ADALIMUMAB

By Gary M. White, MD

Note: This is a summary only. Please consult the latest information when prescribing.

Adalimumab and Psoriasis

Trade Name

Humira

Indications

Black Box Warnings

SERIOUS INFECTION Increased risk of serious infections leading to hospitalization or death, including tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens.

MALIGNANCY Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers including HUMIRA. Post-marketing cases of hepatosplenic T-cell lymphoma (HSTCL), a rare type of T-cell lymphoma, have occurred in adolescent and young adults with inflammatory bowel disease treated with TNF blockers including HUMIRA.

Dose for Psoriasis

80 mg initial dose, followed by 40 mg every other week starting one week after initial dose.

Pregnancy Category

B

Nursing Mothers

Limited data from published literature indicate that adalimumab is present in low levels in human milk and is not likely to be absorbed by a breastfed infant. However, no data is available on the absorption of adalimumab from breast milk in newborn or preterm infants. Caution should be exercised when HUMIRA is administered to a nursing woman.

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