Things To Note About Humira
Before taking Humira, tell your doctor if you:1
- Have a current infection or are prone to recurring infections, including open cuts
- Have HIV, diabetes, or a weakened immune system
- Have tested positive for TB or have been in close contact with someone who has TB
- Live in areas of the US where known for fungal infections, including the Ohio and Mississippi Valley and the southwest
- Have or have had Hepatitis B
- Have any nervous system problems like multiple sclerosis or Guillain-Barré syndrome
- Have or have had congestive heart failure
- Are scheduled to have surgery
- Are scheduled to receive a vaccine
- Are pregnant or plan to become pregnant or are breastfeeding
With Humira, there is an increased risk for serious infection. This is because Humira can decrease the ability of the immune system to fight infections. If an infection develops while you are taking this medication, or if you have a severe allergic reaction, contact your doctor immediately.3
Patients taking this medication should not receive live vaccines. Tell your doctor about any medications or supplements you are taking while on Humira, because it doesnt mix well with certain medicines. It is important for doctors to test you for TB before you take Humira and to monitor for heart problems, infection, and nerve damage while you are on the medication.1
What If I Miss A Dose
You may receive your Humira injections in a doctors office or clinic. Or you may give yourself Humira injections at home.
Regardless of how the drug is given, its important that you dont miss a dose of Humira. Getting consistent doses of the drug helps keep the levels of Humira in your body steady over time. This is important for treating your condition.
If you do miss an appointment to receive your Humira injection, call your doctors office as soon as possible to reschedule.
If you forget to give yourself an injection of Humira, inject your missed dose as soon as you remember. However, if its almost time for your next dose, just skip the missed dose. Then inject your next Humira dose at its regular time. You shouldnt inject two doses of Humira at once to make up for a missed dose. Doing so could raise your risk for serious side effects.
If you are not sure whether you should inject Humira after youve missed a dose, call your doctor or pharmacist.
If you need help remembering to go to your Humira appointments or take your dose of Humira on time, try using a medication reminder. This can include setting an alarm, downloading a reminder app, or setting a timer on your phone. A kitchen timer can work, too.
The dosage of Humira youre prescribed may depend on several factors. These include:
- the type and severity of the condition youre using Humira to treat
- the form of Humira youre using
- other medications you take
What Is A Package Insert
A package insert is required by the FDA and contains a summary of the essential scientific information needed for the safe and effective use of the drug for healthcare providers and consumers. A package insert typically includes information regarding specific indications, administration schedules, dosing, side effects, contraindications, results from some clinical trials, chemical structure, pharmacokinetics and metabolism of the specific drug. By carefully reviewing the package insert, you will get the most complete and current information about how to safely use this drug. If you do not have the package insert for the drug you are using, your pharmacist or physician may be able to provide you with a copy.
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Watch: Starting Methotrexate For Rheumatoid Arthritis
This video is part of an educational project from researchers at Yale University, Berkshire Medical Center, Carnegie Mellon University, Hospital for Special Surgery, CreakyJoints and the Global Healthy Living Foundation, and ArthritisPower. It was made possible with support from the Rheumatology Research Foundation. Watch more videos from this series here.
Place Of Adalimumab In Therapy
Adalimumab in combination with MTX or standard antirheumatic therapies, or as monotherapy, is effective in the treatment of adults with active RA who have had an inadequate response to DMARDs. Adalimumab is also effective in the treatment of patients with moderately to severely active PsA, improving both joint and skin manifestations of the disease as well as disability due to joint damage . In the ATLAS trial, adalimumab significantly reduced the signs and symptoms of active AS and established a sustained clinical response in patients who had an inadequate response or intolerance to NSAID therapy . ACR treatment guidelines recommend the use of biologic agents in patients who have a contraindication to MTX therapy or who have not achieved adequate disease control with MTX because of poor efficacy or tolerability. Unlike traditional DMARDs, patients receiving adalimumab do not require routine laboratory monitoring for adverse effects. As with the other TNF antagonists, patients must be screened for infections prior to commencing therapy and monitored for the presence of infection during therapy.
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Increased Risk Of Infection
All three medications can raise your risk of getting an infection, and the risk of a serious infection seems to be similar across all three medications. This includes infections like pneumonia, infected joints , and serious bacterial skin infections . And you may also experience milder infections like the common cold and sinus infections, too.
With some of the more serious infections, your provider may screen you ahead of time to see if you are at risk of reactivating or getting sick again with a prior infection, particularly with tuberculosis and hepatitis B.
For example, Xeljanz, Humira, and Enbrel can all make it harder for your body to fight tuberculosis, so you may be at risk of a new infection or reactivating a previous one. This is why you must let your provider know immediately if you have come into contact with someone who has this condition.
