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Peginterferon Beta-1a

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

Peginterferon Beta-1a is a pegylated interferon therapy used to treat relapsing forms of multiple sclerosis. It works as an immunomodulator to reduce inflammation and slow disease progression.

Quick summary

A long-acting interferon injection for relapsing MS that reduces relapse frequency and delays disability progression.

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

Key facts at a glance

ATC
L03AB13
RxNorm
1546168
Generic
Peginterferon Beta-1a
Class
atc-l03
Brands
Plegridy
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe
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)subcutaneous injection
Usual dose
125 mcg
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)subcutaneous injection
Usual dose
125 mcg
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)subcutaneous injection
Usual dose
125 mcg
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose significantly exceeding the recommended 125 mcg may cause serious toxicity
Chronic overdose: Repeated dosing exceeding recommended schedule may lead to cumulative toxicity
Immediate actions
Discontinue medication immediately, monitor vital signs, provide supportive care, contact poison control
Antidote
No specific antidote exists(Supportive care is the primary treatment approach)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

discontinue therapy prior to conception if possible; avoid use during pregnancy unless benefits to mother clearly outweigh potential risks to fetus

Monitor

regular fetal ultrasound monitoring

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

✗

pregnancy

second and third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

do not initiate during pregnancy; discontinue upon pregnancy confirmation unless absolutely necessary

Monitor

regular fetal growth monitoring

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

✗

lactation

not recommended
unsafe
FDA Category
N
Dose Adjustment

discontinue breastfeeding

Key Recommendations

do not breastfeed during peginterferon beta-1a therapy; interferon beta-1a may be excreted in human milk and could harm infant

Monitor

n/a

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

?

pediatric_age

adolescents 12 to 17 years
unknown
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

safety and efficacy not established in pediatric patients; use only if benefits outweigh potential risks

Monitor

close monitoring of growth and development, liver function tests

⚠

geriatric

elderly 65 years and older
caution
FDA Category
N
Dose Adjustment

no specific dose adjustment required but monitor closely

Key Recommendations

use with caution; geriatric patients may have increased sensitivity to adverse effects including flu-like symptoms, depression, and liver toxicity

Monitor

regular monitoring of liver function, complete blood count, thyroid function

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no initial dose adjustment; monitor renal function

Key Recommendations

use with caution in patients with mild to moderate renal impairment; monitor serum creatinine and renal function tests regularly

Monitor

baseline and periodic renal function assessment

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

consider dose reduction or extended dosing interval

Key Recommendations

use with caution in severe renal impairment; consider dose adjustment and increased monitoring intervals

Monitor

frequent renal function monitoring, consider pharmacokinetic evaluation

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no initial dose adjustment but monitor closely

Key Recommendations

use with caution; interferon beta products can cause hepatotoxicity; monitor liver enzymes closely

Monitor

baseline liver function tests and regular monitoring every 3-6 months

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

avoid use

Key Recommendations

not recommended in severe hepatic impairment due to increased risk of hepatotoxicity and liver failure

Monitor

n/a - avoid use

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

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2014

Peginterferon Beta-1a (Plegridy) FDA approval date

drug_classFDA
2023

Drug class

Value:Immunomodulator/Interferon beta

Classification as immunomodulatory therapy

usageFDA
2023

Common uses

Value:Relapsing forms of multiple sclerosis

Therapeutic indication for MS treatment

dosingFDA
2023

Administration frequency

Value:Every 2 weeks

Subcutaneous injection dosing schedule

Peginterferon Beta-1a is indicated for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome, relapsing-remitting MS, and active secondary progressive disease.

As a pegylated form of interferon beta-1a, it modulates immune responses and reduces inflammation. The exact mechanism by which it exerts its effects in MS patients is unknown.

Administered by subcutaneous injection every 2 weeks. Common side effects include flu-like symptoms, injection site reactions, and elevated liver enzymes. Regular monitoring may be required during treatment. Contraindicated in pregnancy and in patients with known hypersensitivity to the product.

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