What should I watch for?
Your condition will be monitored carefully while you are receiving this medicine. Visit your doctor or health care professional for regular checks on your progress. You may need blood work done while you are taking this medicine. Before beginning therapy, your doctor may do a test to see if you have been exposed to tuberculosis.
Call your doctor or health care professional for advice if you get a fever, chills or sore throat, or other symptoms of a cold or flu. Do not treat yourself. This drug decreases your body's ability to fight infections. Try to avoid being around people who are sick.
This medicine may make the symptoms of heart failure worse in some patients. If you notice symptoms such as increased shortness of breath or swelling of the ankles or legs, contact your health care provider right away.
If you are going to have surgery or dental work, tell your health care professional or dentist that you have received this medicine.
If you take this medicine for plaque psoriasis, stay out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
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.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:
flushing or redness of the face
tightness in the chest
unusual tiredness or weakness
bloody or cloudy urine
cracks in the skin at the corners of the mouth
difficult or painful urination
frequent urge to urinate
pain or tenderness around the eyes and cheekbones
soreness or irritation of the mouth or tongue
soreness or redness around the fingernails or toenails
vaginal burning or itching and discharge
white patches in the mouth or on the tongue
Abscess (area of infection containing pus)
black, tarry stools
blood in the urine or stools
bone or joint pain
feeling of fullness
hernia (lump in the abdomen or stomach)
irregular or pounding heartbeat
pain in the rectum
pain spreading from the abdomen or stomach to the left shoulder
pinpoint red spots on the skin
stomach pain (severe)
swollen or painful glands
unusual bleeding or bruising
unusual weight loss
yellow skin and eyes
Incidence not known
burning, tingling, numbness or pain in the hands, arms, feet, or legs
change in mental status
dark or bloody urine
difficulty with speaking
difficulty with swallowing
general feeling of tiredness or weakness
heavier menstrual periods
inability to move the arms and legs
itching, puffiness, or swelling of the eyelids or around the eyes, face, lips, or tongue
loss of appetite
loss of bladder control
lower back or side pain
muscle spasm or jerking of all extremities
painless swelling in the neck, armpits, or groin
red, scaling, or crusted skin
redness, soreness, or itching skin
sensation of pins and needles
severe muscle weakness, sudden and progressing
slow or irregular breathing
sores, welts, or blisters
sudden loss of consciousness
sudden numbness and weakness in the arms and legs
unpleasant breath odor
upper right stomach pain
vomiting of blood
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.