Certolizumab Pegol

Cimzia Autoinjector 200mg

Cimzia (certolizumab pegol) is a biologic medication approved by the FDA for treating various inflammatory conditions such as psoriatic arthritis, rheumatoid arthritis, Crohn’s disease, and others. It works by blocking tumor necrosis factor (TNF), a substance in the body that causes inflammation and leads to immune system diseases. Cimzia is administered through subcutaneous injections and is intended for long-term treatment to manage symptoms and prevent disease progression. Patients need to be aware of potentially serious side effects, including increased risk of infections and cancer, and should discuss these thoroughly with their healthcare provider before starting treatment.

Product Overview

Approved by the FDA, Cimzia (Certolizumab Pegol) is a targeted biological therapy used to treat chronic inflammatory conditions, including ankylosing spondylitis, rheumatoid arthritis, psoriatic arthritis, plaque psoriasis, Crohn’s disease, ulcerative colitis, and uveitis in adults. These conditions are characterized by an overactive immune system that leads to inflammation and tissue damage. The active ingredient, certolizumab pegol, works by inhibiting tumor necrosis factor (TNF), a protein involved in inflammation. 

By blocking TNF, Cimzia reduces inflammation and alleviates symptoms of these conditions. Cimzia is available in pre-filled syringes with a strength of 200 mg per injection. It is administered through subcutaneous injections, which can be done in a medical setting or at home after proper training. For most conditions, the starting dose of Cimzia involves a higher frequency of administration, which may decrease depending on the patient’s response to the treatment. Long-term management typically requires ongoing, regular injections to maintain disease control.

Common side effects include upper respiratory infections and headaches. Serious risks include heart failure, blood disorders, liver problems, nerve issues, and an increased risk of serious infections or certain cancers. Individuals should consult their medical provider before starting treatment to discuss potential benefits and risks. If a dose is missed, it should be administered as soon as possible; do not double doses. Store Cimzia in the refrigerator, away from light. Regular medical follow-ups are necessary to monitor progress and ensure safety during treatment. If you plan to order Cimzia injection 200mg, you should choose a reputable & trusted platform to ensure its authenticity. 

What Are the Uses of Cimzia? 

Cimzia is approved for use in adults to treat the following conditions:

• Uveitis
• Non-radiographic axial spondyloarthritis
• Ulcerative colitis
• Psoriatic arthritis
• Plaque psoriasis
• Crohn’s disease
• Ankylosing spondylitis
• Rheumatoid arthritis

What Are the Forms & Strengths of Cimzia?

Cimzia is administered as a subcutaneous injection, which means it is injected under the skin, either in the thigh or abdomen. The medication is available in two forms:

• Solution in a Single-Dose Prefilled Syringe: This form is ready to use and contains the medication in liquid form within a syringe.
• Powder in a Single-Dose Vial: This form consists of a powder that a healthcare professional must mix with a liquid to create an injectable solution.

Both forms of Cimzia are available in a dosage strength of 200 mg.

What Is the Recommended Dosage of Cimzia?

The dosage of Cimzia Autoinjector 200mg varies from individual to individual and is typically based on a range of factors, including the age, the medical condition being treated, its severity, and the needs of the patient. The dosage given below applies to most people, but if your doctor has recommended a different dosage, follow their guidance and do not alter your dosage without consulting them first, as it can cause harm. Do not use it more or less than prescribed, in large doses, or more often than your doctor has recommended. 

Dosage for Plaque Psoriasis in Adults

• • Standard Dosage: The typical dosage for adults with plaque psoriasis is 400 mg, administered as two separate 200 mg injections every two weeks.

• Dosage for Individuals Weighing 198 Pounds (90 Kilograms) or Less:

• Initial Treatment:

• • • First dose: 400 mg (two injections of 200 mg each).
    • Second dose: Administer another 400 mg (two injections of 200 mg each) two weeks after the first dose.
    • Third dose: Administer another 400 mg (two injections of 200 mg each) four weeks after the first dose.
  • Subsequent Treatment: After the initial treatment phase, reduce the dosage to 200 mg (one injection) every two weeks.

