Golimumab injection (subcutaneous or intravenous use)
What is this medicine?
GOLIMUMAB (goe LIM ue mab) is used to treat rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. It is also used to treat ulcerative colitis.
How should I use this medicine?
This medicine is for infusion into a vein or for injection under the skin. Infusions are given by a health care professional in a hospital or clinic setting. If you are to give your own medicine at home, you will be taught how to prepare and give this medicine under the skin. Use exactly as directed. Take your medicine at regular intervals. Do not take your medicine more often than directed.
It is important that you put your used needles and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or healthcare provider to get one.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
changes in vision
joint or muscle pain
numbness or tingling in any part of your body
red, scaly patches or raised bumps on the skin
signs and symptoms of infection like fever or chills; cough; sore throat; pain or trouble passing urine
signs and symptoms of liver injury like dark yellow or brown urine; general ill feeling or flu-like symptoms; light-colored stools; loss of appetite; nausea; right upper belly pain; unusually weak or tired; yellowing of the eyes or skin
swelling of the legs or ankles
swollen lymph nodes in the neck, underarm, or groin areas
unexplained weight loss
unusual bleeding or bruising
unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
increased blood pressure
redness, itching, swelling, or bruising at site where injected
What may interact with this medicine?
Do not take this medicine with any of the following medications:
live virus vaccines
This medicine may also interact with the following medications:
What if I miss a dose?
If you give your medicine by injection under the skin: If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. Call your doctor or health care professional if you are not sure how to handle a missed dose.
If you are to be given an infusion: It is important not to miss your dose. Call your doctor or health care professional if you are unable to keep an appointment.
Where should I keep my medicine?
Infusions will be given in a hospital or clinic and will not be stored at home.
Storage for syringes given under the skin and stored at home:
Keep out of the reach of children. Store in the original container in a refrigerator between 2 and 8 degrees C (36 and 46 degrees F). Keep this medicine in the original container. Protect from light. Do not freeze. Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
hepatitis B or history of hepatitis B infection
immune system problems
infection or history of infections
low blood counts like low white cell, platelet, or red cell counts
recently received or scheduled to receive a vaccine
tuberculosis, a positive skin test for tuberculosis or have recently been in close contact with someone who has tuberculosis
an unusual reaction to golimumab, other medicines, latex, rubber, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.
You will be tested for tuberculosis (TB) before you start this medicine. If your doctor prescribes any medicine for TB, you should start taking the TB medicine before starting this medicine. Make sure to finish the full course of TB medicine.
Call your doctor or health care professional if you get a cold or other infection while receiving this medicine. Do not treat yourself. This medicine may decrease your body's ability to fight infection.
Talk to your doctor about your risk of cancer. You may be more at risk for certain types of cancers if you take this medicine.
November 13, 2017