What is Remicade?Remicade is a medicine used to treat moderate to severe Crohn's disease or ulcerative colitis in people who have not responded well to other medicines. Also, Remicade is used to treat moderate to severe rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, or chronic severe plaque psoriasis. Remicade is administered intravenously (through a vein in your arm).
What is the most important information I should know about Remicade?Remicade can make you more likely to get infections or make any infection you have worse. Tell your doctor if you experience fever, cough, "flu-like" symptoms, skin reactions, or open cuts or sores on your body.
Your doctor will test you for tuberculosis (a bacterial infection that affects the lungs) before starting Remicade and will monitor you closely for signs and symptoms of tuberculosis during treatment with Remicade. Tell your doctor if you have tuberculosis, have been in close contact with someone with tuberculosis, or have or have had hepatitis B virus infection. Also, tell your doctor if you live, have lived, or have traveled to certain parts of the country; some areas can increase your chance of getting certain kinds of fungal infections.
Remicade can affect your immune system and can increase your risk of certain cancers. Tell your doctor if you have ever had any type of cancer. Also, this medication can cause lupus (disease that affects the immune system).
Remicade can cause an infusion reaction that may result in death if not immediately treated. Tell your doctor immediately if you experience fever, chills, rash, or breathing problems. Also, tell your doctor if you have experienced this reaction before while receiving Remicade.
Who should not take Remicade?Your doctor will not administer Remicade to you if you are allergic to it or any of its ingredients, or if you have moderate to severe heart failure.
What should I tell my doctor before I take the first dose of Remicade?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Remicade. Also, talk to your doctor about your complete medical history, especially if you have an infection (including tuberculosis or hepatitis B), a weak immune system, diabetes, cancer, liver problems, heart failure or other heart conditions, blood disorders, had phototherapy for psoriasis, chronic obstructive pulmonary disease (COPD) (narrowing of the lungs that makes it hard to breath), nervous system problems, scheduled to receive a vaccine, or are pregnant, plan to become pregnant, or are breastfeeding.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Ankylosing Spondylitis, Plaque Psoriasis, Psoriatic Arthritis, or Rheumatoid Arthritis
Adults: Your doctor will administer the appropriate dose for you based on your body weight and condition.
Crohn's Disease or Ulcerative Colitis
Adults and children ≥6 years: Your doctor will administer the appropriate dose for you based on your body weight and condition.
How should I take Remicade?Your doctor will administer Remicade to you.
What should I avoid while taking Remicade?Do not miss your scheduled follow-up appointments with your doctor.
What are possible food and drug interactions associated with Remicade?If Remicade is used with certain drugs, the effects of either could be increased, decreased, or altered. It is especially important to tell your doctor if you are taking any of the following prior to treatment with Remicade: abatacept, anakinra, blood thinners (such as warfarin), cyclosporine, live vaccines, theophylline, or tocilizumab.
What are the possible side effects of Remicade?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: abdominal pain, allergic reactions, bleed or bruise very easily, chest discomfort or pain, coughing, diarrhea, fever, headache, infections, infusion reactions, joint or muscle pain, numbness or tingling, pale skin, seizures, shortness of breath, skin rash or itching, sore throat, swelling of your ankles or feet, tiredness, upper respiratory tract infection, vision changes, weakness in your arms or legs, weight gain, yellowing of your skin or whites of your eyes
Can I receive Remicade if I am pregnant or breastfeeding?The effects of Remicade during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of Remicade?Remicade should be given under special circumstances determined by your doctor.
How should I store Remicade?Your doctor will store this medication for you.