Brand Names:
Generic Names:
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Adalimumab (add-ah-LIM-you-mab) is an effective medicine to treat
rheumatoid arthritis. It is given by subcutaneous injection.
Administration: If you are allergic to latex, avoid handling the needle
cover of the syringe, which contains latex.
Follow the procedures that you have been taught for administration of this
drug. Rotate injection sites, keeping new injections at least one inch away
from old sites and avoiding any areas that are irritated or red.
If you miss a dose, administer it as soon as possible and continue with
your usual schedule. Do not double the dose.
It is not unusual to develop irritation around the injection site; this
will usually become less of a problem with time.
If you notice any signs of infection, for example a fever, chills, cough,
chest pain, sore throat, or redness, swelling or ulceration on your skin,
notify your physician immediately.
As well, if the following symptoms develop while you are taking this drug,
consult your physician as soon as possible: unexplained bruises, changes in
your vision, trouble breathing, unusual weakness, weight loss, rash,
feeling unwell, swollen glands, or any other unexpected symptoms.
Live vaccines should not be administered while taking this medication. Ask
before receiving any vaccinations if the vaccine is a live vaccine.
Data on the use of this drug during pregnancy and lactation are limited.
Discuss with your physician if you are pregnant or could become pregnant
while taking this medication, or if you plan to breast-feed.
GUIDELINES FOR SAFE DISPOSAL OF NEEDLES AND SYRINGES
Safe disposal of needles will eliminate the risk of accidents and
transmission of blood borne diseases to workers who handle the garbage.
When you have given yourself the injection, place the needle and syringe
into a strong plastic container or tin. It is not necessary to recap the
needle or to separate the syringe and the needle. This decreases the risk
of inadvertently pricking yourself with the needle. Cap the container and
store in a safe place out of the reach of children. When the container is
full, or when it is ready for disposal, pour half a cup of bleach into it.
Cap the container tightly, seal with masking tape and shake it gently to
distribute the bleach all over the contents. Discuss disposal with your
pharmacist; do not discard with the regular garbage. Examples of containers
that may be used: Strong plastic containers: bleach bottles, orange juice
jugs, milk jugs. Tins: coffee tins, nut tins, candy tins. Glass jars should
not be used since they may break easily.
If you have experienced any unexpected or serious reactions to this drug,
this can be reported to Health Canada's monitoring program (tollfree
telephone 1-866-234-2345, tollfree fax 1-866-678-6789). Note that this is
not an emergency number.
Store this medication in the original labelled container in the
refrigerator, out of the reach of children. Do not freeze.