{"id":5408,"date":"2020-12-17T15:08:16","date_gmt":"2020-12-17T15:08:16","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5408"},"modified":"2021-07-27T07:53:18","modified_gmt":"2021-07-27T07:53:18","slug":"amsparity","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/amsparity\/","title":{"rendered":"Amsparity &#8211; Adalimumab uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n40mg \/ 0.8 ml&nbsp;solution for injection&nbsp;<br>adalimumab\n\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Amsparity is and what it is used for<\/h2>\n\n\n\n<p>Amsparity contains the active substance adalimumab, a medicine that affects the body&#8217;s immune system (immune system).<br><\/p>\n\n\n\n<p>Amsparity is intended for the treatment of the following inflammatory diseases:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Polyarticular&nbsp;juvenile idiopathic arthritis&nbsp;(rheumatoid arthritis)<\/li><li>Enthesitis-related&nbsp;arthritis&nbsp;(muscle, tendonitis, and joint inflammation) in children and adolescents<\/li><li>Plaque psoriasis in children and adolescents<\/li><li>Hidradenitis suppurativa (&nbsp;inflammation&nbsp;of the skin) in adolescents<\/li><li>Crohn&#8217;s disease&nbsp;(&nbsp;inflammation&nbsp;of the intestine) in children and adolescents<\/li><li>Uveitis&nbsp;(&nbsp;inflammation&nbsp;of the eye) in children and adolescents<\/li><\/ul>\n\n\n\n<p>The active substance in Amsparity, adalimumab, is a monoclonal&nbsp;antibody.&nbsp;Monoclonal&nbsp;antibodies&nbsp;are&nbsp;proteins&nbsp;that attach to a specific target in the body.<\/p>\n\n\n\n<p>The target of adalimumab is a&nbsp;protein&nbsp;called&nbsp;tumor necrosis factor&nbsp;(TNF\u03b1), which is involved in the immune system and is found in elevated levels in the inflammatory diseases listed above.&nbsp;By binding to TNF\u03b1, Amsparity blocks its action and reduces&nbsp;inflammation&nbsp;in these diseases.<\/p>\n\n\n\n<p><em>Polyarticular&nbsp;juvenile idiopathic arthritis<\/em><\/p>\n\n\n\n<p>Polyarticular&nbsp;juvenile idiopathic arthritis&nbsp;is an&nbsp;inflammatory&nbsp;disease of the joints that often first occurs in childhood.<br><\/p>\n\n\n\n<p>Amsparity is used to treat&nbsp;polyarticular&nbsp;juvenile idiopathic arthritis&nbsp;in children and adolescents 2\u221217 years.&nbsp;Your child may first be given other disease-modifying medicines, such as methotrexate.&nbsp;If these medicines do not work enough, your child will be given Amsparity to treat&nbsp;polyarticular&nbsp;juvenile idiopathic arthritis&nbsp;or enthesitis-related&nbsp;arthritis.<\/p>\n\n\n\n<p><em>Enthesitis-related&nbsp;arthritis&nbsp;in children and adolescents<\/em><\/p>\n\n\n\n<p>Pediatric&nbsp;arthritis-related&nbsp;arthritis&nbsp;is an&nbsp;inflammatory&nbsp;disease of the joints and tendon attachments.<\/p>\n\n\n\n<p>Amsparity is used to treat&nbsp;arthritis-related&nbsp;arthritis&nbsp;in children and adolescents 6\u221217 years of age.&nbsp;Your child may first be given other disease-modifying medicines, such as methotrexate.&nbsp;If these medicines do not work well enough, your child will be given Amsparity to treat&nbsp;arthritis-related&nbsp;arthritis.<\/p>\n\n\n\n<p><em>Plaque psoriasis in children and adolescents<\/em><\/p>\n\n\n\n<p>Plaque psoriasis is a disease that causes red, flaky, and dry&nbsp;plaques&nbsp;on the skin covered by silvery scales.&nbsp;Plaque psoriasis can also involve the nails, which can then crumble, become thicker and lift from the&nbsp;nail bed, which can be painful.&nbsp;Psoriasis is thought to be caused by a disorder in the body&#8217;s immune system that leads to increased production of skin cells.<\/p>\n\n\n\n<p>Amsparity is used to treat severe plaque psoriasis in children and adolescents 4\u221217 years of age where local treatment and light therapy have not worked or are not appropriate.<br><\/p>\n\n\n\n<p><em>Hidradenitis suppurativa in adolescents<\/em><\/p>\n\n\n\n<p>Hidradenitis suppurativa (sometimes called acne inversa) is a long-lasting and often painful&nbsp;inflammatory&nbsp;skin disease.&nbsp;The symptoms can be sore&nbsp;nodules&nbsp;(&nbsp;lumps&nbsp;) and&nbsp;abscesses&nbsp;(boils) that can leak anywhere.&nbsp;The disease usually affects specific areas of the skin, e.g.&nbsp;under the breasts, armpits, inside of the thighs, groin, and buttocks.&nbsp;Scarring can also occur in the affected areas.<\/p>\n\n\n\n<p>Amsparity is used to treat hidradenitis suppurativa in adolescents from 12 years of age.&nbsp;Amsparity can reduce the number of lumps and boils that your child has as well as the pain that is often associated with the disease.&nbsp;Your child may be given other medicines first.&nbsp;If these medicines do not have the desired effect, your child will receive Amsparity.<\/p>\n\n\n\n<p><em>Crohn&#8217;s disease&nbsp;in children and adolescents<\/em><\/p>\n\n\n\n<p>Crohn&#8217;s disease&nbsp;is an&nbsp;inflammatory&nbsp;bowel disease.<br><\/p>\n\n\n\n<p>Amsparity is used to treat&nbsp;Crohn&#8217;s disease&nbsp;in children and adolescents aged 6\u221217 years.