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Enbrel vs. Simponi

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Enbrel (etanercept) and Simponi (golimumab) are both injectable medications used to treat autoimmune conditions, but they have some key differences. Enbrel is a biologic DMARD available only as a brand-name product and has several biosimilars, while Simponi is also a brand-name medication but comes in two forms: Simponi for subcutaneous injection and Simponi Aria for intravenous infusion. Enbrel is typically injected once a week, whereas Simponi is injected once a month, making Simponi more convenient for some people. Enbrel is used for conditions like rheumatoid arthritis, plaque psoriasis, and childhood arthritis, while Simponi is also approved for ulcerative colitis. Both medications can raise the risk of serious infections and certain cancers, but Simponi has additional warnings for lupus-like syndrome and low blood cell counts. Enbrel can be stored at room temperature for up to 14 days, whereas Simponi can be stored at room temperature for up to 30 days.

Enbrel

(etanercept)

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Simponi

(golimumab)

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Summary for Enbrel

Prescription only

Enbrel (etanercept) is a weekly injection used for many autoimmune conditions. Currently, it's only available as a brand-name product and can be expensive.

Indications for Enbrel

  • Rheumatoid arthritis (RA)
  • Plaque psoriasis (PsO) and psoriatic arthritis (PsA)
  • Ankylosing spondylitis (AS)
  • Childhood arthritis (polyarticular juvenile idiopathic arthritis, JIA)

Pros and Cons for Enbrel

Pros

  • Available in a prefilled syringe or autoinjector for easy-at-home injections
  • Can be used in children age 2 and older for certain indications (JIA)
  • Can be kept at room temperature for up to 14 days
  • Manufacturer offers copay card for people with commercial insurance
  • Not many side effects other than infection and redness and irritation at the injection site

Cons

  • Raises risk of serious infections
  • Can cause the hepatitis B virus to reappear if you have a history of infection
  • Lymphoma and other cancers have been reported in people taking Enbrel (etanercept)
  • Available only as a brand medication so it can be expensive and isn't always covered by insurance
  • Needs to be given every week, unlike Humira (adalimumab), which is given every other week

Common Side Effects for Enbrel

  • Infection (including common cold/flu) (50%)
  • Injection site reaction (37%)
  • Diarrhea (8%)

Warnings for Enbrel

  • Serious infections
  • Cancers
  • Nervous system effects
  • Heart failure
  • Bleeding and infections

Summary for Simponi

Prescription only

Simponi (golimumab) is a tumor necrosis factor (TNF) blocker (or inhibitor). It's used to treat many types of inflammatory conditions in adults, such as rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and ulcerative colitis (UC). Simponi (golimumab) is given as an injection under the skin, typically once per month. Side effects of this medication include upper respiratory tract infections, injection-site reactions, and high blood pressure.

Indications for Simponi

Pros and Cons for Simponi

Pros

  • Can be injected at home (after training from the prescriber)
  • Available in a prefilled syringe or autoinjector
  • Can be stored at room temperature for up to 30 days
  • Injected monthly for most conditions

Cons

  • Only approved for adults
  • Not available as a generic
  • Raises the risk of serious infections
  • Given as an injection

Common Side Effects for Simponi

Note: Side effects were reported by people who also took other medications (including methotrexate or corticosteroids) at the same time.

Warnings for Simponi

  • Serious infections
  • Risk of cancer
  • Heart failure
  • Nervous system problems
  • Lupus-like syndrome
  • Lower blood cell counts
  • Serious medication interactions
  • Allergic reactions

Prices with our coupons for Enbrel vs. Simponi

Price Card Drug Icon
Enbrel1 carton / 4 sureclicks of 50mg
$3,353.53$11,050.23
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Simponi1 smartject / 0.5ml of 50mg/0.5ml
$6,403.25-
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