Dosage for Crohn’s Disease in Adults

• Initial Treatment:

• • First dose: 400 mg, administered as two injections of 200 mg each.
  • Second dose: Another 400 mg (two injections of 200 mg each) given two weeks after the first dose.
  • Third dose: Another 400 mg (two injections of 200 mg each) given four weeks after the first dose.
• Maintenance Treatment: If your symptoms of Crohn’s disease have reduced after the initial treatment, the dosage will then change to 400 mg (two injections of 200 mg each) every four weeks.

Dosage for Rheumatoid Arthritis and Psoriatic Arthritis in Adults

• Initial Treatment:

• • First dose: 400 mg, administered as two injections of 200 mg each.
  • Second dose: Administer another 400 mg (two injections of 200 mg each) two weeks after the first dose.
  • Third dose: Administer another 400 mg (two injections of 200 mg each) four weeks after the first dose.
• Ongoing Maintenance Treatment: After the initial treatment phase, the dosage can be adjusted based on your needs and doctor’s recommendation:
  • Option 1: 200 mg (one injection) every two weeks.
  • Option 2: 400 mg (two injections of 200 mg) every four weeks.

Dosage for Ankylosing Spondylitis and Non-Radiographic Axial Spondyloarthritis in Adults

• Initial Treatment:

• • First dose: 400 mg, administered as two injections of 200 mg each.
  • Second dose: Another 400 mg (two injections of 200 mg each) given two weeks after the first dose.
  • Third dose: Another 400 mg (two injections of 200 mg each) given four weeks after the first dose.
• Maintenance Treatment: Following the initial doses, the recommended dosage options are:
  • 200 mg (one injection) every two weeks, or
  • 400 mg (two injections of 200 mg each) every four weeks.

[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How to Use Cimzia? 

Initially, your doctor or a healthcare professional will administer the Cimzia injection in their office. They may also instruct you on how to perform self-injections at home using a prefilled syringe. If you’re interested in learning to administer your injections, discuss this with your doctor. Before using it for the first time yourself and each time you get a refill, you should read and understand the instructions given in the patient information leaflet, which came along with your prescription label or, if available, the medication guide. If you have difficulty understanding any part of the leaflet or have any doubts regarding using Cimizia, ask your doctor or healthcare professional. 

• Cimzia is intended for long-term treatment. If it is determined to be safe and effective for you, you will likely continue using it over the long term.
• Cimzia is given as a subcutaneous injection, which means it is injected just under the skin. The primary areas for Cimzia injections are:
  • The stomach area (your belly), avoiding a 2-inch circle around your navel (belly button)
  • The top and outer parts of your thighs, avoiding the inner thighs and areas close to your knee
• The easiest method for subcutaneous injection is to pinch up a fold of skin on your stomach or thigh using your thumb and forefinger. Detailed instructions will be provided, and your healthcare professional can demonstrate how to inject Cimzia.
• To prevent your skin from thickening or becoming lumpy, avoid injecting in the same spot repeatedly. Instead, rotate between different injection sites.
• Do not share your Cimzia injections with anyone else. Each injection is intended for single use only.

How Do You Inject Cimzia?

Before injecting Cimzia, remove the carton with the prefilled syringes from the refrigerator. Check the expiration date on both the syringe carton and the label. If the expiration date has passed, do not use the syringe and contact your pharmacist for further guidance.

1. Remove the prefilled syringe from the carton and place it on a clean surface, allowing it to warm to room temperature for 15 to 20 minutes. Avoid using any external methods to speed up the warming process. If you are not using the second syringe immediately, return the carton containing the remaining prefilled syringe to the refrigerator. Before proceeding with the injection, ensure that the liquid in the syringe is clear, colorless to yellow, and free from particles. Do not inject the medication if it appears cloudy, discolored, or contains particles.
2. Wash your hands thoroughly with soap and warm water, then dry them with a clean towel. 
3. Select your injection site either on your stomach, avoiding a 2-inch circle around the navel, or on the upper part of your thighs, avoiding the inner thighs and areas close to your knee. 
4. Clean the chosen injection site with an alcohol swab and allow the area to dry completely before proceeding.
5. Pick up the prefilled syringe using your dominant hand, holding it so that the needle points upward. It’s normal to see air bubbles in the syringe, and there’s no need to remove them before injecting. The presence of air bubbles will not harm you when injecting the solution. Using your other hand, carefully remove the plastic ring needle cover by pulling it straight up on the plastic ring.
6. With your other hand, gently hold and pinch a fold of skin at the cleaned injection site. Using a quick, “dart-like” motion, insert the needle into the pinched skin at approximately a 45-degree angle. Once the needle is in, release the pinched skin but keep the syringe steady in position. Slowly press the plunger down until the syringe is completely empty. After the injection, carefully pull the needle out of the skin and immediately place it in an approved sharps disposal container.
7. Place a dry cotton ball or gauze pad over the injection site for a few seconds after removing the needle. 
8. Avoid rubbing the injection site to minimize irritation. If your prescribed dose of Cimzia is 400 mg, you will need to administer two separate injections of 200 mg each. 
9. Make sure to use different injection sites on your thigh or abdomen for each injection.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Does Cimzia Work?

