DALIMAB
ADALIMUMAB · by SEARLE
Composition
Inj: Adalimumab 40 mg per 0.8 ml
Indications & Dosage
For treatment of Rheumatoid arthritis, Polyarticular juvenile idiopathic arthritis, Enthesitis-related arthritis, Ankylosing spondylitis, Axial spondyloarthritis, Psoriatic arthritis, Plaque psoriasis, Hidradenitis suppurativa, Crohn’s disease, Ulcerative colitis, Non-infectious uveitis: BY SC INJ: Adult: 40 mg weekly. Consult product literature.
Administration
Administer on thigh, lower abdomen.
Stability
Store in a refrigerator (2-8C) do not freeze, protect from light.
Contraindications
Tuberculosis, hepatitis B, demyelinating disease, heart failure, certain vaccines
Precautions
History of tuberculosis, mild heart failure, serious heart condition, infection, including long-term infection, History of hepatitis B, planned surgery or dental procedures, elderly. Inform doctor in case of experiencing symptoms like changes in vision, weakness in arms or legs or numbness or tingling in any part of patients body. Certain vaccines may cause infections and should not be given while receiving Adalimumab.
Interactions
Methotrexate, certain disease-modifying anti-rheumatic agents (sulfasalazine, hydroxychloroquine, Leflunomide), teroids or pain medications including non-steroidal anti-inflammatory drugs (NSAIDs), Vaccines, belimumab, natalizumab, pimecrolimus, topical tacrolimus, fingolimod, tofacitinib, roflumilast, trastuzumab, nivolumab.
Pregnancy
Contraindicated, use contraceptives during treatment and for 12 months after the last dose
Lactation
Contraindicated discontinue breast-feeding
Side Effects
Headache, abdominal pain, musculoskeletal pain, injection site reactions, respiratory tract infections, nausea and vomiting, rash, serious infections, UTI, skin cancer, allergic reactions, anxiety, migraine, nerve root compression, vision disturbances, vertigo, high blood pressure, flushing, asthma, GI bleeding, dyspepsia, acid reflux disease, sicca syndrome, sweating, hair loss, new onset or worsening of psoriasis, muscle spasms, blood in urine, kidney problems, oedema, fever, reduction in blood platelets, neurological infections, diverticulitis, cancer, melanoma, vasculitis, tremor, neuropathy, stroke, heart attack, lung diseases, pulmonary embolism, inflammation of the pancreas, gallbladder stones, fatty liver, impotence. Rare: Leukaemia, multiple sclerosis, pulmonary fibrosis, Stevens-Johnson syndrome, angioedema, Kaposis sarcoma, liver failure, dermatomyositis.