HEALTH GUIDE REFERENCE FROM A.D.A.M
Treats symptoms of Crohn's disease.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
You should not use this medicine if you have had an allergic reaction to certolizumab.
How to Use This Medicine
- Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin.
- A nurse or other trained health professional will give you this medicine.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- This medicine should not be used together with anakinra (Kineret®).
- Talk to your doctor before getting flu shots or other vaccines while you are receiving this medicine. Vaccines may not work as well, or they could make you ill while you are using this medicine.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breastfeeding, or if you have congestive heart failure, blood problems, diabetes, or any type of infection, including hepatitis B, HIV, or tuberculosis. Tell your doctor if you have problems with your immune system, multiple sclerosis, epilepsy, or a similar nervous system disease. Also tell your doctor if you are scheduled for any surgery.
- You will need to have a skin test for tuberculosis before you start using this medicine. Tell your doctor if you or anyone in your home has ever had a positive reaction to a tuberculosis test or been exposed to tuberculosis.
- This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed or get infections more easily. To help with these problems, avoid being near people who are sick or have infections. Wash your hands often. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers.
- Call your doctor right away if you start to have a persistent cough, weight loss, night sweats, fever, chills, or flu-like symptoms such as a runny or stuffy nose, headache, or feeling generally ill. These may be signs that you have an infection.
- This medicine may cause other unwanted effects that may not occur until months or years after this medicine is used. A small number of people who have used this medicine have developed lymphoma or skin cancer. Discuss these possible effects with your doctor.
- This medicine may cause a serious allergic reaction. Check with your doctor right away if you have a rash; itching; swelling of the face, tongue, and throat; trouble with breathing; or chest pain after you get the injection.
- Some people who have used this medicine developed lupus-like symptoms during treatment and got better after this medicine was stopped. Make sure your doctor knows if you start having chest pains, shortness of breath, joint pain, or a rash on your cheeks or arms that is sensitive to the sun.
- Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
- Blistering, peeling, or red skin rash.
- Change in how much or how often you urinate, or painful urination.
- Chest pain, shortness of breath, cold sweat, and bluish-colored skin.
- Dark-colored urine or pale stools.
- Eye pain or any change in vision.
- Fast or uneven heartbeat.
- Fever, chills, cough, runny or stuffy nose, sore throat, and body aches.
- Lightheadedness, dizziness, or fainting.
- Lumps on your neck, armpits, or groin.
- Mood or behavior changes, or thoughts of hurting yourself or others.
- Swelling in your hands, ankles, or feet.
- Unusual bleeding, bruising, or weakness.
- Yellowing of your skin or the whites of your eyes.
If you notice these less serious side effects, talk with your doctor:
- Joint pain.
- Mild skin rash or itching.
- Nausea, vomiting, diarrhea, or stomach pain.
- Redness, pain, or swelling where the shot was given.
Source Doc: 45_5689