Cimzia belongs to the category of biologics known as tumor necrosis factor (TNF) blockers. The biologic therapy works by targeting and blocking TNF, a protein that causes inflammation. This protein is overproduced in several conditions treated by Cimzia, such as psoriasis, arthritis, and Crohn’s disease. By inhibiting TNF, Cimzia helps reduce the skin plaques seen in psoriasis, alleviate joint inflammation in arthritis, and decrease bowel inflammation in Crohn’s disease. Some patients begin to notice benefits from this medicine as soon as one to two weeks. However, it may take about 12 weeks to notice the complete effect of Cimzia. 

Important Safety Information for Using Cimzia

What Are the Side Effects of Cimzia?

Common side effects of Cimzia: Similar to other medicines, Cimzia may cause certain side effects in some people using it. Not everyone using it will experience side effects. Usually, these symptoms are temporary and diminish by themselves without any medical assistance. However, if they persist or become bothersome, let your doctor know. The most commonly occurring side effects of Cimzia include: 

• Injection Site Reaction: This is one of the most common side effects of Cimzia, which often occurs in the area where the medication is injected due to irritation or inflammation caused by the needle or medication itself. It may include symptoms such as: 
  • Redness
  • Bruising
  • Pain
  • Swelling 

To prevent such symptoms, you should rotate the injection site each time you administer the injection. You can also use a clean needle, and apply a cold compress to the injection spot after the injection to reduce swelling and discomfort. Most of these symptoms are mild to moderate in intensity & resolve on their own within a few hours to a couple of days. If these signs & symptoms persist or worsen, you should contact your medical provider. 

Herpes Infections: This medicine can increase the risk of herpes infection, such as oral herpes, genital herpes, or chickenpox. These infections are caused by herpes simplex virus or varicella-zoster virus. People who have had herpes in the past are most likely to experience flare-ups when taking Cimzia. Its symptoms may include: 

• Oral herpes
• Genital herpes
• chickenpox

• High Blood Pressure: Hypertension may occur as a side effect of Cimzia, especially in patients with pre-existing risk factors such as obesity/history of heart disease. The exact mechanism regarding why this happens is not completely understood, but it is said to be caused due to fluid retention or changes in blood vessel function. To manage hypertension, you should regularly monitor your blood pressure, and if you notice a significant rise in it, you should consult your doctor. They are most likely to adjust the dosage or suggest antihypertensive medicines to control it. To prevent hypertension, you should maintain a healthy weight, reduce your salt intake, and engage in regular physical activity. 

• Rashes: This is one of the most common side effects of Cimzia, which could be due to the body’s immune system responding to the medication as it would to any foreign substance. The rash may indicate an allergic reaction or a skin condition. If the rash is mild, it may resolve on its own, but if it is serious or is accompanied by other symptoms like swelling or difficulty breathing, seek medical attention. 

• Urinary Tract Infection: This medication may make the immune system weak, making it easier for bacteria to enter the urinary tract. Symptoms of UTI include lower abdominal discomfort, frequent urges to urinate, and painful urination. To prevent UTIs, you should stay properly hydrated, urinate regularly, and practice good hygiene. If you experience signs and symptoms of a UTI, consult a medical practitioner. They may prescribe you antibiotics to treat urinary tract infections. 

• Headache in patients with arthritis or psoriasis: These headaches are caused by the drug’s action on the immune system, which can indirectly influence the nervous system or blood vessels, leading to headaches. To manage headaches, you should use over-the-counter pain relief medications after consulting your doctor and staying hydrated. If headaches persist or worsen, talk to your doctor. You may require a dosage adjustment or alternative treatment options. 

