Chest X-ray TB skin test Blood work (baseline CBC, renal and liver function, HBV)
Ensure all immunizations are current. Wait at least 4 weeks to start following administration of live vaccination. Pneumococcal vaccination recommended for adult patients. Recommend vaccinations HAV, HBV, HPV, and Tdap. Refer to CANIBD Vaccination Guidelines for further information.14 Use with caution in patients with chronic or recurrent infection.
METHOD OF ADMINISTRATION
SC injection
LOCATION
Home
DOSING
Induction/loading: wk 0, two 100mg injections, wk 2, one 100 mg injection, then maintenance, one 100 mg injection every 4 wks*
TIME REQUIRED
<15 min
ROUTINE
MONITORING
Annual cervical cancer screening – pap test Annual skin exam – skin malignancies Influenza vaccine recommended. May consider therapeutic drug monitoring (TDM) if available. Screening for osteoporosis with bone mineral density testing periodically after diagnosis.