<\/p>\n\n\n\n<p>If your child has&nbsp;Crohn&#8217;s disease, they will first be given other medicines.&nbsp;If these drugs do not help enough, your child will be given Amsparity to reduce the signs and symptoms of&nbsp;Crohn&#8217;s disease.<\/p>\n\n\n\n<p><em>Uveitis&nbsp;in children and adolescents<\/em><\/p>\n\n\n\n<p>Non-&nbsp;infectious&nbsp;uveitis&nbsp;(non-infectious&nbsp;uveitis&nbsp;) is an&nbsp;inflammatory&nbsp;disease that affects certain parts of the eye.&nbsp;Inflammation&nbsp;can lead to impaired vision and\/or the presence of floaters in the eye (black dots or striped lines moving across the&nbsp;field of vision&nbsp;).&nbsp;Amsparity works by reducing this&nbsp;inflammation.<\/p>\n\n\n\n<p>Amsparity is used to treat children and adolescents from the age of 2 with&nbsp;chronic non-&nbsp;infectious&nbsp;uveitis&nbsp;where&nbsp;inflammation&nbsp;affects the front of the eye.<\/p>\n\n\n\n<p>Your child may be given other medicines first.&nbsp;If these drugs do not work enough, your child will be given Amsparity to reduce the signs and symptoms of the disease.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before your child uses Amsparity<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Amsparity<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if your child is allergic to adalimumab or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if your child has a serious&nbsp;infection, including active&nbsp;tuberculosis,&nbsp;sepsis&nbsp;(&nbsp;sepsis&nbsp;), or opportunistic&nbsp;infections&nbsp;(uncommon&nbsp;infections&nbsp;associated with a weakened immune system).&nbsp;It is important that you tell your child&#8217;s doctor if your child has symptoms of&nbsp;infection, e.g.&nbsp;fever, sores, tiredness, dental problems (see \u201cWarnings and Precautions\u201d).<\/li><li>if your child has moderate or severe&nbsp;heart failure.&nbsp;It is important to tell your doctor if your child has or has had a serious heart condition (see &#8220;Warnings and Precautions&#8221;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your child&#8217;s doctor or pharmacist before using Amsparity.<br><\/p>\n\n\n\n<p>It is important that you and your child&#8217;s doctor document the name and batch number of your child&#8217;s medicine.<br><\/p>\n\n\n\n<p><em>Allergic reactions<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your child has allergic reactions with symptoms such as chest tightness, wheezing, dizziness, swelling, or rash, stop injecting Amsparity and contact a doctor immediately as these reactions can be life-threatening in rare cases.<\/li><\/ul>\n\n\n\n<p><em>Infection&nbsp;is<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your child has an&nbsp;infection, including long-term&nbsp;infections&nbsp;or local&nbsp;infections(such as leg ulcers), you must consult a doctor before starting your child with Amsparity.&nbsp;If you are not sure, talk to your child&#8217;s doctor.<\/li><li>Your child may get&nbsp;an infection&nbsp;more easily&nbsp;while he\/she is receiving treatment with Amsparity.&nbsp;This risk may increase if he\/she has impaired lung function.&nbsp;These&nbsp;infections&nbsp;can be serious and include&nbsp;tuberculosis,&nbsp;infections&nbsp;caused by&nbsp;viruses, fungi, parasites or bacteria, or other opportunistic&nbsp;infections&nbsp;(unusual infectious&nbsp;organisms&nbsp;) and&nbsp;sepsis&nbsp;(blood poisoning).&nbsp;In rare cases, these can be&nbsp;infected is becoming life-threatening.&nbsp;It is important to tell your doctor if your child develops symptoms such as fever, sores, tiredness, or toothache.&nbsp;Your child&#8217;s doctor may recommend that Amsparity be discontinued temporarily.<\/li><\/ul>\n\n\n\n<p><em>Tuberculosis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>As cases of&nbsp;tuberculosis&nbsp;have been reported in patients treated with adalimumab, your doctor will examine your child for signs and symptoms of&nbsp;tuberculosis before starting treatment with Amsparity.&nbsp;This check includes a thorough review of the child&#8217;s medical history and appropriate examinations (eg chest X-ray and a tuberculin test).&nbsp;The implementation and results of these tests should be indicated on your child&#8217;s patient card.<\/li><li>It is very important that you tell your doctor if your child has ever had&nbsp;tuberculosis, or if he\/she has been in close contact with someone who has had&nbsp;tuberculosis.&nbsp;If your child has active&nbsp;tuberculosis, do not use Amsparity.<\/li><li>Tuberculosis&nbsp;can develop during treatment even if your child has received preventive treatment for&nbsp;tuberculosis.<\/li><li>If symptoms of&nbsp;tuberculosis&nbsp;(for example, persistent cough, weight loss, lack of energy, mild fever), or if any other&nbsp;infection&nbsp;occurs during or after treatment, tell your child&#8217;s doctor immediately.