• Joint Pain in patients with Crohn’s disease: This side effect may occur because Cimzia can sometimes trigger inflammation in joints, particularly when you start treatment or when there is a change in the dosage. To manage joint pain, you can use anti-inflammatory medications, physical therapy, and low-impact physical exercises. If the pain persists, you should get in touch with a doctor. 

• Mild Allergic Reaction: This can include pain, itching, or hives. These reactions are usually not life-threatening, but it is important to tell a healthcare professional if you have any signs & symptoms of an allergic reaction. If symptoms worsen, seek immediate medical attention. To prevent hypersensitivity reactions, tell your doctor beforehand about any allergies to any of the excipients present in the product. 

• Upper Respiratory Infection: This includes the common cold and flu. It happens because Cimzia can suppress the immune system & make it tougher for your body to fight off infections. Its symptoms include sore throat, coughing, fatigue, and congestion. To prevent this side effect, you should practice good hygiene, avoid close contact with sick individuals, and keep vaccinations up to date. 

Serious side effects of Cimzia: This medication can cause serious side effects in some people using it. While rare, these side effects can become life-threatening if left untreated. It is vital to get medical assistance if you have any of the signs and symptoms by calling 911 or a medical professional. Your doctor has prescribed Cimzia to you after determining that its benefits justify the risks associated with its use. Serious side effects and their symptoms include: 

• • Heart failure: Cimzia can cause or worsen heart failure in some people. This is a serious concern for patients with a history of pre-existing heart failure, as the medicine can exacerbate the condition. The exact cause of why this happens is not known, but it is believed that its immunosuppressive effects could contribute to cardiovascular strain. If heart failure develops or worsens, it may be necessary to discontinue Cimzia or adjust the treatment plan. Signs of heart failure may include:
    • Sudden weight gain
    • Swollen ankles or feet
    • Shortness of breath

• Severe allergic reactions: Some users can experience severe allergic reactions to Cimzia. This reaction can be triggered by the active ingredient in Cimzia or any of its components. If you experience difficulty breathing, swelling under the skin, or any other signs and symptoms of a severe hypersensitivity reaction, you should seek immediate medical assistance and discontinue using the medicine. 

• Immune system reactions, such as lupus-like syndrome: A lupus-like syndrome is a rare but severe side effect of Cimzia, which may manifest itself as joint pain, skin rash, or shortness of breath. The exact cause behind this is not fully understood, but it is said to be because of this medicine’s immune-modulating properties, which can alter how one’s immune system functions. If you experience lupus-like symptoms, you should stop using Cimzia and discuss it with a healthcare professional. Signs may include:
  • Rash on the arms or cheeks (gets worse when exposed to the sun)
  • Joint pain
  • Shortness of breath
• Blood disorders, like low numbers of white or red blood cells and platelets: This medication can interfere with the body’s blood cell production, causing blood disorders. These conditions may result from the immune system’s altered response to Cimzia, which can further affect the bone marrow’s ability to produce the cells. If the blood cell count becomes too low. You should discontinue this medication or alter the dosage. Signs may include:
  • Bruising or bleeding easily
  • Skin or gums looking pale
  • Fever
• Liver problems, including reactivation of the hepatitis B virus. Signs may include:
  • Fatigue
  • Vomiting
  • Jaundice (whites of your eyes & yellowing of your skin)
  • Abdominal pain
  • Loss of appetite
  • Nausea

These signs indicate liver problems or potential hepatitis reactivation, which can be life-threatening if not treated promptly. The reactivation of hepatitis B is especially concerning, as it can cause acute liver failure. To reduce the risk of liver problems, patients should be tested for hepatitis B before using Cimzia. Your doctor may recommend you undergo regular liver function tests during treatment to catch any signs of liver damage early. If you notice signs and symptoms of a liver problem, Cimzia may need to be discontinued, and antiviral treatment for hepatitis B may be required.

• Nerve problems: TNF blockers, including Cimzia, have been associated with rare cases of new or worsening nerve-related conditions, which include:
  • Peripheral neuropathy
  • Optic neuritis (inflamed optic nerves)
  • Guillain-Barré syndrome
  • Seizures
  • Multiple sclerosis

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Are There Any Warnings for Cimzia? 

