Your doctor has decided you may benefit from a medication called Remicade.
The generic name for this product is Infliximab
and it is in a class of new medications known as "biologics"
because in many ways they aren't what we define as a "drug".
This biologic is designed to regulate the uncontrolled immune injury being
caused by your conditions. What do you need to know about Remicade?
U.S. BRAND NAMES — Remicade®
CANADIAN BRAND NAMES — Remicade®
Antirheumatic, Disease Modifying
Gastrointestinal Agent, Miscellaneous
Tumor Necrosis Factor (TNF) Blocking Agent
What key warnings should I know about before taking this
Tuberculosis has been activated in patients
started on infliximab. These patients were exposed to tuberculosis sometime
in the past, but never actually developed the infection. You should be
tested to see if you have been exposed to tuberculosis before starting
REASONS NOT TO TAKE THIS MEDICINE
you have an allergy to infliximab or any other part of this medicine.
you are allergic to mouse proteins, talk with healthcare provider.
healthcare provider if you are allergic to any medicine. Make sure to tell
about the allergy and how it affected you. This includes telling about rash;
hives; itching; shortness of breath; wheezing; cough; swelling of face,
lips, tongue, or throat; or any other symptoms involved.
you have a severely weakened heart.
you are breast-feeding.
What is this medicine used for?
medicine is used to decrease drainage from holes in the gastrointestinal
tract called fistulas. Initial response may be seen in 2 weeks.
medicine is used with methotrexate to prevent further damage in patients
with moderate to severe rheumatoid arthritis.
medicine is used to treat Crohn's disease. It may take 1 month to see the
How does it work?
is an arthritis-changing medicine. It reduces inflammation and helps reduce
symptoms and protect joints from further harm.
reduces gastrointestinal inflammation and helps reduce symptoms.
How is it best taken?
medicine is given as a shot into a vein over a 2-hour period.
What do I do if I miss a dose? (does not
apply to patients in the hospital)
healthcare provider for instructions.
What are the precautions when taking this medicine?
use may increase your risk of cancer.
infections have been reported with use of this medicine. If you have any
infection, are taking antibiotics now or in the recent past, or have many
infections, talk with healthcare provider.
careful about taking vaccinations while you are receiving this medicine.
you have heart disease, talk with healthcare provider.
you have multiple sclerosis or other nerve disease, talk with healthcare
dentists, surgeons, and other healthcare providers that you use this
medicines with healthcare provider. This medicine may not mix well with
healthcare provider if you are pregnant or plan on getting pregnant.
What are some possible side effects of this medicine?
of infection. Avoid people with infections, colds, or flu.
chills, itching, hives, chest pain or pressure, or shortness of breath
or vomiting. Small frequent meals, frequent mouth care, sucking hard,
sugar-free candy, or chewing sugar-free gum may help.
fistula patients, an abscess can rarely occur.
What should I monitor?
in condition being treated. Is it better, worse, or about the same?
will need a tuberculosis test before starting this medicine.
REASONS TO CALL HEALTHCARE PROVIDER IMMEDIATELY
you suspect an overdose, call your local poison control center immediately
or dial 911.
of a life-threatening reaction. These include wheezing; chest tightness;
fever; itching; bad cough; blue skin color; fits; or swelling of face, lips,
tongue, or throat.
or symptoms of infection. These include a fever of 100.5 degrees or higher,
chills, severe sore throat, ear or sinus pain, cough, increased sputum or
change in color, painful urination, mouth sores, wound that will not heal,
or anal itching or pain.
of arthritis, fever, weight loss, chest pain or pressure, or shortness of
breath if taking this medicine for Crohn's disease.
of legs or belly.
muscle pain or weakness.
improvement in condition or feeling worse.
How should I store this medicine?
medicine will be given to you in a healthcare setting. You will not store it
you have a life-threatening allergy, wear allergy identification at all
not share your medicine with others and do not take anyone else's medicine.
all medicine out of the reach of children and pets.
a list of all your medicines (prescription, natural products, supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, nurse practitioner, pharmacist, physician assistant).
with healthcare provider before starting any new medicine, including
over-the-counter, natural products, or vitamins.