<\/li><\/ul>\n\n\n\n<p><em>Infection&nbsp;during travel \/ recurrent&nbsp;infection<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tell your doctor if your child lives or travels in regions where fungal infections such as&nbsp;histoplasmosis,&nbsp;coccidioidomycosis,&nbsp;or&nbsp;blastomycosis&nbsp;are endemic (constantly present).<\/li><li>Tell your doctor if your child has previously had problems with recurrent&nbsp;infections&nbsp;or other ailments that increase the risk of&nbsp;infection.<\/li><li>You and your child&#8217;s doctor should pay special attention to signs of&nbsp;infection&nbsp;while your child is being treated with Amsparity.&nbsp;It is important to tell your doctor if your child develops symptoms of&nbsp;infection, such as fever, sores, tiredness, or toothache.<\/li><\/ul>\n\n\n\n<p><em>Hepatitis&nbsp;B<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tell your doctor if your child is a carrier of the&nbsp;hepatitis&nbsp;B&nbsp;virus&nbsp;(HBV), if he\/she has an active HBV&nbsp;infection&nbsp;or if you think he\/she is at risk of getting HBV.&nbsp;Your doctor should test your child for&nbsp;Hepatitis&nbsp;B. Adalimumab may reactivate HBV&nbsp;infection&nbsp;in people who carry the&nbsp;virus.&nbsp;In some rare cases, especially if your child is taking other medicines that inhibit the immune system, reactivation of HBV can be life-threatening.<\/li><\/ul>\n\n\n\n<p><em>Operations and dental procedures<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your child is about to have an operation or a dental procedure, inform your doctor that he\/she is taking Amsparity.&nbsp;Your child&#8217;s doctor may recommend that Amsparity be discontinued temporarily.<\/li><\/ul>\n\n\n\n<p><em>Demyelinating disease<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your child has or develops a demyelinating disease (a disease that affects the insulating layers around the nerves, such as&nbsp;multiple sclerosis&nbsp;(MS)), your doctor will assess whether he \/ she can or should continue to be treated with Amsparity.&nbsp;Tell your child&#8217;s doctor immediately if your child develops symptoms such as changes in vision, weakness in the arms or legs, or numbness or tingling anywhere on the body.<\/li><\/ul>\n\n\n\n<p><em>Vaccination<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Some vaccines contain live but attenuated forms of pathogenic bacteria or&nbsp;viruses that can cause&nbsp;infection&nbsp;and should not be given during treatment with Amsparity.&nbsp;Consult your child&#8217;s doctor before vaccinating your child.&nbsp;It is recommended that children, if possible, be vaccinated according to current general vaccination guidelines before starting treatment with Amsparity.&nbsp;If your baby has been given Amsparity while pregnant, her newborn baby may be at increased risk of getting an&nbsp;infection&nbsp;for up to about five months after the last&nbsp;dose. of Amsparity that she received during pregnancy.&nbsp;It is important that you tell your pediatrician and other healthcare professionals that she used Amsparity during her pregnancy so that they can decide when her newborn baby should be vaccinated.<\/li><\/ul>\n\n\n\n<p><em>Heart failure<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It is important to tell your doctor if your child has or has had a serious heart condition.&nbsp;If your child has mild&nbsp;heart failure&nbsp;and is being treated with Amsparity, his \/ her heart problems must be closely monitored by the child&#8217;s doctor.&nbsp;If he\/she develops new symptoms or if symptoms of&nbsp;heart failure&nbsp;worsen (eg shortness of breath or swollen feet), you must contact a doctor immediately.<\/li><\/ul>\n\n\n\n<p><em>Fever, bruising, bleeding, or pallor<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In some patients, the body is unable to produce enough blood cells to help the body fight&nbsp;infection&nbsp;or stop bleeding.&nbsp;If your child develops a fever that does not go down, bruises or bleeds easily, or looks very pale, you should call a doctor immediately.&nbsp;The child&#8217;s doctor can then decide that the treatment should be stopped.<\/li><\/ul>\n\n\n\n<p><em>Cancer<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Very rare cases of certain cancers have occurred in children and adults treated with adalimumab or other TNF\u03b1 blockers.&nbsp;Patients with more severe&nbsp;rheumatoid arthritis&nbsp;who have had the disease for a long time may have an increased risk of developing&nbsp;lymphoma&nbsp;and&nbsp;leukemia&nbsp;(cancer that affects blood cells and&nbsp;bone marrow&nbsp;).&nbsp;If your child is being treated with Amsparity, the risk of developing&nbsp;lymphoma,&nbsp;leukemia,&nbsp;or another type of cancer may increase.&nbsp;In rare cases have an unusual and severe type of&nbsp;lymphoma observed in patients taking adalimumab.&nbsp;Some of these patients were also treated with the drugs azathioprine or mercaptopurine.&nbsp;Tell your child&#8217;s doctor if your child is taking azathioprine or mercaptopurine with Amsparity.<\/li><li>Cases of non-melanoma&nbsp;skin cancer have also been reported in patients treated with adalimumab.