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Comparative Effectiveness Review Summary Guides for Consumers [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2005-.

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

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Comparative Effectiveness Review Summary Guides for Consumers [Internet].

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Possible Side Effects of DMARDs

Nonbiologic DMARDsBiologic DMARDs
  • Upset stomach
  • Nausea
  • Diarrhea
  • Hair loss
  • Mouth sores
  • Rash or serious skin reactions
  • Liver, kidney, or lung problems
  • Redness, swelling, itching, bruising, or pain in the area where the shot was given
  • Sinus infection (sore throat, runny nose, hoarseness)
  • Headache
  • Nausea
  • Diarrhea
Possible Serious Side Effects
  • In rare cases, the nonbiologic DMARD methotrexate and some biologic DMARDs (including adalimumab [Humira®], etanercept [Enbrel®], golimumab [Simponi®], and infliximab [Remicade®]) have been associated with:
    • Serious infections such as tuberculosis (called “TB”), fungal infections such as yeast, pneumonia, or food-borne illnesses such as listeria
    • Cancer, usually lymphoma (cancer in the lymph glands, which are part of the immune system)
  • The risk of serious infections or cancer is increased by taking two or more biologic DMARDs together or by taking a biologic DMARD with a nonbiologic DMARD. The exact risk to people with RA who are taking a DMARD is not known.
  • Rituximab (Rituxan®) can cause a severe reaction the first time you take it. It could also cause a life-threatening rash.

This information comes from the U.S. Food and Drug Administration (FDA) labels of these medicines.

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