| Half-life | 14 days |
| Clearance Route | reticuloendothelial |
| Active Metabolites | none |
| Notes | Given SC or IV. Fully human monoclonal antibody → lower immunogenicity. Infection risk similar to other TNF blockers. |
Severity: Severe
Adverse Effects:
Serious infections (TB, fungal), injection reactions, hepatotoxicity, demyelinating disease, CHF exacerbation
Contraindications:
Active infections, untreated TB, moderate–severe heart failure
Precautions:
TB & HBV screening mandatory; avoid live vaccines; monitor LFTs; caution in demyelinating disease