&nbsp;If new skin ulcers appear during or after treatment, or if the appearance of existing marks or skin ulcers changes, tell your child&#8217;s doctor.<\/li><li>Cancers other than&nbsp;lymphoma&nbsp;have been reported in patients with chronic&nbsp;obstructive pulmonary disease&nbsp;(COPD) treated with other&nbsp;TNF-&nbsp;blockers.&nbsp;If your child has COPD or is a heavy smoker, discuss with your doctor whether it is appropriate for your child to be treated with a TNF\u03b1 blocker.<\/li><\/ul>\n\n\n\n<p><em>Autoimmune diseases<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In rare cases, treatment with Amsparity may produce a lupus-like syndrome.&nbsp;Contact your child&#8217;s doctor if symptoms such as persistent, unexplained rash, fever, joint pain, or fatigue occur.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Amsparity<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if your child is taking, has recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Amsparity can be taken with methotrexate or certain disease-modifying anti-rheumatic drugs (sulfasalazine, hydroxychloroquine, leflunomide, and gold preparations for&nbsp;injection&nbsp;),&nbsp;steroids,&nbsp;or painkillers, including non-steroidal anti-inflammatory drugs (&nbsp;NSAIDs&nbsp;).<\/p>\n\n\n\n<p>Your child should not use Amsparity with medicines containing the active substances anakinra or abatacept due to the increased risk of serious&nbsp;infections.&nbsp;Co-administration&nbsp;of adalimumab, or other&nbsp;TNF&nbsp;&#8211;&nbsp;antagonists, with anakinra or abatacept, is not recommended based on the potential increased risk of&nbsp;infection, including serious&nbsp;infections&nbsp;and other potential pharmacological&nbsp;interactions.&nbsp;If you have any further questions, ask your child&#8217;s doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>Your child should consider using&nbsp;adequate&nbsp;contraception to prevent becoming pregnant and continue to use it for at least 5 months after the last treatment with Amsparity.<\/p>\n\n\n\n<p>If your child is pregnant, thinks she may be pregnant, or is planning to have a baby, talk to her doctor before using this medicine.<\/p>\n\n\n\n<p>Amsparity should only be used during pregnancy if needed.<\/p>\n\n\n\n<p>According to a pregnancy study, there was no increased risk of birth defects when the mother had received adalimumab during pregnancy compared to mothers with the same disease who had not used adalimumab.<\/p>\n\n\n\n<p>Amsparity can be used during breastfeeding.<br><\/p>\n\n\n\n<p>If your baby gets Amsparity during her pregnancy, her newborn baby may be at increased risk of getting an&nbsp;infection.&nbsp;It is important that you tell your pediatrician and other healthcare professionals that she used Amsparity during her pregnancy before the newborn baby is vaccinated.&nbsp;For more information on vaccines, see the section &#8220;Warnings and precautions&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Amsparity may have a small effect on your child&#8217;s ability to drive, cycle, or use machines.&nbsp;A feeling that the room is spinning (dizziness) and visual disturbances can occur when Amsparity is used.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Amsparity contains excipients<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per 0,8 ml&nbsp;dose, it is essential &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How your child uses Amsaprity<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor, nurse or pharmacist has told you.&nbsp;If you are not sure, talk to your child&#8217;s doctor, nurse, or pharmacist.&nbsp;The child&#8217;s doctor may prescribe a different strength of Amsparity if the child needs a different&nbsp;dosage.<br><\/p>\n\n\n\n<p>Amsparity is injected under the skin (&nbsp;subcutaneous&nbsp;use).<br><\/p>\n\n\n\n<p><em>Children and adolescents with&nbsp;polyarticular&nbsp;juvenile idiopathic arthritis<\/em><\/p>\n\n\n\n<p><em>Children and adolescents from 2 years of age weighing from 10 kg up to 30 kg<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is 20 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents from 2 years of age weighing 30 kg or more<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is 40 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents with&nbsp;arthritis-related&nbsp;arthritis<\/em><\/p>\n\n\n\n<p><em>Children and adolescents from 6 years of age weighing from 15 kg up to 30 kg<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is 20 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents from 6 years of age weighing 30 kg or more<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is 40 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents with&nbsp;psoriasis<\/em><\/p>\n\n\n\n<p><em>Children and adolescents 4&nbsp;<\/em><em>\u221217 years weighing from 15 kg up to 30 kg<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is a starting dose of 20 mg, followed by 20 mg a week later.