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Exemptia 20 mg Prefilled Syringe

Manufactured byZydus Cadila
ContainsAdalimumab
CURRENTLY UNAVAILABLE

Description

Exemptia 20 mg Prefilled Syringe is a medicine used either alone or in a combination with other medicines to relieve the symptoms of conditions where the immune system attacks healthy parts of the body (auto-immune disorders); these symptoms may include pain, swelling, damage to the body structure, etc. It is used for the treatment of conditions such as rheumatoid arthritis, juvenile idiopathic arthritis, Crohn's disease, ulcerative colitis, ankylosing spondylitis, uveitis, chronic plaque psoriasis, etc.
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Substitutes

List of substitutes for Exemptia 20 mg Prefilled Syringe

Side effects

Major & minor side effects for Exemptia 20 mg Prefilled Syringe

Injection site redness, bruising, or sores

Nausea and Vomiting

Headache

Back pain

Burning, numbness, tingling in the arms and feet

Vision disturbances

Weakness in arms, hands, legs or feet

Chest pain

Shortness of breath

Skin rash, hives, or itching

Swelling of the face, arms, hands, lower legs, or feet

Difficulty in swallowing

Fever with chills

Unusual bleeding or bruising

Pale and clammy skin

Red, scaly patches or pus-filled bumps on the skin

Ear congestion

Black or tarry stools

Sleep disturbances

Uses of Exemptia 20 mg Prefilled Syringe

What is it prescribed for?

Rheumatoid Arthritis

This medicine is used to relieve signs and symptoms including pain and swelling associated with rheumatoid arthritis in adult patients. It is also effective in reducing structural damages and improving physical functions in adult patients with moderate to severe rheumatoid arthritis.

Juvenile Idiopathic Arthritis

This medicine is used to relieve signs and symptoms such as pain, swelling, structural damage, developmental defects, etc. associated with juvenile idiopathic arthritis in children aged 2 years and above.

Psoriatic Arthritis

This medicine is used to relieve signs and symptoms such as pain, swelling, the formation of scales on the skin, etc. associated with psoriatic arthritis in adults. It also reduces structural damages and improves physical functions in adults with psoriatic arthritis.

Ankylosing Spondylitis

This medicine is used to relieve signs and symptoms such as pain, swelling, structural damages, etc. associated with ankylosing spondylitis in adults.

Crohn's Disease

This medicine is used to signs and symptoms such as pain, swelling, diarrhea, weight loss, fever, etc. associated with Crohn's disease in adults and children above 6 years of age. It is normally used when other medicines are not able to provide symptomatic relief or are not well tolerated.

Ulcerative Colitis

This medicine is used to relieve signs and symptoms such as pain, swelling, sores in the lining of the colon and rectum, etc. associated with ulcerative colitis in adults. It is generally used when other medicines are ineffective or are not well tolerated.

Chronic plaque psoriasis

This medicine is used for the treatment of moderate to severe chronic plaque psoriasis when systemic therapy or phototherapy can be used and the use of other medicines is inappropriate or less appropriate.

Hidradenitis suppurativa

This medicine is used for the treatment of hidradenitis suppurativa, a condition characterized by pimple-like bumps in the armpits, groin, and anal areas, in adults and children above 12 years of age.

Uveitis

This medicine is used for the treatment of uveitis, a condition characterized by swelling and inflammation of the uvea (middle layer of the eye).
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?

    The amount of time taken by this medicine to show its effect is subject to vary based on the condition being treated and individual constitution.

  • How long do the effects of this medicine last?

    The amount of time for which this medicine remains effective in the body is not clinically established.

  • Is it safe to consume alcohol while taking this medicine?

    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

  • Is this a habit forming medicine?

    No habit-forming tendencies were reported.

  • Can this medicine be taken during pregnancy?

    This medicine is not recommended for use in pregnant women unless absolutely necessary. Your doctor will determine the best course of treatment after assessing the condition and evaluating the risks and benefits associated with the use of this medicine.

  • Can this medicine be taken while breast-feeding?

    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.

Allergy

This medicine is not recommended for use in patients with a known allergy to adalimumab or any other inactive ingredient present in the formulation.

Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. Your doctor will determine the best course of treatment after assessing the condition and evaluating the risks and benefits associated with the use of this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.

General warnings

Other medicines

Exemptia 20 mg Prefilled Syringe may interact with many other medicines and their interaction may cause severe adverse effects. Hence, it is advised that you inform the doctor about all your current medicines including any herbs and supplements before beginning treatment with this medicine.

Serious infections

Use of this medicine may affect the immune system, making you susceptible to opportunistic infections from a wide variety of pathogens. Use of this medicine is not recommended if you have an active infection. If a serious infection develops, consult your doctor immediately and discontinue the use of this medicine based on the doctor's advice.

Malignancies

Use of this medicine may cause a malignancy or reactivation of a previously treated malignancy. Hence, it should be used with caution and frequent clinical monitoring should be performed, especially for children, adolescents, and young adults. If a malignancy develops, appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Serious allergic reactions

Use of this medicine may cause serious and life-threatening allergic reactions in some people. Discontinue the use of this medicine immediately if any allergic reactions occur.

Hepatitis B virus reactivation

Use of this medicine may increase the risk of reactivation of hepatitis b virus in patients who are chronic carriers. Close clinical monitoring is advised, if the patient is identified as a carrier of the virus, during treatment as well as for several months after the use of this medicine. If the hepatitis B infection is reactivated during treatment, the treatment should be discontinued and appropriate antiviral therapy should be initiated.

