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Published on: September 20, 2018
[Safety of adalimumab]
1Servicio de Dermatología. Hospital del Mar. Barcelona. España. mferran@imas.imim.es
Abstract:
The safety data for adalimumab in psoriasis are similar to those described for other indications authorized for this drug. Most of the adverse effects observed (mainly, reaction at the injection point and upper respiratory tract infections) are of mild intensity and do not make it necessary to discontinue the drug. Serious adverse effects have been described in a low proportion of patients and include infections (tuberculosis and other opportunistic infections), lymphoproliferative conditions, autoimmune diseases and demyelinizing processes. Similar to other anti-tumor necrosis factor alpha (anti-TNFalpha) treatments, the experience with adalimumab only provides information regarding its middle term safety. Thus, some years are needed to verify these results in the longer term. Due to this, the patients who are candidates for the drug must be correctly screened and they must be closely monitored during the treatment period and until 5 months after it.
Insights
Adalimumab
Area of Science:
- Immunology
- Dermatology
- Pharmacology
Context:
- Adalimumab is an anti-tumor necrosis factor alpha (anti-TNFalpha) biologic therapy.
- Psoriasis is a chronic autoimmune skin condition.
- Understanding the safety profile of adalimumab in psoriasis is crucial for patient management.
Purpose:
- To evaluate the safety and adverse effects of adalimumab in patients with psoriasis.
- To compare the safety data of adalimumab in psoriasis to other approved indications.
- To inform clinical practice regarding patient screening and monitoring during adalimumab therapy.
Summary:
- Adalimumab demonstrates a safety profile in psoriasis consistent with other indications.
- Most adverse effects, such as injection site reactions and upper respiratory infections, are mild.
- Serious adverse effects, including infections and lymphoproliferative disorders, occur rarely, necessitating careful patient selection and monitoring.
Impact:
- Provides essential safety information for clinicians prescribing adalimumab for psoriasis.
- Highlights the need for long-term safety data and emphasizes vigilant patient monitoring.
- Contributes to informed decision-making in the management of psoriasis with biologic therapies.
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