What side effects can this medication cause?

Adalimumab may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• redness, itching, bruising, pain, or swelling in the place you injected adalimumab
• stomach pain
• nausea
• headache
• back pain

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them or those listed in the IMPORTANT WARNING section, call your doctor immediately:

• numbness or tingling
• problems with vision
• weakness in legs
• chest pain
• shortness of breath
• rash, especially a rash on the cheeks or arms that is sensitive to sunlight
• new joint pain
• hives
• itching
• swelling of the face, feet, ankles, or lower legs
• difficulty breathing or swallowing
• fever, sore throat, chills, and other signs of infection
• unusual bruising or bleeding
• pale skin
• dizziness

Using adalimumab may increase the risk of developing certain types of cancers including lymphoma (a cancer of the lymph system). People who have had severe rheumatoid arthritis for a long time may have a greater than normal chance of developing these cancers even if they do not use adalimumab. Talk to your doctor about the risks of using this medication.

Adalimumab may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online at http://www.fda.gov/MedWatch/report.htm or by phone 1-800-332-1088.