There are certain warnings for Cimzia that you should consider while using this product. Key points of this warning include: 

• Cimzia affects your immune system, making you more susceptible to infections. This can cause or worsen existing infections. Severe and fatal infections may occur in some people. Your doctor will monitor your symptoms closely. Your risk of developing an unfavorable infection will be greater if you have a weak immune system, HIV, diabetes, hepatitis B, chronic infections, or if you have been using certain medicines. The risk may also be greater for people living in or traveling to certain areas. 
• Cimzia may increase the risk of certain cancers, including lymphoma, skin cancer, and hepatosplenic T-cell lymphoma, particularly in young males with Crohn’s disease or ulcerative colitis who also use azathioprine or mercaptopurine. Cases of rare cancers, some fatal, have occurred in children, teenagers, and young adults. Cimzia is not recommended for pediatric patients. Patients, especially those with active inflammatory diseases like ankylosing spondylitis, rheumatoid arthritis, or psoriatic arthritis, should be monitored for skin changes and undergo regular check-ups.

What Are the Cimzia Precautions?

Before taking Cimzia, discuss your health history with your doctor. Cimzia may not be suitable for you if you have certain medical conditions or other health factors. These include:

• History of Hepatitis B Infection: If you’ve ever had hepatitis B, Cimzia could reactivate the virus in your body, potentially leading to liver failure and death. Your doctor will perform blood tests to check for the hepatitis B virus before you start Cimzia. If you have the hepatitis B virus, your doctor will determine whether Cimzia is appropriate for you.
• Heart Failure: Cimzia can cause or worsen heart failure. If you have heart failure, your doctor will monitor you closely while you are taking Cimzia.
• Nerve Problems: Cimzia can cause or worsen symptoms of nerve problems. Examples include multiple sclerosis, Guillain-Barré syndrome, seizures, optic neuritis, or peripheral neuropathy. If you have any nerve-related issues, discuss with your doctor whether Cimzia is suitable for you.
• Problems with Your Blood Cell Counts: In rare cases, Cimzia may lower your blood cell counts. If you have a history of blood cell problems, your doctor will closely monitor your blood cell counts while you are taking Cimzia.
• Allergy to Cimzia or Other TNF Blockers: If you’ve had an allergic reaction to Cimzia or any of its ingredients before, your doctor will not prescribe it for you. Cimzia is a type of drug called a tumor necrosis factor (TNF) blocker. If you’ve ever had an allergic reaction to another TNF blocker, such as Humira or Remicade, your doctor will determine if Cimzia is suitable for you.
• Sensitivity to Latex: If you are sensitive to latex, your doctor will not prescribe the Cimzia prefilled syringe. The cap of the prefilled syringe contains natural rubber latex, which could cause an allergic reaction.
• Lymphoma or Other Cancers: Cimzia may increase your risk of lymphoma or other types of cancer. If you have a history of lymphoma or any other cancer, inform your doctor before starting Cimzia treatment. Cimzia could potentially worsen your condition or increase the risk of cancer recurrence. Your doctor will assess whether Cimzia is a safe treatment option for you.

Other Important Precautions 

• Alcohol: Cimzia isn’t known to interact with alcohol. However, alcohol can worsen some of Cimzia’s side effects. For example, both Cimzia and alcohol can cause headaches, so drinking alcohol while on Cimzia may increase the risk and severity of headaches. Additionally, alcohol might make your condition worse. For instance, alcohol can worsen the symptoms of plaque psoriasis, which Cimzia treats. If you drink alcohol, talk with your doctor to determine whether it’s safe to do so while using Cimzia.
• Pregnancy and Breastfeeding: It’s not known whether it’s safe to use Cimzia during pregnancy or while breastfeeding. Currently, there haven’t been enough clinical trials in pregnant people to determine the drug’s safety during pregnancy. However, two studies show that when Cimzia was taken during the third trimester, developing fetuses were exposed to a meager amount of the medication. Additionally, animal studies of Cimzia did not show an increased risk of congenital anomalies (birth defects). However, animal studies don’t always predict what may happen in humans.
• It’s important to note that untreated Crohn’s disease and rheumatoid arthritis during pregnancy may increase certain risks, including pregnancy loss. Therefore, your doctor will likely recommend treating these conditions during pregnancy. They will also likely suggest signing up for the pregnancy registry for Cimzia. A pregnancy registry collects information about the effects of a drug when taken during pregnancy, helping to determine whether it may be safe to use during this time. A small amount of Cimzia can pass into breast milk. In clinical trials, this amount did not cause side effects in children exposed to the drug through breast milk. If you’re pregnant, breastfeeding, or planning to become pregnant or breastfeeding, talk with your doctor before using Cimzia.

