Skip to main content

Compare
Rituxan vs. Actemra

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

Key takeaways

Rituxan (rituximab) and Actemra (tocilizumab) are both used to treat autoimmune conditions, but they work in different ways and treat different conditions. Rituxan (rituximab) is a monoclonal antibody that targets B cells, which can be involved in blood cancers and autoimmune diseases like rheumatoid arthritis. It is given as an intravenous infusion and can cause serious infusion-related reactions. Actemra (tocilizumab), on the other hand, is an interleukin-6 (IL-6) receptor antagonist that blocks a chemical causing inflammation and fever. It treats conditions like rheumatoid arthritis and giant cell arteritis and can be given as an infusion or an injection under the skin. Actemra (tocilizumab) also has a biosimilar called Tofidence, while Rituxan (rituximab) has several biosimilars, but they don't all treat the same conditions. Both medications can increase the risk of infections, but Actemra (tocilizumab) can also cause liver problems and high cholesterol.

Rituxan

(rituximab)

Get free coupons

Actemra

(tocilizumab)

Get free coupons

Summary for Rituxan

Prescription only

Rituxan (rituximab) is a monoclonal antibody. It treats certain types of blood cancers (e.g., non-Hodgkin lymphoma) and autoimmune conditions (e.g., rheumatoid arthritis) by targeting specific immune cells. Rituxan (rituximab) is given as an infusion through the vein (IV), typically at an infusion center. Your oncologist will give you premedications before each dose to lower the risk of serious infusion-related reactions. Other possible side effects of this medication include rash and weakness. Rituxan (rituximab) is available as many different brands (or biosimilars), but they don't all treat the same conditions.

Indications for Rituxan

Blood cancers

Autoimmune conditions

Pros and Cons for Rituxan

Pros

  • Works in a more targeted, specific way than chemotherapy
  • Might only need a dose once every 6 months for certain conditions
  • Doesn’t typically cause hair loss

Cons

  • Can cause serious infusion-related reactions
  • Each infusion can last over 3 hours, so can be inconvenient
  • Higher risk of infections can last a year after your last dose (sometimes longer)

Common Side Effects for Rituxan

  • Fever (53%)
  • Lower white blood cell counts (up to 48%)
  • Chills (33%)
  • Infection (31%)
  • Weakness (26%)
  • Nausea (23%)
  • Headache (19%)
  • Night sweats (15%)
  • Rash (15%)

Please note: Side effects listed were reported by people who took Rituxan (rituximab) alone for NHL in clinical studies.

Warnings for Rituxan

  • Infusion-related reactions
  • Serious skin reactions
  • Hepatitis B reactivation
  • Progressive multifocal leukoencephalopathy
  • Tumor lysis syndrome
  • Serious infections
  • Serious heart problems
  • Kidney problems
  • Gut blockage and tears
  • Vaccines
  • Harm to unborn baby
  • Combination treatment for people with autoimmune conditions

Summary for Actemra

Prescription only

Actemra (tocilizumab) is an interleukin-6 (IL-6) receptor antagonist. It treats several inflammatory conditions in children and adults, including rheumatoid arthritis. It works by blocking IL-6, a chemical released by the immune system that causes inflammation and fever. Actemra (tocilizumab) is given as an injection (either through the veins or under the skin), typically weekly or every few weeks, depending on the condition you're taking it treat. Side effects include a higher risk of infections and headache.

Indications for Actemra

Pros and Cons for Actemra

Pros

  • Typically given every 1 to 4 weeks
  • Can be used in children age 2 years and older (for some conditions)
  • Comes as a prefilled syringe or autoinjector for easy at-home injections under the skin

Cons

  • Needs to be given by an injection only
  • Can cause liver problems
  • Raises your risk for infections because it weakens your immune system

Common Side Effects for Actemra

Note: The side effects you experience might differ depending on why you're taking Actemra (tocilizumab) and whether you're receive it IV or SC.

Warnings for Actemra

  • Risk of serious infections
  • Stomach tears and blockage
  • Worsening liver problems and risk of liver failure
  • Severe allergic reactions
  • Lower white blood cell (WBC) and platelet counts
  • High cholesterol
  • Vaccines

Prices with our coupons for Rituxan vs. Actemra

Price Card Drug Icon
Rituxan20 vials / 10ml of 10mg/ml
--
Get free coupons
More Information
Price Card Drug Icon
Actemra1 vial / 4ml of 20mg/ml
--
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.