate Mylan received a marketing authorisation valid throughout the EU on 22 April 2024.