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Interferon Beta-1a

Published: July 26, 2026Updated: July 26, 2026

Interferon Beta-1a (Rebif) is a biologic medication used to treat relapsing forms of multiple sclerosis. It is a recombinant version of a naturally occurring protein that helps regulate the immune system. The exact mechanism by which it reduces MS flare-ups and slows disease progression is not fully understood.

Quick summary

Interferon Beta-1a is an injectable immunomodulator used to reduce MS relapses and slow disease progression.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
L03AB07
RxNorm
75917
Generic
Interferon Beta-1a
Class
atc-l03
Brands
Avonex, Rebif
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe, injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Dose significantly higher than recommended therapeutic range (30-44 mcg) that may cause serious toxicity
Chronic overdose: cumulative doses exceeding recommended weekly amounts over extended periods leading to sustained adverse effects
Immediate actions
discontinue drug, monitor vital signs, supportive care, gastric decontamination if oral exposure
Antidote
no specific antidote(treatment is supportive and symptomatic; no proven antidote available)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; discontinue therapy if pregnancy occurs

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

continue to avoid use throughout pregnancy; consider switching to safer alternatives

Monitor

regular prenatal care and fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

decide whether to discontinue nursing or discontinue therapy; monitor infant for adverse effects

Monitor

monitor nursing infant for symptoms such as fever, lethargy, or feeding problems

Use with caution and monitor for adverse effects.

?

pediatric_age

under 18 years
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

safety and effectiveness not established in pediatric patients; use only in clinical trials or as per specialist recommendation

Monitor

careful monitoring of growth and development

⚠

geriatric

over 65 years
caution
FDA Category
N
Dose Adjustment

no specific adjustment needed

Key Recommendations

use with caution; consider comorbidities and organ function

Monitor

monitor renal and hepatic function regularly; watch for cardiovascular adverse effects

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no specific dose adjustment required

Key Recommendations

use with caution; monitor renal function regularly

Monitor

monitor serum creatinine and renal function tests periodically

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

consider dose reduction

Key Recommendations

use with caution; consider dose reduction and close monitoring

Monitor

frequent monitoring of renal function and drug levels if available

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; monitor liver enzymes

Monitor

regular monitoring of liver function tests including ALT, AST

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
C
Dose Adjustment

avoid use

Key Recommendations

avoid use in patients with severe hepatic impairment; consider alternative therapies

Monitor

frequent liver function monitoring if use is unavoidable

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1996

Avonex was the first interferon beta-1a approved for MS treatment

drug_classWHO
2023

Drug class

Value:Interferon beta-1a

Immunomodulator belonging to the interferon family of biologic medications

usageFDA
2023

Primary indication

Value:Relapsing-remitting multiple sclerosis (RRMS)

Main therapeutic use for MS management

administrationFDA
2023

Route of administration

Value:Intramuscular injection

Avonex is administered IM weekly; Rebif is administered subcutaneously three times weekly

Rebif is FDA-approved for the treatment of relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting MS, and active secondary progressive MS in adults.

The exact mechanism is unknown. It is believed to work by binding to interferon receptors on immune cells, which may reduce inflammation and modulate immune responses that attack the nervous system. This may help decrease the frequency of relapses and reduce the formation of new brain lesions.

Rebif is administered by subcutaneous injection, typically three times per week. Common side effects include flu-like symptoms (fever, chills, muscle aches), injection site reactions, and liver enzyme elevations. Depression, thyroid problems, and severe allergic reactions may occur. Regular blood tests are required to monitor for liver and blood cell abnormalities. It should not be used during pregnancy.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy