Remicade Warnings and Precautions

Specific Remicade Warnings and Precautions

Warnings and precautions to be aware of prior to taking Remicade include the following:
 
  • The medication can increase your chance of infections, including serious infections. You should not start it if you have an infection (even a skin infection). While taking Remicade, tell your healthcare provider right away if you think you may have any infection. The drug may not be the best choice for people who get frequent infections.
     
  • In rare cases, Remicade has been reported to cause certain conditions of the nervous system, including multiple sclerosis (MS), seizures, and epilepsy. It may also make these conditions worse. Talk to your healthcare provider before taking Remicade if you have MS, seizures, or any other nervous system condition.
     
  • In rare cases, Remicade has caused dangerously low blood counts (including aplastic anemia). You should tell your healthcare provider about any unusual bruising, bleeding, or paleness while taking the medication.
     
  • There have been reports of lymphoma (a certain type of cancer) and skin cancer in people taking Remicade. It is not yet known if the medication causes these cancers or not.
     
  • Remicade can cause certain infections (such as hepatitis B or tuberculosis) that have become inactive in the body to become active again. Tell your healthcare provider if you have ever had hepatitis B or tuberculosis before starting treatment.
     
  • Allergic reactions can occur with Remicade. These reactions include:
 
    • Rashes
    • Hives
    • Itching
    • Wheezing or difficulty breathing
    • Unusual swelling.
Let your healthcare provider know right away if you think you are having an allergic reaction to Remicade.
  • In studies, people with congestive heart failure who took Remicade had an increased risk of death. Also, worsening of heart failure and new cases of heart failure in people that did not already have it have been reported in people taking Remicade. Talk to your healthcare provider about this drug and congestive heart failure before starting treatment. People with moderate to severe heart failure should not take high doses (see Remicade Dosage).
     
  • You should not receive live vaccines while taking Remicade. Talk to your healthcare provider before receiving any vaccines while taking the drug.
     
  • In rare cases, Remicade has caused lupus-like conditions. Symptoms may include an unexplained rash across the nose and cheeks (known as a butterfly rash) or ulcers in the mouth or nose.
     
  • The medication can cause liver problems, including liver failure and hepatitis. Let your healthcare provider know if you have any signs of liver damage, such as
 
    • Dark urine
    • Upper abdominal pain (stomach pain)
    • Yellowing of the skin or whites of the eyes (jaundice).
 
  • Remicade can interact with certain medications (see Remicade Drug Interactions).
     
  • Remicade is considered a pregnancy Category B medication. This means that it is unlikely to harm an unborn baby. However, the full risks of using the drug while pregnant are not known. Talk to your healthcare provider about the risks and benefits of taking the drug if you are pregnant (see Remicade and Pregnancy).
     
  • It is not known if Remicade passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Remicade and Breastfeeding).
     
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Remicade Medication Information

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