What special precautions should I follow?  

Before using adalimumab,

• tell your doctor and pharmacist if you are allergic to adalimumab, mannitol, or any other medications. If you will be using the prefilled syringe, also tell your doctor if you or the person who will be helping you inject adalimumab are allergic to latex or rubber.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention the medications listed in the IMPORTANT WARNING section, abatacept (Orencia) and anakinra (Kineret). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• in addition to the conditions mentioned in the IMPORTANT WARNING section, tell your doctor if you have or have ever had numbness or tingling in any part of your body, any disease that affects your nervous system, such as multiple sclerosis (a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), or heart disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding If you become pregnant while using adalimumab, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are using adalimumab.
• do not have any vaccinations without talking to your doctor.

What special dietary instructions should I follow?  

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose?  

Inject the missed dose as soon as you remember it. Then inject the next dose on your regularly scheduled day. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.