&nbsp;Thereafter, the usual&nbsp;dose is&nbsp;20 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents 4&nbsp;<\/em><em>\u221217 years weighing 30 kg or more<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of Amsparity is a starting dose of 40 mg, followed by 40 mg one week later.&nbsp;Thereafter, the usual&nbsp;dose is&nbsp;40 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Adolescents with hidradenitis suppurativa 12\u221217 years who weigh 30 kg or more<\/em><\/p>\n\n\n\n<p>The recommended&nbsp;dose of&nbsp;one of Amsparity is a starting dose of 80 mg (as two 40 mg&nbsp;injections&nbsp;on the same day) followed by 40 mg every other week starting one week<\/p>\n\n\n\n<p>later.&nbsp;If this&nbsp;dose&nbsp;does not give the desired effect, your doctor may increase the&nbsp;dose to 40 mg every week or 80 mg every two weeks.<\/p>\n\n\n\n<p>It is recommended that a bactericidal solution be used daily on the affected areas.<br><\/p>\n\n\n\n<p><em>Children and adolescents with Crohn&#8217;s disease&nbsp;<\/em><\/p>\n\n\n\n<p><em>Children and adolescents 6&nbsp;<\/em><em>\u221217 years weighing less than 40 kg<\/em><\/p>\n\n\n\n<p>The usual&nbsp;dose&nbsp;is 40 mg&nbsp;initially&nbsp;followed by 20 mg two weeks later.&nbsp;If a faster response is required, your child&#8217;s doctor may prescribe an initial dose of 80 mg (as two 40 mg&nbsp;injections&nbsp;on the same day) followed by 40 mg two weeks later.<br><\/p>\n\n\n\n<p>Thereafter, the usual&nbsp;dose is&nbsp;20 mg every two weeks.&nbsp;If this&nbsp;dose&nbsp;does not give the desired effect, your child&#8217;s doctor may increase the&nbsp;dose&nbsp;by one to 20 mg every week.<br><\/p>\n\n\n\n<p><em>Children and adolescents 6<\/em>&nbsp;&#8211;&nbsp;<em>17 years weighing 40 kg or more<\/em><\/p>\n\n\n\n<p>The usual&nbsp;dose&nbsp;is 80 mg (as two 40 mg&nbsp;injections&nbsp;on the same day)&nbsp;initially&nbsp;followed by 40 mg two weeks later.&nbsp;If a faster response is required, your child&#8217;s doctor may prescribe a starting dose of 160 mg (as four 40 mg&nbsp;injections&nbsp;on the same day or as two 40 mg&nbsp;injections&nbsp;per day for two consecutive days) followed by 80 mg (as two 40 mg&nbsp;injections&nbsp;you on the same day) two weeks later.<br><\/p>\n\n\n\n<p>Thereafter, the usual&nbsp;dose is&nbsp;40 mg every two weeks.&nbsp;If this&nbsp;dose&nbsp;does not give the desired effect, your child&#8217;s doctor may increase the&nbsp;dose&nbsp;one to 40 mg every week or 80 mg every two weeks.<br><\/p>\n\n\n\n<p><em>Children and adolescents from 2 years of age with&nbsp;chronic&nbsp;non-infectious&nbsp;uveitis<\/em><\/p>\n\n\n\n<p><em>Children and adolescents from 2 years of age weighing less than 30 kg<\/em><\/p>\n\n\n\n<p>The usual&nbsp;dose&nbsp;of Amsparity is 20 mg every two weeks with methotrexate.<br><\/p>\n\n\n\n<p>Your child&#8217;s doctor may also&nbsp;prescribe&nbsp;a starting dose of 40 mg given one week before starting the usual&nbsp;dose.<\/p>\n\n\n\n<p><em>Children and adolescents from 2 years of age weighing 30 kg or more<\/em><\/p>\n\n\n\n<p>The usual&nbsp;dose&nbsp;of Amsparity is 40 mg every two weeks with methotrexate.<\/p>\n\n\n\n<p>Your child&#8217;s doctor may also&nbsp;prescribe&nbsp;an initial dose of 80 mg given one week before starting the usual&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Amsparity is given<\/h2>\n\n\n\n<p>Amsparity is given as an&nbsp;injection&nbsp;under the skin (via&nbsp;subcutaneous&nbsp;injection&nbsp;).<br><\/p>\n\n\n\n<p><strong>Detailed instructions for injecting Amsparity can be found in the &#8220;Instructions for Use&#8221; section.<\/strong><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Amsparity than you should<\/h2>\n\n\n\n<p>If you accidentally inject your child with a larger amount of Amsparity solution or if you inject Amsparity more often than your doctor has prescribed, call your doctor or pharmacist and tell them that your child has been given too much of the medicine.&nbsp;Always carry the outer carton or vial with you, even if it is empty.<br><\/p>\n\n\n\n<p><strong>If you have given too little Amsparity<\/strong><\/p>\n\n\n\n<p>If you accidentally inject your child with a small amount of Amsparity solution or if you inject your child with Amsparity less often than your doctor has prescribed, call your doctor or pharmacist and tell them that your child has been given too little of the medicine.&nbsp;Always carry the outer carton or vial with you, even if it is empty.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have forgotten to give your child Amsparity<\/h2>\n\n\n\n<p>If you forget to give your child an&nbsp;injection&nbsp;of Amsparity, give the next&nbsp;dose&nbsp;of Amsparity as soon as you remember.&nbsp;Then give your child the next&nbsp;dose&nbsp;on the day you would have given it if you had not forgotten a&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If your child stops using Amsparity<\/h2>\n\n\n\n<p>The decision to stop using Amsparity should be discussed with your child&#8217;s doctor.