This page contains a brief description that does not cover the medication. For more information read the review in Felleskatalogen.no for the respective drug.
Contents
Definition
Cimzia er Biological treatment which blocks TNF-alpha. Injections. Active ingredient is certolizumab.
- Cimzia is used against t Rheumatoid arthritis og Psoriatic arthritis
Before starting treatment
- Inform yourself about the current medication ("your medication")
- A treatment goal should be set
- Exclude signs of infection (tuberculosis, hepatitis B and C)
- Blood tests
- Urine
- X-ray or CT of lungs
- Tuberculosis screening: more here
Vaccines
- Consider annual flu vaccine
- Evaluate pneumococcal vaccine before starting treatment (effect for 5-10 years)
- Consider hepatitis B vaccine before initiating treatment (exposed persons)
- "Live vaccines" should not be used
Dosage
Common dosage as injection under the skin (subcutaneous, sc) against Rheumatoid arthritis in adults:
- Startup: 400mg dose first three times (week 0, week 2 and week 4), then 200mg injection under the skin (subcutaneously) every 2. week or 400mg every 4. week
- Combination with Methotrexate is common
Prescription
- H-prescription which is covered by the patient's health trust
Medical checks / follow-up
- Specialist / Specialist in Rheumatology and General Practitioner
Measurement of serum concentration
- Reference range for serum concentration measurements (at a random time)
- Please see anx.no (certolizumab)
Pregnancy
- During pregnancy, Cimzia passes to the fetus to a small extent and the drug can be used during breastfeeding
Patient information
Medications, BINDEVEVSSYKDOMMER.no
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