All three medications also raise your risk of getting sick with the hepatitis B virus if you were previously infected, which can cause life-threatening liver damage. You may need to have regular blood tests done while using them to make sure you havent reactivated an infection.
In addition, Xeljanz can make it easier for you to have flare-ups of shingles. Its possible to have shingles multiple times or have very serious cases of this condition. Ask your provider if you should receive before starting this medication to help prevent this from happening.
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What Is The Most Important Information I Should Know About Humira
You should discuss the potential benefits and risks of HUMIRA with your doctor. HUMIRA is a TNF blocker medicine that can lower the ability of your immune system to fight infections. You should not start taking HUMIRA if you have any kind of infection unless your doctor says it is okay.
- Serious infections have happened in people taking HUMIRA. These serious infections include tuberculosis and infections caused by viruses, fungi, or bacteria that have spread throughout the body. Some people have died from these infections. Your doctor should test you for TB before starting HUMIRA, and check you closely for signs and symptoms of TB during treatment with HUMIRA, even if your TB test was negative. If your doctor feels you are at risk, you may be treated with medicine for TB.
- Cancer. For children and adults taking TNF blockers, including HUMIRA, the chance of getting lymphoma or other cancers may increase. There have been cases of unusual cancers in children, teenagers, and young adults using TNF blockers. Some people have developed a rare type of cancer called hepatosplenic T-cell lymphoma. This type of cancer often results in death. If using TNF blockers including HUMIRA, your chance of getting two types of skin cancer may increase. These types are generally not life-threatening if treated tell your doctor if you have a bump or open sore that doesnt heal.
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Humira For Psoriatic Arthritis
Humira is FDA-approved to treat psoriatic arthritis thats active in adults. Active means that you have symptoms. The goal of Humira is to reduce the signs and symptoms of PsA, help prevent the condition from getting worse, and improve mobility.
PsA is a type of arthritis that can occur in people with psoriasis. PsA results in red, scaly patches on the skin and scalp, plus classic arthritis symptoms of swollen, sore joints. With PsA, there are often periods of flare-ups, in which symptoms occur or get worse, and periods of remission, times when symptoms disappear.
PsA occurs when your immune system mistakenly attacks your joints and skin. Humira treats PsA by blocking a protein called TNF. This decreases the activity of your immune system, leading to a reduction in the number and severity of PsA symptoms.
Effectiveness for psoriatic arthritis
Humira has shown to be effective in treating moderate to severe PsA in adults.
In clinical studies, researchers compared Humira with a placebo to see if Humira was better at reducing the severity of PsA.
In one study, 20% of people who took Humira had a 70% reduction in the severity and number of PsA symptoms after 12 weeks. This was compared with just 1% of people who took a placebo. After 24 weeks, 23% of people who took Humira had a 70% reduction in PsA symptoms compared with 1% of people who took a placebo.
Rated For Crohns Disease
So far my experience has been decent. Im 27 and have never had any major health issues. I was diagnosed with chrones in 2018 i think. I was on prednisone for a bit. I swelled up and gained weight and my skin was red. But after Humira everything has been good or the most part . The past year Ive slacked off on taking the injection every other week and take maybe one every two weeks. My gut seems to be doing fairly well, some pain and soft stools. But nothing like i had in 18. Im looking for the side affects, which has brought me to this page. Some things have occurred but that could be because of genetics so not sure of it being this medication related or not. Have noticed that wounds take longer to heal than i remember. I have joint pain and dont sleep the best. There is some depression but i dont know if any of that is relative to the meds. But it has helped with remission of gastrointestinal pain and such. Which didnt occur till a couple years ago.
Is Humira Ever Given As An Infusion
With Humira, a healthcare professional can give you the injections. But you may be able to give yourself injections at home with the pen or syringe forms if your doctor approves. Youd need to be trained first. This way, you wouldnt have to go to your doctors office to receive your doses.
If you have any questions about how to take Humira, talk with your doctor.
Can I Stop Using Humira And Then Restart It Later
Yes. As long as you follow your doctors instructions, you can stop taking Humira and then restart your treatment later on. But the drug may not work as well the second time.
This is because its possible for your body to form antibodies against Humira. So when you stop and then restart your treatment, the antibodies can make the drug less effective.
However, one study looked at people with rheumatoid arthritis who stopped taking Humira, and then started their treatment again. These people had a flare-up after they ended their treatment. But taking Humira the second time was effective at easing the RA flare-up within 9 months in 100% of the people. Note that this was a small study, and further research is still needed.
Its important that you dont stop your Humira treatment without first checking with your doctor. They can help answer any questions you have.
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Important Safety Information For Humira 1
Patients treated with HUMIRA are at increased risk for developing serious infections that may lead to hospitalization or death. Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids.