What Are the FDA Boxed Warning for Cimzia?

Risk of serious infections and possible risk of cancer

This medication comes with boxed warnings. These warnings are the most vital alerts from the Food and Drug Administration (FDA). They inform doctors and patients about the potential for dangerous side effects.

• Risk of Serious Infections: Cimzia weakens your immune system, making it harder to fight off germs and increasing your risk of serious infections. These infections can include tuberculosis (TB) and bacterial, fungal, or viral infections that may spread throughout your body. Serious infections might require hospital treatment and can sometimes be fatal. If you develop a serious infection, your doctor might stop Cimzia. Before starting Cimzia, your doctor will test you for TB and other infections. Inform your doctor if you think you have an infection, if you frequently get infections, or if your infections keep returning. Infections may need to be treated before you begin Cimzia. Contact your doctor immediately if you experience any symptoms of infection while taking Cimzia.
• Possible Risk of Cancer: Cimzia may increase the risk of developing certain types of cancer, including lymphoma, leukemia, and skin cancer. Your doctor will closely monitor you throughout your Cimzia treatment with blood tests and skin examinations. Contact your doctor immediately if you notice any changes in your skin while taking Cimzia. Other rare cancers, including Lymphoma, have been reported in teenagers and children treated with medications known as tumor necrosis factor (TNF) blockers. Cimzia, a TNF blocker, is not prescribed for use in children under 18 years of age.

What Are the Contraindications of Cimzia?

Cimzia is contraindicated for use in patients who: 

• Have a prior history of hypersensitivity reaction to certolizumab pegol or any of its components.
• Are children or adolescents due to the risk of lymphoma and other malignancies. 
• Have active tuberculosis, HIV, or chronic infections

What If You Miss a Dose of Cimzia?

To get the best results out of your medicine, you should maintain consistency in dosage, and to help you remember to take it, make sure to take it at roughly the same time each day. If you have missed a dose, get in touch with your doctor or follow the given instructions: 

• Keep your appointments with your doctor for Cimzia injections. If you miss one, contact your doctor’s office immediately to reschedule.
• If you’re self-administering Cimzia at home and forget a dose, take it as soon as you remember. Then, consult your doctor to adjust your treatment schedule accordingly.
• To avoid missing doses, consider marking your Cimzia schedule on your calendar or setting up reminders on your phone.

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Take Too Much of Cimzia?

• Adhere strictly to your doctor’s prescribed dosage of Cimzia.
• If you suspect an overdose, contact your doctor immediately.
• Alternatively, reach out to America’s Poison Centers or use its online tool for guidance.
• In cases of severe symptoms, call 911 or proceed to the nearest emergency room without delay.

[Note: If you consumed more than recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]

How to Store Cimzia?

• Store Cimzia vials and prefilled syringes in a refrigerator between 36°F and 46°F (2°C and eight °C). Keep them in their cartons to shield them from light. Avoid freezing.
• If required, Cimzia prefilled syringes can be kept at room temperature (up to 77°F/25°C) for up to 7 days, stored in their carton to protect them from light.
• Unopened Cimzia vials can be stored at room temperature (up to 77°F/25°C) for up to 6 months if necessary.
• Once stored at room temperature, don’t return Cimzia prefilled syringes or vials to the refrigerator.
• When you no longer need Cimzia, dispose of any leftover medication safely to prevent accidental ingestion by others and minimize environmental impact.
• Refer to the FDA website for guidance on medication disposal, or consult your pharmacist for proper disposal instructions.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

What Medications Interact with Cimzia?

Cimzia can interact with several other medications, leading to different effects. Some interactions may reduce the effectiveness of a drug, while others can increase side effects or make them more severe. It’s important to inform your doctor about all medications, supplements, and vitamins you are taking to avoid potential interactions. Additionally, Cimzia can affect certain lab test results, which might require adjustments to your treatment plan. Always discuss possible interactions with your doctor to ensure the safe and effective use of Cimzia.