&nbsp;Your child&#8217;s symptoms may return when treatment is stopped.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your child&#8217;s doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.&nbsp;Most&nbsp;side effects&nbsp;are mild to moderate.&nbsp;However, some may be serious and require treatment.&nbsp;Side effects&nbsp;can occur up to at least 4 months after the last Amsparity&nbsp;injection.<\/p>\n\n\n\n<p><strong>Seek medical attention immediately<\/strong>&nbsp;if any of the following symptoms occur:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe rash,&nbsp;hives,&nbsp;or other signs of&nbsp;an allergic reaction<\/li><li>swollen face, swollen hands, feet<\/li><li>strained breathing, difficulty swallowing<\/li><li>shortness of breath during exertion or when lying down or if the feet swell.<\/li><\/ul>\n\n\n\n<p><strong>Tell your child&#8217;s doctor as soon as possible<\/strong>&nbsp;if you notice any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>signs and symptoms of&nbsp;infection&nbsp;such as fever, nausea, sores, dental problems, burning sensation when urinating, feeling weak or tired, coughing<\/li><li>symptoms of nerve problems such as tingling, numbness, double vision, or weakness in the arms or legs<\/li><li>signs of skin cancer such as a bump or an open wound that does not heal<\/li><li>signs and symptoms of blood diseases such as prolonged fever, bruising, bleeding, pallor.<\/li><\/ul>\n\n\n\n<p>The signs and symptoms described above may represent the&nbsp;side effects&nbsp;described below, which have been observed with the use of adalimumab:<br><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>injection site reactions (including pain, swelling,&nbsp;redness,&nbsp;or&nbsp;itching&nbsp;)<\/li><li>respiratory tract infections (including colds, runny nose, sinusitis&nbsp;pneumonia&nbsp;)<\/li><li>headache<\/li><li>abdominal pain (stomach pain)<\/li><li>nausea and vomiting<\/li><li>rash<\/li><li>muscle and joint pain.<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>serious&nbsp;infection&nbsp;(including sepsis and&nbsp;flu&nbsp;)<\/li><li>infection&nbsp;is in the intestines (including&nbsp;gastroenteritis&nbsp;)<\/li><li>skin infections (including&nbsp;cellulite&nbsp;and&nbsp;shingles&nbsp;)<\/li><li>ear infections<\/li><li>oral infections (including dental infections and&nbsp;herpes&nbsp;on the lips)<\/li><li>infection&nbsp;is in the genitals<\/li><li>urinary tract infections<\/li><li>fungal infections<\/li><li>joint infections<\/li><li>benign&nbsp;tumor&nbsp;er<\/li><li>skin cancer<\/li><li>allergic reactions (including seasonal allergy)<\/li><li>dehydration<\/li><li>mood swings (including depression)<\/li><li>concern<\/li><li>trouble sleeping<\/li><li>sensory disturbances such as tingling, and crawling, or numbness<\/li><li>migraine<\/li><li>nerve root compression (including low back pain and leg pain)<\/li><li>visual disturbances<\/li><li>eye inflammation<\/li><li>inflammation&nbsp;of the eyelid and swelling of the eyes<\/li><li>dizziness (feeling that the room is spinning)<\/li><li>a feeling of the heart beating fast<\/li><li>high&nbsp;blood pressure<\/li><li>redness<\/li><li>hematoma (a solid swelling with coagulated blood)<\/li><li>cough<\/li><li>asthma<\/li><li>shortness of breath<\/li><li>bleeding in the gastrointestinal tract<\/li><li>dyspepsia&nbsp;(indigestion, gas in the stomach, heartburn)<\/li><li>reflux disease&nbsp;(acid reflux)<\/li><li>dry eyes and dry mouth<\/li><li>itching<\/li><li>itchy rash<\/li><li>bruises<\/li><li>dermatitis (such as&nbsp;eczema&nbsp;)<\/li><li>fragile fingernails and toenails<\/li><li>increased sweating<\/li><li>hair loss<\/li><li>new-onset or worsening&nbsp;psoriasis<\/li><li>muscle spasms<\/li><li>blood in the urine<\/li><li>kidney problems<\/li><li>chest pain<\/li><li>edema&nbsp;(an accumulation of fluid in the body that causes the affected&nbsp;tissue Roswell)<\/li><li>fever<\/li><li>decreased&nbsp;platelet count&nbsp;(&nbsp;platelets&nbsp;) which increases the risk of bleeding or bruising<\/li><li>impaired healing.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>opportunistic (unusual)&nbsp;infections&nbsp;(which include&nbsp;tuberculosis&nbsp;and other&nbsp;infections that may occur when resistance to the disease is reduced)<\/li><li>neurological&nbsp;infection&nbsp;(including&nbsp;meningitis&nbsp;caused by a&nbsp;virus&nbsp;)<\/li><li>eye infection&nbsp;er<\/li><li>bacterial infections<\/li><li>diverticulitis&nbsp;(&nbsp;inflammation&nbsp;and&nbsp;infection&nbsp;of the colon)<\/li><li>cancers, including cancers affecting the&nbsp;lymphatic system&nbsp;(&nbsp;lymphoma&nbsp;) and&nbsp;melanoma&nbsp;(a type of skin cancer)<\/li><li>immune disorders that can affect the lungs, skin, and&nbsp;lymph nodes&nbsp;(usually as&nbsp;sarcoidosis&nbsp;)<\/li><li>vasculitis&nbsp;(&nbsp;inflammation&nbsp;of the blood vessels)<\/li><li>shaking<\/li><li>neuropathy&nbsp;(nerve damage)<\/li><li>stroke&nbsp;(stroke)<\/li><li>double vision<\/li><li>hearing