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This medication may impair your immune system's ability to combat infections, potentially resulting in severe or life-threatening infections, including fungal infections and bacterial infections like tuberculosis. It is crucial to inform your healthcare provider of your medical history, particularly any infections you have had, currently have, or have recently experienced. Additionally, notify your doctor if you have resided in or traveled to regions where certain fungal infections, such as coccidioidomycosis and histoplasmosis, are prevalent, or if you have been in contact with someone with tuberculosis. These infections are commonly found in areas like the Ohio and Mississippi River valleys and the southwestern United States.

Here are key precautions and instructions to follow:

• Inform your doctor immediately if you notice any signs of infection. Refer to the Side Effects section for specific symptoms.
• You will be tested for tuberculosis (TB) before starting this medication and during treatment. If diagnosed with TB, your doctor will initiate treatment to prevent a severe TB infection while you are on this medication.
• Although rare, there is a risk, particularly in children, teenagers, and young adults, of developing cancers such as lymphoma or skin cancer due to this medication or your underlying medical condition.
• Discuss the potential risks and benefits of treatment with your healthcare provider.
• Seek immediate medical attention if you experience persistent fever, unusual lumps or growths, swollen glands, unexplained weight loss, or night sweats.

Adhering to these guidelines and maintaining open communication with your healthcare provider can help manage your treatment safely.

When taking this medication, you may experience some common side effects such as redness, itching, pain, or swelling at the injection site. These effects are usually mild and temporary. However, if they persist or worsen, it's important to consult a healthcare professional.

More serious side effects, though less common, may include signs of infection like a persistent sore throat, cough, fever, chills, night sweats, difficulty breathing, painful or frequent urination, unusual vaginal discharge, or white patches in the mouth. Prompt medical attention is advised if these symptoms occur.

Additionally, there are rare but severe side effects to be aware of. These include fast or irregular heartbeat, symptoms of heart failure such as shortness of breath and swelling of the ankles or feet, blood in stools, severe headache, mood changes, easy bruising or bleeding, numbness or tingling in the limbs, and vision changes. If you experience any of these, seek medical help immediately.

Adalimumab can rarely cause serious liver issues, especially in those with hepatitis B. Watch for symptoms like persistent nausea or vomiting, loss of appetite, abdominal pain, yellowing of the skin or eyes, and dark urine. Immediate medical intervention is crucial if these occur.

In very rare instances, this drug can cause severe allergic reactions, including symptoms like rash, swelling, severe dizziness, or trouble breathing. Should you experience any of these, urgent medical attention is necessary. Always stay informed about potential side effects and communicate with healthcare professionals for guidance.