Interactions with Other Medications

Here is a list of medications that can interact with Cimzia. This list does not include all drugs that may interact with Cimzia. Before starting Cimzia, talk with your doctor and pharmacist. Inform them about all prescriptions, over-the-counter, and other medicines you take. Also, mention any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions and ensure your treatment is safe and effective. If you have any questions about drug interactions that may affect you, ask your doctor or pharmacist for more information.

Interactions with Immunosuppressant Drugs: Immunosuppressants are medications that lower the activity of your immune system. Cimzia also lowers immune system activity. When you take Cimzia with an immunosuppressant, your risk of serious infections can increase. Common immunosuppressant drugs that may heighten this risk when used with Cimzia include:

• Rasuvo (methotrexate)
• Otrexup (methotrexate)
• Trexall (methotrexate)
• Corticosteroids such as prednisone (Rayos)

Interactions with Certain Other Biologics: Cimzia is a biologic medication, which means it is produced from living cells. It is generally advised not to use Cimzia alongside other biologics that treat conditions like arthritis, Crohn’s disease, or psoriasis. This is because combining these medications can significantly increase your risk of serious infections. Examples of other biologics that should not be used with Cimzia include:

• Kineret (anakinra)
• Rituxan (rituximab)
• Orencia (abatacept)
• Tysabri (natalizumab)

Interactions with Live Vaccines: Receiving a live vaccine while on Cimzia can lead to serious infections. Live vaccines use weakened forms of viruses or bacteria, which normally do not cause infections in people with healthy immune systems. However, if your immune system is weakened due to Cimzia, these vaccines might lead to infections. Therefore, it’s recommended to avoid live vaccines while taking Cimzia, such as:

• Tuberculosis
• The nasal spray form of the flu vaccine
• Yellow fever
• Chickenpox
• Measles, mumps, and rubella (MMR)

It is safe to receive inactive (non-live) vaccines, such as the flu shot, while you are taking Cimzia.

[Note: This isn’t a complete list, and there could be other drugs that interact with Cimzia. Make sure to tell your doctor about any prescription, over-the-counter, or herbal products you’re taking.]

What Are the Other Cimzia Interactions?

Apart from medications, Cimzia may interact with certain herbs, supplements, food items, and beverages, which can decrease the effectiveness of Cimzia or increase the chance of having unwanted side effects. These include: 

Interactions with Herbs & Supplements

Currently, there are no specific herbs or supplements known to interact with Cimzia. Nonetheless, it’s important to consult with your doctor or pharmacist before using any herbal or supplemental products while taking Cimzia.

Interactions with Lab Tests

Cimzia does not influence blood clotting in your body. However, it may alter the results of certain lab tests that assess how long it takes your blood to clot. An example of such a test is the activated partial thromboplastin time (aPTT) test. Abnormal results from this test may incorrectly suggest a blood clotting issue when there is none. If you are scheduled for a test that checks your blood clotting, ensure your doctor is aware that you are taking Cimzia. Typically, you will only need this type of test if there is a concern about a potential blood clotting problem. 

Interactions with Alcohol

While Cimzia is not known to have direct interactions with alcohol, it can increase the likelihood of experiencing certain side effects, including headaches and fatigue. 

What Are the Cimzia Alternatives?

While Cimzia is effective in treating several chronic inflammatory conditions, some patients may not respond well to it or have contraindications. In such cases, people look for alternatives to this TNF medication, and while there are many effective substitutes available on the market, you should not use them without consulting your doctor. If you plan to change your medication or start a new one, inform your doctor. Based on your condition, age, and other factors, they will help you determine the medicine that works best for you. Popular Cimizia alternatives include: 

