Can adalimumab affect other medicines and treatments?
Adalimumab may be prescribed alongside other drugs including methotrexate.
Check with your doctor before starting any new medications, and remember to mention you're on adalimumab if you're treated by anyone other than your usual rheumatology team.
It's recommended that you carry a biological therapy alert card so anyone treating you will know that you're on adalimumab – you can get a card from your rheumatology department.
Can I have vaccinations while I'm on adalimumab?
It's best to discuss vaccinations with your healthcare team before starting adalimumab.
It's usually recommended that people on adalimumab avoid live vaccinations such as yellow fever. However, sometimes a live vaccine may be necessary (for example, rubella immunisation in women of childbearing age).
If you're offered shingles vaccination (Zostavax) it's best to have this before starting adalimumab. Shingles vaccination isn't recommended for people who are already on adalimumab.
Pneumococcal vaccine (which protects against the commonest cause of pneumonia) and yearly flu vaccines are safe and recommended.
Can I continue taking adalimumab if I'm going to have an operation?
Talk this over with your specialists. It's likely you'll be advised to stop adalimumab for a time before and after surgery.