tecfidera and tummy cramps

Hi everyone I am on my 3rd week of taking Tecfidera and I thought I was getting away with side effects plus I have stayed on the low dose for a extra 2 weeks the thing is I am now getting tummy cramps I just wondered if anyone can give me any ideas on what I can do that will help as I am due to start high dose on Monday coming.


  • Ensure your stomach is mostly full. If you are not one for a hearty breakfast, save your first daily dose of Tecfidera until lunch time.
  • I had occasional stomach cramps around week 3 (taking a daily total of 3 x 120mg) and these were quickly and easily remedied by taking paracetamol.
  • ​If the above doesn’t work / is unmanageable, postpone going up to the full daily dose for one more week.

good luck and let us know how you get on.