loss, earrings<\/li><li>the feeling of the heart beating irregularly like a missed heartbeat<\/li><li>heart problems that can cause shortness of breath or swollen feet<\/li><li>myocardial infarction<\/li><li>a&nbsp;hernia&nbsp;in a large artery wall,&nbsp;inflammation,&nbsp;and&nbsp;clot&nbsp;in a vein, blockage of a blood vessel<\/li><li>lung disease that causes shortness of breath (including&nbsp;pneumonia&nbsp;)<\/li><li>pulmonary embolism&nbsp;(blockage in a pulmonary artery)<\/li><li>pleural effusion (abnormal fluid accumulation between lungs and chest)<\/li><li>inflammation&nbsp;of the pancreas that causes severe pain in the abdomen and back<\/li><li>difficulty swallowing<\/li><li>facial edema (swelling of the face)<\/li><li>gallbladder inflammation,&nbsp;gallstones&nbsp;ar<\/li><li>fatty liver&nbsp;(fat accumulation in liver cells)<\/li><li>night sweats<\/li><li>scar<\/li><li>abnormal degradation of muscle tissue<\/li><li>the systemic lupus erythematosus (an immune disease that causes&nbsp;inflammation&nbsp;of the skin, heart, lungs, joints, and other organ systems)<\/li><li>sleep interruption<\/li><li>impotence<\/li><li>inflammation&nbsp;is.<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>leukemia&nbsp;(cancer affecting blood and&nbsp;bone marrow&nbsp;)<\/li><li>severe&nbsp;allergic reaction&nbsp;with&nbsp;shock<\/li><li>multiple sclerosis<\/li><li>nerve disorders (such as ocular inflammation and&nbsp;Guillain-Barr\u00e9 syndrome, a disease that can cause muscle weakness, sensory disturbances, tingling in the arms and upper body)<\/li><li>the heart stops pumping<\/li><li>pulmonary fibrosis&nbsp;(scarring of the lung)<\/li><li>intestinal perforation (hole in the intestine)<\/li><li>hepatitis&nbsp;(inflammation of the liver)<\/li><li>reactivation of&nbsp;hepatitis&nbsp;B&nbsp;infection<\/li><li>autoimmune&nbsp;hepatitis&nbsp;(hepatitis caused by the body&#8217;s own immune system)<\/li><li>cutaneous&nbsp;vasculitis&nbsp;(&nbsp;inflammation&nbsp;of the blood vessels in the skin)<\/li><li>Stevens-Johnson syndrome&nbsp;(life-threatening reaction with&nbsp;flu-like symptoms&nbsp;and rash with blisters)<\/li><li>facial edema (swelling of the face) associated with allergic reactions<\/li><li>erythema multiforme (inflammatory skin rash)<\/li><li>lupus-like syndrome (persistent, unexplained rash, fever, joint pain or fatigue)<\/li><li>angioedema&nbsp;(local swelling of the skin)<\/li><li>lichenoid skin reactions (itchy red-purple skin rash).<\/li><\/ul>\n\n\n\n<p><strong>Has been reported<\/strong>&nbsp;(occurs in an unknown number of users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hepatosplenic T-cell lymphoma (a rare, often fatal blood cancer)<\/li><li>Merkel cell carcinoma (a type of skin cancer)<\/li><li>Kaposi&#8217;s sarcoma, rare cancer associated with&nbsp;infection&nbsp;with human herpesvirus 8&nbsp;Kaposi sarcoma&nbsp;occurs most often as purple spots on the skin.<\/li><li>liver failure<\/li><li>aggravation of a condition called&nbsp;dermatomyositis&nbsp;(manifested as a rash with accompanying muscle weakness).<\/li><\/ul>\n\n\n\n<p>Some&nbsp;side effects&nbsp;observed with Amsparity may not cause symptoms but may only be detected by blood tests.&nbsp;These include:<br><\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>low blood&nbsp;cell counts<\/li><li>low blood&nbsp;counts&nbsp;for&nbsp;red blood cells<\/li><li>elevated levels of&nbsp;lipid&nbsp;in the blood<\/li><li>elevated liver enzymes.<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>high blood&nbsp;counts&nbsp;for&nbsp;white blood cells<\/li><li>low blood&nbsp;platelet counts<\/li><li>elevated levels of&nbsp;uric acid&nbsp;in the blood<\/li><li>aberrant blood&nbsp;sodium&nbsp;levels<\/li><li>low blood levels of&nbsp;calcium<\/li><li>low blood levels of&nbsp;phosphate<\/li><li>high blood sugar<\/li><li>high blood levels of&nbsp;lactate dehydrogenase<\/li><li>presence of autoantibodies in the blood<\/li><li>low blood levels of&nbsp;potassium.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated bilirubin levels (blood tests from the liver).<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>low blood&nbsp;counts&nbsp;for&nbsp;white blood cells,&nbsp;red blood cells,&nbsp;and&nbsp;platelets.<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Amsparity<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label\/carton after EXP.<\/p>\n\n\n\n<p>Store in a refrigerator (2 \u00b0 C \u2212 8 \u00b0 C).&nbsp;Do not freeze.<\/p>\n\n\n\n<p>Store the bottles in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p><em>Alternative storage:<\/em><\/p>\n\n\n\n<p>If needed (for example when traveling), an Amsparity&nbsp;vial can&nbsp;be stored at room temperature (up to 30 \u00b0 C) for a maximum of 30 days &#8211; ensure that it is protected from light.&nbsp;When removed from the refrigerator for storage at room temperature,&nbsp;<strong>the vial must be used within 30 days or discarded<\/strong>, even if it is put back in the refrigerator.