1. Otrexup (methotrexate)
2. Rasuvo (methotrexate)
3. Trexall (methotrexate)
4. Soriatane (acitretin)
5. Otezla (apremilast)
6. Humira (adalimumab)
7. Enbrel (etanercept)
8. Remicade (infliximab)
9. Siliq (brodalumab)
10. Taltz (ixekizumab)
11. Tremfya (guselkumab)
12. Skyrizi (risankizumab)
13. Cosentyx (secukinumab)
14. Ilumya (tildrakizumab)
15. Stelara (ustekinumab)
16. Rayos (prednisone)
17. Entocort EC (budesonide)
18. Azulfidine (sulfasalazine)
19. Azulfidine EN-tabs (sulfasalazine)
20. Azasan (azathioprine)
21. Imuran (azathioprine)
22. Purinethol (6-mercaptopurine)
23. Purixan (6-mercaptopurine)
24. Tysabri (natalizumab)
25. Entyvio (vedolizumab)
26. Advil (ibuprofen)
27. Motrin IB (ibuprofen)
28. Naprosyn (naproxen)
29. Plaquenil (hydroxychloroquine)
30. Arava (leflunomide)
31. Simponi (golimumab)
32. Simponi Aria (golimumab)
33. Kineret (anakinra)
34. Orencia (abatacept)
35. Rituxan (rituximab)
36. Xeljanz (tofacitinib)
37. Xeljanz XR (tofacitinib)
38. Actemra (tocilizumab)

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.] 

Cimzia Cost & Coupons

Cimzia is used to treat various inflammatory conditions. While it is an effective option, its cost can be a concern for many patients, depending on multiple factors, including health insurance coverage and the pharmacy you choose to buy Cimzia Autoinjector online. When looking to buy Cimzia for rheumatoid arthritis, people discover that their health insurance plan does not cover medicines, which leads to out-of-pocket expenses. In such cases, people turn to online platforms such as Polar Bear Meds, which allows people to order Cimzia injection 200mg at low prices in Canada and have it delivered to the USA. Customers can also use the WELCOMEPB10 coupon for an extra 10% discount on their first order. 

Frequently Asked Questions

Is it safe to take antibiotics while you’re on Cimzia?

Yes, it is generally safe to take antibiotics while using Cimzia if your doctor prescribes them. Cimzia is a medication that can reduce the activity of your immune system, making you more susceptible to infections. Therefore, if you develop a bacterial infection while on Cimzia, antibiotics may be necessary to treat it effectively. However, in cases of serious infections, your doctor might advise you to temporarily stop taking Cimzia until the infection is resolved with antibiotics. It’s important to closely follow your doctor’s guidance regarding the use of antibiotics and the management of Cimzia during infections.

Can I take Cimzia if I have diabetes?

Yes, you can take antibiotics while using Cimzia if your doctor prescribes them. However, it’s important to be aware that both diabetes and Cimzia can increase your susceptibility to infections. To help reduce this risk, consider the following precautions:

• Ensure all your immunizations are up to date before starting Cimzia.
• Get the flu shot annually to protect against influenza.
• If possible, avoid close contact with people who are currently infected.
• Frequently wash your hands to help prevent the spread of germs.
• Practice good foot care, particularly if you have diabetes, to prevent foot ulcers and infections.

If you experience any symptoms of an infection while taking Cimzia, it’s crucial to see your doctor immediately for proper assessment and treatment.

Should I expect weight gain with Cimzia?

No, weight gain is not typically expected as a side effect of Cimzia. Clinical trials involving this medication did not report weight gain among the participants. However, it’s important to note that Cimzia can potentially lead to new or worsening heart failure, which may cause swelling in the legs or ankles. This swelling could be mistaken for sudden weight gain.

If you notice any weight gain while using Cimzia, especially if it’s accompanied by other symptoms like swelling in your legs or ankles, it’s essential to consult your doctor. They can help determine the cause of the weight gain and advise on the appropriate course of action to manage it.

When should I stop taking Cimzia?

You should consider stopping Cimzia and contact your doctor immediately if you suspect you have an infection or if you experience symptoms of a disease. Symptoms can include fever, fatigue, cough, flu-like symptoms, or any new or worsening symptoms. It is crucial because Cimzia, as an anti-TNF therapy, can potentially lower your immune system’s ability to fight infections, making you more susceptible to serious, sometimes fatal, infections.

Additionally, there have been cases of certain cancers, including lymphoma, in individuals receiving anti-TNF therapy like Cimzia. If you notice any unusual symptoms, such as unexplained weight loss, persistent fever, bruising, bleeding, or lymphadenopathy (swollen lymph nodes), it’s important to inform your doctor right away.

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