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Remicade Injection


Overview

Introduction

Remicade Injection is used for the treatment of various inflammatory conditions of the joints (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis), skin (psoriasis), and bowel (ulcerative colitis, Crohn’s disease). It reduces inflammation in these conditions by blocking TNF alpha.

Remicade Injection is given as an infusion (slow drip) into a vein under the supervision of a doctor. You will be monitored while you are given this medicine. The dose and how often you need it will be decided by your doctor so that you get the right amount to control your symptoms. Make sure that you turn up for all your injections as per the schedule advised by your doctor. Taking this medicine regularly will greatly help to relieve your symptoms.

The most common side effects seen with this medicine include headache, sinus inflammation, upper respiratory tract infection, abdominal pain, and pharyngitis (pain or irritation in the throat). Some people may experience fever, chills, sweating, etc. due to an infusion reaction while this medicine is administered. Consult your doctor if any of the side effects persist or bother you. You may get infections more easily when you are being treated with this medicine. Tell your doctor right away if you develop any symptoms of an infection like fever, cough, rash, loose stools, or flu-like symptoms.

Before the start of treatment, let your doctor know if you have heart failure or tuberculosis or another serious infection like pneumonia or if you the hepatitis B virus. Pregnant and breastfeeding women should also consult their doctor before using this medicine. Some other medicines may react with this medicine so talk to your doctor about other medications you are taking as well. During treatment, your doctor will advise some tests to monitor your blood cell counts and track your progress.

Side effects of Remicade Powder for Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Remicade

  • Headache
  • Sinus inflammation
  • Upper respiratory tract infection
  • Infusion reaction
  • Abdominal pain
  • Sore throat

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Abdominal pain
    In most cases, this is mild enough to be treated at home. Try to rest and relax. Putting a heat pad or covered hot water bottle on your stomach may also help. Having a warm bath or shower can help you relax and relieve the pain. Drink plenty of clear fluids such as water and reduce your intake of coffee, tea, lemon juice or soda. Avoid alcohol and smoking as these can aggravate the pain. Eating slowly and having smaller and more frequent meals can also help. If the pain is severe, speak to your doctor. They may be able to guide you better.
  • Coping with Sore throat
    Try gargling with warm salt water as it can help soothe a scratchy throat and relieve the discomfort. Stay hydrated by drinking plenty of water. Consider lozenges or hard candy. Avoid caffeine and alcohol, as they can dry out your throat and aggravate the symptoms. Also, avoid smoking or smoky places. Warm tea that is sweetened with honey can also soothe your irritated throat. Get plenty of rest and consider using a humidifier if the air in your home is dry. If it does not get better or get worse, talk to your doctor for advice.

How to use Remicade Powder for Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Remicade Powder for Injection works

Remicade Injection is a monoclonal antibody that blocks a protein in immune system called TNF (tumor necrosis factor) that causes inflammation (pain and swelling) in joints.

Safety Advice

Alcohol
SAFE
Consuming alcohol with Remicade Injection does not cause any harmful side effects.
Pregnancy
CONSULT YOUR DOCTOR
Remicade Injection may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CAUTION
Remicade Injection should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from her body.
Driving
CONSULT YOUR DOCTOR
It is not known whether Remicade Injection alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Kidney
CONSULT YOUR DOCTOR
There is limited information available on the use of Remicade Injection in patients with kidney disease. Please consult your doctor.
Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Remicade Injection in patients with liver disease. Please consult your doctor.

What if you forget to take Remicade Powder for Injection?

If you miss a dose of Remicade Injection, please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Remicade Injection
₹41039.0/Powder for Injection
Infimab Injection
Sun Pharmaceutical Industries Ltd
₹32000/Powder for Injection
save 22%

Quick Tips

  • Remicade Injection is injected into a vein (intravenous infusion) under the supervision of a doctor. It is usually administered at 0, 2, 6 weeks and then once every 8 weeks. 
  • It may take some time before you start to feel better after getting this medicine. However, it is important that you do not miss any dose and show up for your next infusion as per the schedule advised by your doctor.
  • Remicade Injection can make it difficult for your body to fight infections. Inform your doctor if you notice any fever, cough, runny nose, rash, loose stools or flu-like symptoms.
  • Inform your doctor if you have ever had tuberculosis or if you have been in close contact with someone who has or had tuberculosis. Your doctor may advise you certain tests to screen for tuberculosis before starting treatment with this medicine.
  • Inform your doctor if you have or ever had the hepatitis B virus infection. Your doctor may test you for hepatitis B virus before starting treatment with this medicine.
  • You may be advised regular blood tests to monitor blood counts while taking this medication. 

