USES: This medication is used to treat arthritis (rheumatoid) along with other medications. Also, this medication is usually used in combination with rest and physical therapy for arthritis.

OTHER USES: This drug may also be used for other forms of arthritis.

HOW TO USE: Shake this suspension well before using. This drug is given by injection into a muscle (IM), generally once a week initially. As treatment continues, the drug is generally given every 3-4 weeks. This should not be given by vein (IV). To minimize side effects, it is advised to be lying down when receiving this drug, and for ten minutes afterward. Beneficial effects occur slowly and 6 to 8 weeks treatment may be required before improvement occurs. Treatment is continued indefinitely, depending on any side effects and/or improvement in your condition.

SIDE EFFECTS: Temporary joint pain may occur. Also, for short periods after injections, flushing, dizziness, sweating, headache or blurred vision may occur. If these persist or worsen, notify your doctor promptly. Report promptly: itching, skin redness or rash, sore mouth, stomach upset, metallic taste, persistent diarrhea, skin color change, vaginal discomfort. Very unlikely but report promptly: unusual bleeding or bruising, pink-reddish urine, fever or persistent sore throat, unusual fatigue, yellowing eyes or skin, abdominal pain, vision changes, confusion, seizures, hair loss. In the unlikely event an allergic reaction occurs, contact your doctor immediately. Symptoms include: difficulty breathing, fainting or dizziness, swelling. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, including: allergies (especially drug allergies), blood disorders, severe high blood pressure, blood vessel or heart disease, skin rash/itching, intestinal problems (colitis), severe diabetes, lupus (SLE), cancer radiation treatment, urticaria, liver problems, kidney problems. This drug may cause sun sensitivity reactions (sunburn-like). Use sunscreens with UVA and B, and wear protective clothing. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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