<br><\/p>\n\n\n\n<p>You must write down the date when the vial is taken out of the refrigerator for the first time, and the date when it will be discarded.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your child&#8217;s doctor or pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is adalimumab.<br><\/p>\n\n\n\n<p>The other ingredients are L-histidine, L-histidine hydrochloride monohydrate, sucrose, edetate disodium dihydrate, L-methionine, polysorbate 80, and water for injections.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Amsparity 40 mg&nbsp;solution for injection&nbsp;in a&nbsp;vial is&nbsp;provided as a&nbsp;sterile&nbsp;solution containing 40 mg adalimumab dissolved in 0.8 ml solution.<br><\/p>\n\n\n\n<p>Amsparity&nbsp;vial&nbsp;is a glass vial containing a clear, colorless to the very light brown solution of adalimumab.&nbsp;One pack contains 2 boxes, each containing 1&nbsp;vial, 1 empty&nbsp;sterile syringe, 1 needle, 1 bottle adapter, and 2 alcohol swabs.<br><\/p>\n\n\n\n<p>Amsparity may be available as a&nbsp;vial, pre-filled&nbsp;syringe&nbsp;and\/or as a pre-filled&nbsp;pen.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Pfizer Europe MA EEIG<\/p>\n\n\n\n<p>Boulevard de la Plaine 17<\/p>\n\n\n\n<p>1050 Brussels<\/p>\n\n\n\n<p>Belgium<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Pfizer Service Company BVBA<\/p>\n\n\n\n<p>High Way 10<\/p>\n\n\n\n<p>Zaventem 1930<\/p>\n\n\n\n<p>Belgium<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong><strong>Luxembourg \/ Luxemburg<\/strong>Pfizer NV \/ SATel: +32 (0) 2 554 62 11<\/td><td><strong>\u038e\u03c0\u03c1\u03bf\u03c2<\/strong>PFIZER E\u039b\u039bA\u03a3 AE (CYPRUS BRANCH):\u0397\u03bb: +357 22 817690<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Pfizer, spol.&nbsp;s roTel: + 420-283-004-111<\/td><td><strong>Hungary<\/strong>Pfizer Kft.Tel: +36 1 488 3700<\/td><\/tr><tr><td><strong>Denmark<\/strong>Pfizer ApSTel: +45 44 201 100<\/td><td><strong>Malta<\/strong>Drugsales LtdTel: +356 21 419070\/1\/2<\/td><\/tr><tr><td><strong>Germany:<\/strong>Pfizer Pharma PFE GmbHTel: +49 (0) 800 8535555<\/td><td><strong>The Netherlands<\/strong>Pfizer bvTel: +31 (0) 10 406 43 01<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>The Pfizer of Luxembourg,Clone of BulgariaTel: +359 2 970 4333<\/td><td><strong>Norway<\/strong>Pfizer ASTel: +47 67 52 61 00<\/td><\/tr><tr><td><strong>Eesti<\/strong>Pfizer Luxembourg SARL Eesti subsidiaryTel: +372 666 7500<\/td><td><strong>Austria<\/strong>Pfizer Corporation Austria Ges.mbHTel: +43 (0) 1 521 15-0<\/td><\/tr><tr><td><strong>Greece<\/strong>PFIZER E\u039b\u039bA\u03a3 AE.:\u0397\u03bb .: +30 210 67 85 800<\/td><td><strong>Poland<\/strong>Pfizer Polska Sp.&nbsp;z ooTel .: +48 22 335 61 00<\/td><\/tr><tr><td><strong>Spain<\/strong>Pfizer SLTel: +34 91 490 99 00<\/td><td><strong>Portugal<\/strong>Pfizer Laboratories, Lda.Tel: +351 21 423 5500<\/td><\/tr><tr><td><strong>France<\/strong>PfizerTel: +33 (0) 1 58 07 34 40<\/td><td><strong>Romania<\/strong>Pfizer Rom\u00e2nia SRLTel: +40 (0) 21 207 28 00<\/td><\/tr><tr><td><strong>Croatia<\/strong>Pfizer Croatia dooTel: +385 1 3908 777<\/td><td><strong>Slovenia<\/strong>Pfizer Luxembourg SARL<em>,<\/em>&nbsp;Pfizer, podru\u017enicafor cleaning and pharmaceutical pharmaceuticalsdejavnosti, LjubljanaTel: +386 (0) 1 52 11 400<\/td><\/tr><tr><td><strong>Ireland<\/strong>Pfizer Healthcare IrelandTel: +1800 633 363 (toll free)Tel: +44 (0) 1304 616161<\/td><td><strong>Slovak Republic<\/strong>Pfizer Luxembourg SARL, organizerTel: +421 2 3355 5500<\/td><\/tr><tr><td><strong>Iceland<\/strong>Icepharma hf.Tel: +354 540 8000<\/td><td><strong>Finland \/ Finland<\/strong>Pfizer PFE Finland OyPuh \/ Tel: +358 (0) 9 430 040<\/td><\/tr><tr><td><strong>Italy<\/strong>Pfizer Italia SrlTel: +39 06 33 18 21<\/td><td><\/td><\/tr><tr><td><strong>Latvia<\/strong>Pfizer Luxembourg SARL subsidiary Latvij\u0101Tel.&nbsp;+371 67035775<\/td><td><strong>United Kingdom<\/strong>Pfizer LimitedTel: +44 (0) 1304 616161<\/td><\/tr><tr><td><strong>Lithuania<\/strong>Pfizer Luxembourg SARL branches in LithuaniaTel.&nbsp;+3705 2514000<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Amsparity contains the active substance adalimumab, a medicine that affects the body&#8217;s immune system (immune system).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[10492,10495,10497,10500,10496,10501,10494,10499,10493,10498],"class_list":["post-5408","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-adalimumab","tag-adalimumab-injection","tag-amsparity","tag-amsparity-injection","tag-side-effects-of-adalimumab","tag-side-effects-of-amsparity","tag-what-adalimumab-is-used-for","tag-what-amsparityis-used-for","tag-what-is-adalimumab","tag-what-is-amsparity"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=5408"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5408\/revisions"}],"predecessor-version":[{"id":12671,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5408\/revisions\/12671"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}