Neurological reactions

Use of this medicine may cause neurological problems and exacerbate the symptoms of nervous system disorders. This medicine should be used with caution in patients with a preexisting nervous system disorder like multiple sclerosis, optic neuritis, Guillain-Barre syndrome, etc. Close monitoring of clinical condition, appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary in some cases based on the clinical condition.

Hematological reactions

Use of this medicine may cause blood cell component disorders. Hence, close monitoring of hematological function is advised during treatment with this medicine. Therapy should be stopped if any serious blood cell component abnormality is identified.

Heart failure

Use of this medicine has been associated with worsening of congestive heart failure as well as the new onset of heart failure in some rare cases. Hence, appropriate clinical monitoring is advised during treatment with this medicine. Replacement with a suitable alternative may be necessary in some cases based on the clinical condition.

Autoimmunity

Use of this medicine may result in the formation of autoantibodies and may cause a lupus-like syndrome. Treatment with this medicine should be discontinued immediately in such cases.

Immunization

Use of live vaccines should be avoided while the patient is being treated with this medicine. Special precaution is advised for pediatric patients.

Driving or Operating machinery

Use of this medicine may cause blurred vision or dizziness in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Missed Dose

Administer the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped. Do not double the dose to make up for the missed one.

Overdose

Contact your doctor immediately and seek emergency medical help in case of an overdose of this medicine.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Interaction with Medicine

Deflazacort

Antiviral vaccines and related products

Lidocaine

Doxorubicin

Ganciclovir

Methyl Prednisolone

Budesonide

Azathioprine

Cisplatin

Betamethasone

Clozapine

Linezolid

Tacrolimus

Hydrocortisone

Cyclosporine

Triamcinolone

Altretamine

Bleomycin

Daclizumab

Disease interactions

Infections

This medicine should be used with extreme caution in patients with a history of recurrent infections due to the increased risk of worsening of the patient’s condition. Initiation of therapy with this medicine in patients with active infections is not recommended. Patients susceptible to infections should be monitored closely during treatment with this medicine. An alternative treatment option may be necessary in some cases based on the clinical condition.

Malignancies

This medicine should be used with extreme caution in patients with a history of malignancies. It should also be used with caution in patients who develop malignancies during treatment since it may worsen the patient's condition. These patients may require a dose adjustment and more frequent clinical monitoring to safely use this medicine. An alternative treatment option may be necessary in some cases based on the clinical condition.

Neurological disorders

This medicine should be used with caution in patients with an active neurological disorder since the risk of worsening of the patient's condition is significantly high. It is recommended to discontinue the use of this medicine if neurological disorders develop during the treatment course. An alternative treatment option should be considered in such cases based on the clinical condition.

Tuberculosis

This medicine should be used with extreme caution in patients who have previously been treated for latent or active tuberculosis. Anti-tuberculosis therapy should be initiated prior to therapy with this medicine if an active infection is confirmed. Appropriate tests should be conducted for the presence of latent tuberculosis in patients before initiating therapy with this medicine.

Congestive heart failure

This medicine should be used with caution in patients with congestive heart failure due to the increased risk of worsening of the patient’s condition. You may require a dose adjustment and more frequent clinical monitoring to safely use this medicine. An alternative treatment option may be necessary in some cases based on the clinical condition.

Bone Marrow Depression

This medicine should be used with caution in patients with bone marrow depression due to the increased risk of worsening of the patient’s condition. Blood component abnormalities should be considered before treatment with this medicine is initiated. You may require a dose adjustment and more frequent clinical monitoring to safely use this medicine. An alternative treatment option may be necessary in some cases based on the clinical condition.

Hepatitis B

This medicine should be used with caution in patients with a history of hepatitis B infection due to the increased risk of worsening of the patient’s condition. It is recommended to closely monitor patients with evidence of prior hepatitis B infection for signs and symptoms of reactivation. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition. If hepatitis B infection is reactivated, discontinuation of treatment with this medicine and initiation of antiviral therapy is recommended.

Food interactions

Information not available.

Lab interactions

Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
It is advised to administer this medicine under the supervision of a doctor or a trained healthcare professional. Your dose regimen and frequency of administration is likely to vary based on the condition being treated. Consult your doctor immediately if you develop any signs and symptoms of an infection.

Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

May cause sleepiness

How it works

This medicine works by blocking the action of certain specific substances in the body that are responsible for causing inflammation (pain, swelling, redness, etc.) and other associated complications.

Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Antirheumatics, TNF alfa inhibitors

Schedule

Schedule H

Adalimumab - DrugBank [Internet]. Drugbank.ca. 2018 [cited 28 August 2018]. Available from:

https://www.drugbank.ca/drugs/DB00051

[Internet]. Rxabbvie.com. 2018 [cited 28 August 2018]. Available from:

https://www.rxabbvie.com/pdf/humira.pdf

[Internet]. Accessdata.fda.gov. 2018 [cited 28 August 2018]. Available from:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/125057s0110lbl.pdf

DailyMed - Adalimumab injection, solution [Internet]. Dailymed.nlm.nih.gov. 2018 [cited 28 August 2018]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=608d4f0d-b19f-46d3-749a-7159aa5f933d

English |US [Internet]. Humira.com. 2018 [cited 28 August 2018]. Available from:

https://www.humira.com/

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Information on this page was last updated on 3 Jan 2019

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.