Discontinue HUMIRA if a patient develops a serious infection or sepsis.
Reported infections include:
- Active tuberculosis , including reactivation of latent TB. Patients with TB have frequently presented with disseminated or extrapulmonary disease. Test patients for latent TB before HUMIRA use and during therapy. Initiate treatment for latent TB prior to HUMIRA use.
- Invasive fungal infections, including histoplasmosis, coccidioidomycosis, candidiasis, aspergillosis, blastomycosis, and pneumocystosis. Patients with histoplasmosis or other invasive fungal infections may present with disseminated, rather than localized, disease. Antigen and antibody testing for histoplasmosis may be negative in some patients with active infection. Consider empiric anti-fungal therapy in patients at risk for invasive fungal infections who develop severe systemic illness.
- Bacterial, viral, and other infections due to opportunistic pathogens, including Legionella and Listeria.
- Anaphylaxis and angioneurotic edema have been reported following HUMIRA administration. If a serious allergic reaction occurs, stop HUMIRA and institute appropriate therapy.
HEPATITIS B VIRUS REACTIVATION
What Is Humira And What Is It Used For
Most of us can say that our lives are already stressful enough. Between juggling work, family life, and new regulations around a pandemic, we dont need to worry about having additional uncertainty or interruptions added to our new normal.
For many people with autoinflammatory diseases like arthritis, plaque psoriasis, Crohns disease, and ulcerative colitis, dealing with a surprise flare-up can definitely feel like an unwelcome interruption.
Humira can provide needed comfort and certainty for people with autoinflammatory diseases during these uncertain times. While Humira is not a cure for autoinflammatory diseases, it can be used to safely manage these conditions and decrease the severity of flare-ups when they do occur. Here, we will discuss how Humira works for various autoinflammatory diseases, how to use it safely, and in what dosages. We will also talk about important drug interactions and side effects to be aware of.
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Important Limitations Of Use
The information provided above on the drug you have selected is provided for your information only and is not a substitute for consultation with an appropriate medical doctor. We are providing this information solely as a courtesy and, as such, it is in no way a recommendation as to the safety, efficacy or appropriateness of any particular drug, regimen, dosing schedule for any particular cancer, condition or patient nor is it in any way to be considered medical advice. Patients should discuss the appropriateness of a particular drug or chemotherapy regimen with their physician.
As with any printed reference, the use of particular drugs, regimens and drug dosages may become out-of-date over time, since new information may have been published and become generally accepted after the latest update to this printed information. Please keep in mind that health care professionals are fully responsible for practicing within current standards, avoiding use of outdated regimens, employing good clinical judgment kin selecting drugs and/or regimens, in calculating doses for individual patients, and verifying all dosage calculations.
DISCLAIMER OF WARRANTIES
The prescribing physician is solely responsible for making all decisions relating to appropriate patient care including, but not limited to, drugs, regimens, dose, schedule, and any supportive care.
What Should I Tell My Doctor Before Starting Humira
Tell your doctor about all of your health conditions, including if you:
- Have an infection, are being treated for infection, or have symptoms of an infection
- Get a lot of infections or infections that keep coming back
- Have TB or have been in close contact with someone with TB, or were born in, lived in, or traveled where there is more risk for getting TB
- Live or have lived in an area where there is an increased risk for getting certain kinds of fungal infections, such as histoplasmosis, coccidioidomycosis, or blastomycosis. These infections may happen or become more severe if you use HUMIRA. Ask your doctor if you are unsure if you have lived in these areas
- Have or have had hepatitis B
- Are scheduled for major surgery
- Have or have had cancer
- Have numbness or tingling or a nervous system disease such as multiple sclerosis or Guillain-Barré syndrome
- Have or had heart failure
- Have recently received or are scheduled to receive a vaccine. HUMIRA patients may receive vaccines, except for live vaccines. Children should be brought up to date on all vaccines before starting HUMIRA
- Are allergic to rubber, latex, or any HUMIRA ingredients
- Are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed
- Have a baby and you were using HUMIRA during your pregnancy. Tell your babys doctor before your baby receives any vaccines
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Is It Safe To Have Surgery While Im Taking Humira
Theres not a lot of research on whether its safe to have surgery while taking Humira.
One potential side effect of Humira is an increased risk of serious infections,* such as tuberculosis . This is because Humira can weaken your immune system. Having surgery also places you at a higher risk for infection. So theres concern that having surgery while taking Humira can raise your risk further.
If you plan on having surgery while taking Humira, talk with your doctor. Theyll help determine the right treatment plan for you.
* Humira has boxed warnings for risk of serious infections. A boxed warning is the most serious warning from the Food and Drug Administration . For more information, see FDA warnings at the beginning of this article.