Adalimumab dosage, side effects
Adalimumab dosage, side effects:
Adalimumab is a biologic medication used to treat various autoimmune and inflammatory conditions. It is a TNF (tumor necrosis factor) inhibitor that works by blocking TNF-α, a substance in the body that causes inflammation.
Brand Names of Adalimumab
Adalimumab is sold under several brand names worldwide, including:
- Humira – The original brand name by AbbVie (most widely recognized).
- Amjevita (adalimumab-atto) – A biosimilar by Amgen.
- Cyltezo (adalimumab-adbm) – A biosimilar by Boehringer Ingelheim (interchangeable with Humira in the U.S.).
- Hyrimoz (adalimumab-adaz) – A biosimilar by Sandoz (Novartis).
- Hadlima (adalimumab-bwwd) – A biosimilar by Samsung Bioepis.
- Hulio (adalimumab-fkjp) – A biosimilar by Mylan (now Viatris).
- Yuflyma (adalimumab-aaty) – A high-concentration, citrate-free biosimilar by Celltrion.
- Idacio (adalimumab-aacf) – A biosimilar by Fresenius Kabi.
- Abrilada (adalimumab-afzb) – A biosimilar by Pfizer.
- Hukyndra (adalimumab-adbm, same as Cyltezo but for EU market).
Approved Uses of Adalimumab
Adalimumab is FDA-approved for multiple conditions, including:
- Rheumatoid arthritis (RA)
- Psoriatic arthritis (PsA)
- Ankylosing spondylitis (AS)
- Crohn’s disease (CD)
- Ulcerative colitis (UC)
- Plaque psoriasis (PsO)
- Juvenile idiopathic arthritis (JIA)
- Hidradenitis suppurativa (HS)
- Uveitis
Administration
- Given as a subcutaneous injection (under the skin).
- Available in pre-filled syringes, pens, and vials.
- Dosing frequency varies (weekly, biweekly, or monthly).
Side Effects
Common side effects include:
- Injection site reactions (redness, pain)
- Upper respiratory infections
- Headache
- Rash
Serious risks (require medical attention):
- Increased infections (TB, fungal, bacterial)
- Lymphoma & other cancers (rare)
- Heart failure (worsening)
- Liver injury
- Lupus-like syndrome
- Allergic reactions
Biosimilars vs. Humira
Since Humira’s patent expired, multiple biosimilars (near-identical versions) have been approved, offering lower-cost alternatives. Some (like Cyltezo) are designated as interchangeable, meaning pharmacists can substitute them without prescriber approval (in the U.S.).