Patient/Family Teaching

• Instruct patient on the correct technique for administering adalimumab. Review patient information sheet, preparation of dose, administration sites and technique, and disposal of equipment into a puncture-resistant container

• Advise patient to use calendar stickers provided to by manufacturer to assist in remembering when dose is due. If a dose is missed, instruct patient to administer as soon as possible, then take next dose according to regular schedule. If more than prescribed dose is taken, caution patient to consult health care professional or the HUMIRA Patient Resource Center at 1-800-4HUMIRA (448-6472)

• Caution patient to notify health care professional immediately if signs of infection, severe rash, swollen face, or difficulty breathing occurs while taking adalimumab

• Advise patient to consult health care professional before taking other Rx or OTC medications or herbal products

• Instruct patient to notify health care professional of medication regimen prior to treatment or surgery

• Pen: Clean area for injection with alcohol swab. Hold pen with gray cap pointing up. Check solution through window; if discolored, cloudy, or contains flakes, discard solution. Turn pen over and point cap down to make sure solution reaches fill line; if not, do not use and contact pharmacist. Remove gray cap exposing the needle and the plum cap exposing the button; removing the plum cap activates the pen. Pinch skin and place pen, with window visible, against skin at a 90° angle and press button until a click is heard. Hold pen in place until all solution is injected (10 seconds) and yellow marker is visible in window and has stopped moving. Continue to pinch skin throughout injection. Remove needle and press with a gauze pad or cotton ball for 10 seconds. Do not rub injection site. Dispose of pen into a puncture-resistant container

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