The third day on Tecifdera’s 120 mg pill went off without a hitch. No side effects. Day four I took the first 240 mg pill with a slight hint of diarrhea but that could have been a result from my meal choice and that I do not have gallbladder.

The neurologist designed a start-up plan for me that was to draw out the 120 mg pills to help me adjust over a longer period of time, however, I was unable to follow it with the starter kit. Given my remote area of Alaska I had no choice, I redesigned my plan.  So this is how I managed the 14 lower dose pills. Note: This is not how it was prescribed either by Tecfidera or my doctor but I believe it will work best for me.

Days 1-3: 120 mg with breakfast

Days 4-6: 240 mg with breakfast

Days 7-14 – 240 mg with breakfast, 120 mg with dinner

Day 15+: 240 mg with breakfast and dinner