Can golimumab affect fertility, pregnancy or breastfeeding?
If you're planning to try for a baby, if you become pregnant, or if you're thinking of breastfeeding talk to your rheumatologist.
Guidelines state that most anti-TNF drugs can be taken in pregnancy. There is, however, no evidence on which to advise about the use of golimumab during pregnancy. Since it's very similar to other anti-TNF drugs it is unlikely to be harmful if taken in the first three months of pregnancy as it does not cross to the baby.
If you were to take it throughout pregnancy, particularly in the last three months, then your baby should not have a live vaccine until they are at least seven months of age.
If you are also taking methotrexate this drug should be stopped three months before trying for a baby.
Guidelines now state that men don't need to stop taking methotrexate when trying to father a child.
We don't know how golimumab might affect men trying to father a baby, though other anti-TNF drugs can be used in this situation. For further information, talk to your rheumatologist.
It’s not known whether golimumab may pass into your breast milk. Other anti-TNF drugs may be used with caution in breastfeeding so you should talk with your doctor whether to use golimumab while breastfeeding.