II. Indications

  1. Severe active Rheumatoid Arthritis refractory to DMARDs
  2. Plaque Psoriasis
  3. Crohns Disease

III. Contraindications

  1. Chronic or acute infection
  2. Concurrent use of Interleukin-1 Receptor Antagonist
    1. Anakinra (Kineret)

IV. Mechanism: Monoclonal Antibody

  1. Human antitumor Necrosis Factor alpha
  2. Similar to Infliximab and Etanercept

V. Preparations

  1. Humira (Adalimumab)
    1. Original prototype drug with release in 2003 for Rheumatoid Arthritis, with expanding indications since
  2. Multiple biosimilar agents pending release in 2023
    1. Abrilada
    2. Amjevita
    3. Cyltezo
    4. Hulio
    5. Hyrimoz
    6. Yusimry

VI. Dosing

  1. Every other week: 40 mg SC

VII. Adverse Effects

  1. Immunosuppression
    1. Use caution in any patient prone to infection
  2. Headache
  3. Rash
  4. Hypertension
  5. Hyperlipidemia
  6. Injection site inflammation
  7. Gastrointestinal upset

VIII. Cost

  1. Two 40 mg vials: $1200 (in 2003)

IX. References

  1. (2003) Lexi-Comp Drug Database

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Related Studies

Cost: Medications

humira (on 6/21/2023 at Medicaid.Gov Survey of pharmacy drug pricing)
HUMIRA 40 MG/0.8 ML SYRINGE $3,121.27 each
HUMIRA PEN 40 MG/0.8 ML $3,119.47 each
HUMIRA PEN CROHN'S-UC-HS STARTER 40 MG/0.8 ML $3,115.25 each
HUMIRA PEN PSORIASIS-UVEITIS-ADOL HS STARTER 40 MG/0.8 ML $3,115.30 each
HUMIRA(CF) 40 MG/0.4 ML SYRINGE $3,123.51 each
HUMIRA(CF) PEN 40 MG/0.4 ML $3,121.75 each
HUMIRA(CF) PEN 80 MG/0.8 ML $6,721.88 each