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Simponi

Generic Name: Golimumab (goe LIM ue mab)
Brand Name: Simponi

Medically reviewed on September 5, 2018

Warning

  • Very bad and sometimes deadly infections have happened in patients who take Simponi (golimumab). Most people who had these infections were taking other drugs to lower the immune system like methotrexate or steroid drugs. If you have any infection, are taking antibiotics now or in the recent past, or have had many infections, talk with your doctor.
  • TB (tuberculosis) has been seen in patients started on Simponi (golimumab). These patients were exposed to TB in the past, but never got the infection. You will be tested to see if you have been exposed to TB before starting Simponi (golimumab).
  • Lymphoma and other cancers have happened in people who take Simponi (golimumab) or drugs like it. This has been deadly in some cases. Talk with the doctor.

Uses of Simponi:

See also: Otezla

What do I need to tell my doctor BEFORE I take Simponi?

  • If you have an allergy to golimumab, polysorbate 80, or any other part of Simponi (golimumab).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have an infection.
  • If you are taking any of these drugs: Abatacept, adalimumab, anakinra, certolizumab, etanercept, infliximab, rituximab, or tocilizumab.

This is not a list of all drugs or health problems that interact with Simponi (golimumab).

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Simponi (golimumab) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Simponi?

  • Tell all of your health care providers that you take Simponi (golimumab). This includes your doctors, nurses, pharmacists, and dentists.
  • If you have had hepatitis B before or carry the virus, Simponi (golimumab) can cause the virus to become active. This can lead to very bad and sometimes deadly liver problems. You will be tested for hepatitis B before starting Simponi (golimumab). You will need to watch for signs of hepatitis while taking Simponi (golimumab) and for several months after stopping it. Talk with your doctor.
  • Talk with your doctor before getting any vaccines. Use with Simponi (golimumab) may either raise the chance of an infection or make the vaccine not work as well.
  • Do not get a weakened bacteria like BCG for bladder cancer while you use Simponi (golimumab). Talk with your doctor.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.
  • Have your skin checked. Tell your doctor if you have any skin changes like a new wart, skin sore or reddish bump that bleeds or does not heal, or a change in the color or size of a mole.
  • Allergic reactions have happened with Simponi (golimumab). Some reactions may be very bad or life-threatening. When allergic reactions have happened with infusions of Simponi (golimumab), most of the time they have happened during the infusion or within 1 hour after the infusion. Call your doctor right away if you have any signs that are not normal.
  • This medicine may affect how much of some other drugs are in your body. If you are taking other drugs, talk with your doctor. You may need to have your blood work checked more closely while taking Simponi (golimumab) with your other drugs.
  • If you are 65 or older, use Simponi (golimumab) with care. You could have more side effects.
  • This medicine is not approved for use in children younger than 18 years of age. Talk with the doctor.
  • If you have a latex allergy, talk with your doctor.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Simponi (golimumab) while you are pregnant.
  • If you used Simponi (golimumab) when you were pregnant, tell your baby's doctor. Your baby may have a higher chance of getting an infection for at least 6 months after birth. Your baby's doctor will also need to decide when your baby is to get any vaccines. Certain vaccines may cause infections that can lead to very bad health problems or death if given within 6 months after birth.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

How is this medicine (Simponi) best taken?

Use Simponi (golimumab) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • It is given as a shot into the fatty part of the skin.
  • If you will be giving yourself the shot, your doctor or nurse will teach you how to give the shot.
  • Follow how to use as you have been told by the doctor or read the package insert.
  • If stored in a refrigerator, let Simponi (golimumab) come to room temperature before using it. Leave it at room temperature for at least 30 minutes. Do not heat Simponi (golimumab).
  • Do not shake the solution.
  • This medicine is colorless to a faint yellow. Do not use if the solution changes color.
  • Do not use if the solution is cloudy, leaking, or has particles.
  • This product is clear but may contain small white or clear particles. You may also see one or more air bubbles. Do not use if the solution is cloudy, leaking, or has large particles.
  • Do not give into skin that is irritated, bruised, red, infected, or scarred.
  • Wash your hands before and after use.
  • Use within 5 minutes of taking off the needle cover.
  • Move the site where you give the shot with each shot.
  • If your dose is more than 1 injection, give the injections into 2 different places.
  • Throw syringe away after use. Do not use the same syringe more than one time.
  • Throw away needles in a needle/sharp disposal box. Do not reuse needles or other items. When the box is full, follow all local rules for getting rid of it. Talk with a doctor or pharmacist if you have any questions.
  • Do not use Simponi (golimumab) if it has been dropped or if it is broken.

What do I do if I miss a dose?

  • Take a missed dose as soon as you think about it.
  • Do not take 2 doses at the same time or extra doses.
  • If you are not sure what to do if you miss a dose, call your doctor.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
  • Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
  • Signs of lupus like a rash on the cheeks or other body parts, sunburn easy, muscle or joint pain, chest pain or shortness of breath, or swelling in the arms or legs.
  • Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
  • Chest pain or pressure.
  • Feeling very tired or weak.
  • Swollen gland.
  • Night sweats.
  • A big weight loss.
  • Any unexplained bruising or bleeding.
  • Pale skin.
  • Red scaly patches or bumps that are pus filled.
  • A skin lump or growth.
  • Flu-like signs.
  • Warm, red, or painful skin or sores on the body.
  • Heart failure has happened with Simponi (golimumab), as well as heart failure that has gotten worse in people who already have it. Sometimes, this has been deadly. Tell your doctor if you have heart disease. Call your doctor right away if you have shortness of breath, a big weight gain, a heartbeat that is not normal, or swelling in the arms or legs that is new or worse.
  • Rarely, people using drugs like this one have had nervous system problems. Sometimes, these problems have not gone away. Call your doctor right away if you have a burning, numbness, or tingling feeling that is not normal; change in eyesight; dizziness; seizures; or weakness in your arms or legs.

What are some other side effects of Simponi?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Irritation where Simponi (golimumab) is given.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Simponi?

  • Store in a refrigerator. Do not freeze.
  • Store in the carton to protect from light.
  • If needed, you may store at room temperature for up to 30 days. If stored at room temperature and not used within 30 days, throw Simponi (golimumab) away.
  • If stored at room temperature, make a note of the date it was placed at room temperature.
  • Do not put Simponi (golimumab) back in the refrigerator after it has been stored at room temperature.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time Simponi (golimumab) is refilled. If you have any questions about Simponi (golimumab), please talk with the doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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