Fact Box

Chemical Class
Monoclonal antibody (mAb)
Habit Forming
No

Patient Concerns

arrow
I have joint pain in my rt wrist since 6 yrs. What are the possible reasons?
Dr. Trilok Kumar Jha
Orthopaedics
It may be Tenosynovitis, or Rheumatoid arthritis or any other type of arthritis
Sir/Ma'am, I feel pain in the heel of both the legs especially when I get up from the bed in the morning. After walking couple of steps, it goes away. there is no bone problem reported in the Xray report. Please guide me what could be the reason?
Dr. Mehtab Baig
Orthopaedic Physiotherapy
This is the test for rheumatoid arthritis
arrow
Do you have any questions related to Remicade Injection ?

User Feedback


FAQs

Q. Is Remicade an immunosuppressant?

Yes, Remicade is a type of immunosuppressant drug. It suppresses inflammation (pain and swelling) caused by your immune system in conditions like rheumatoid arthritis, etc. It works by recognizing and binding to certain special proteins in the body known as tumor necrosis factor (TNF alpha) which is responsible for causing inflammation. Blocking the TNF alpha helps suppress inflammation, pain and swelling.

Q. Is Remicade dangerous?

Remicade acts on the immune system and may reduce your ability to fight infections. This may increase the risk of getting serious infections that may spread throughout the body. These infections may be life threatening and may need to be treated in a hospital. Therefore your doctor will monitor you for any infection before starting and during your treatment. Inform your doctor if you develop a fever or any other sign of infection while taking Remicade. Furthermore, there are some reports which suggest that Remicade may increase the risk of some types of cancer. However, remember that your doctor has prescribed this medicine to you because he has judged the benefits to you to be greater than any potential risks. Consult with your doctor if you have any further concerns.

Q. How do I take Remicade?

You will have to visit the hospital to get this medicine whenever you have a dose scheduled. Remicade is an intravenous infusion that is given via a drip into a vein in your arm over a two hour period under the supervision of a healthcare professional. After your first treatment, you will be given a second infusion after 2 weeks and third infusion 4 weeks later. After that, usually another infusion is given in every 8 weeks. Please consult your doctor to know the schedule that suits your condition best.

Q. Can Remicade cause liver damage?

Yes, in rare cases the liver may be affected. Contact your doctor in case you experience fever, dark brown-colored urine, extreme tiredness (severe fatigue) and pain on the right side of your stomach area (right-sided abdominal pain). You must also inform your doctor if you develop jaundice (skin and eyes turn yellow).

Q. Does Remicade affect the heart?

Yes, Remicade may cause heart problems though not in everyone. It may cause heart attack (which can even lead to death), decreased blood flow to the heart or abnormal rhythm of the heart. This generally occurs within 24 hours of beginning of infusion. Symptoms may include chest discomfort or pain, arm pain, stomach pain, shortness of breath or anxiety. Other symptoms may include lightheadedness, dizziness, fainting, sweating, nausea (feeling sick), vomiting, fluttering or pounding in your chest, a fast or a slow heartbeat, and swelling of your feet. Tell your doctor immediately if you experience these symptoms.

Q. How soon can I experience relief in symptoms after taking Remicade?

This varies from person to person depending on the condition. However, in most cases, while improvement in symptoms appears within 2 weeks of starting Remicade, the maximum benefits may be noticed after 4 weeks.

Q. Can you drink alcohol while taking Remicade?

Though alcohol does not interfere with the working of Remicade, it is best to avoid alcohol. Discuss with your doctor if you are not sure.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 633-34.
  2. Wallace JL, Sharkey KA. Pharmacotherapy of Inflammatory Bowel Disease. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 1359.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 712-13.
  4. Infliximab. Hoddesdon, Hertfordshire: Merck Sharp & Dohme Limited; 1999 [18 Oct. 2018]. [Accessed 23 Jan. 2019] (online) Available from:External Link
  5. Drugs.com. Infliximab Pregnancy and Breastfeeding Warnings. [Accessed 02 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Johnson & Johnson Private Limited., 501 Arena Space, Behind Majas Bus Depot, Off Jogeshwari Vikhroli Link Road, Jogeshwari (E), Mumbai 400 060
A licensed vendor partner from your nearest location will deliver Remicade Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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₹36039
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