abatacept

Brand Name :

Orencia ClickJect, Orencia

Synonyms :

abatacept

Class :

DMARDs, Immunomodulators; Immunosuppressants

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Actions and Spectrum:

abatacept is a biologics medication used to treat autoimmune disorders such as rheumatoid arthritis. It works by inhibiting the activation of T cells, involved in the body’s immune response.

It leads to a reduction in the inflammation and joint damage that occurs in autoimmune disorders. abatacept is an immunomodulatory drug that modulates or regulates the immune system. It is administered by intravenous infusion.

DRUG INTERACTION

abatacept

&

  • Pembrolizumab / Berahyaluronidase
  • Bumetanide Intranasal
  • Gemcitabine intravesical
  • Rilzabrutinib
  • Zopapogene
  • Aceclidine
  • aluminium hydroxide
  • benzralizumab (Rx)
  • Rituximab
  • Trimetrexate Glucuronate
  • Mirdametinib
  • Suzetrigine
  • Potassium acid phosphate
  • Acellular Tissue Engineered Vessel
  • crinecerfont (pending approval from FDA)
  • Revumenib
  • pembrolizumab (Rx)
  • azathioprine (Rx)
  • Gemcitabine (Rx)
  • Seladelpar
  • Atezolizumab / Hyaluronidase-tqjs
  • Axatilimab-csfr
  • Afamitresgene Autoleucel
  • Lazertinib
  • Ocrelizumab / Hyaluronidase ocsq
  • Lebrikizumab
  • naloxone intranasal
  • clomiphene
  • patisiran
  • imetelstat
  • phenylephrine ophthalmic
  • myoinositol
  • vasicinone
  • soda lime
  • fisetin
  • Reynoutria Japonica
  • Coco Monoethanolamide
  • Betadex
  • lithopone
  • cyperus rotundus
  • papaya juice
  • 1-naphthaleneacetic acid
  • Nordazepam
  • Glechoma hederacea
  • Alternanthera sessilis
  • nicofetamide
  • napthol asol
  • cocamidopropyl betaine
  • musa x paradisiaca
  • dicyclomine/mefenamic acid
  • Sorghum
  • Manganese citrate
  • tovorafenib
  • mefenamic acid/paracetamol
  • eschscholzia californica
  • canna indica root
  • tranexamic acid/mefenamic acid
  • dexverapamil
  • sitogluside
  • secalciferol
  • cefatrizine
  • Sedum Acre
  • Flurogestone
  • Fluocortin
  • Bifendate
  • piprozolin
  • aminacrine undecylate
  • ethylenediamine mandelate
  • pelubiprofen
  • hesperetin
  • butethamine
  • epitiostanol
  • androstenediol
  • Nitroxoline
  • Iocarmic acid
  • Capobenic acid
  • dordaviprone (investigational drug)
  • Vitexin
  • Friluglanstat (investigational drug)
  • scorias spongiosa
  • Luseogliflozin
  • indoxacarb
  • prademagene zamikeracel
  • fidanacogene elaparvovec-dzkt
  • albifylline
  • idanpramine
  • araneus diadematus
  • Sulfamazone
  • Lycosa tarantula
  • malotilate
  • Ethacizine
  • Namilumab
  • Latrunculin B
  • stachyose
  • platinic oxide
  • iopronic acid
  • calcium chloride / potassium chloride/lactic acid/ sodium chloride/sodium hydroxide/sodium lactate solution
  • citric acid/ sodium bicarbonate/ sodium carbonate anhydrous
  • vadadustat
  • permethrin medical grade cis/trans isomers 25/75
  • lutetium, isotope of mass 177
  • human normal immunoglobulin
  • sacrosidase
  • apadamtase alfa, recombinant
  • acetyl hexapeptide-8 amide
  • pemivibart (Investigational)
  • govorestat
  • Zanidatamab
  • sotatеrcеpt
  • MV 140 vaccine
  • leuprorelin implant
  • cinchocaine hydrochloride/fluocortolone hexanoate/fluocortolone pivalate
  • Beautyberry
  • risedronate/calcium/vitamin D3
  • rhubarb extract/senna leaf/sulphur purified/wood charcoal
  • boric acid/kaolin/methyl salicylate/peppermint oil/thymol
  • docosahexaenoic acid/eicospentaenoic acid
  • aluminium hydroxide/magnesium hydroxide/simethicone
  • gentamicin/hydrocortisone
  • succinylcholine
  • sinefungin
  • letibotulinumtoxinA
  • coal tar/coconut oil/salicylic acid
  • camphor/camphor oil white/capsicum oleoresin /menthol/methyl salicylate
  • thioglycolic acid
  • acetic acid auricular
  • roluperidone
  • hydrocortisone/crotamiton topical
  • nystatin/chlorhexidine
  • aluminium chloride hexahydrate
  • ketoprofen topical
  • Chlormethine
  • podophyllotoxin
  • urea/lactic acid
  • autologous chondrocytes implant
  • afelimomab
  • gepotidacin
  • fludroxycortide
  • fentanyl transdermal
  • erythromycin/zinc acetate
  • dibotermin alfa powder
  • desferrioxamine mesilate
  • choline salicylate/magnesium salicylate
  • castor oil/peru balsam/trypsin
  • betamethasone/dexchlorpheniramine maleate
  • benzalkonium chloride solution/cetrimide
  • barzolvolimab
  • ascorbic acid / calcium laevulinate / nicotinamide / calcium pantothenate / calcium chloride / riboflavine / pyridoxine hydrochloride / thiamine hydrochloride
  • argipressin
  • arachis oil refined/chlorobutanol hemihydrate
  • arachis oil/eucalyptol/nutmeg oil/terpineol
  • ammonium chloride/diphenhydramine hydrochloride/levomenthol
  • amino acid mixture d / calcium chloride dihydrate / glucose monohydrate / glycine / magnesium chloride hexahydrate / olive oil / potassium chloride / sodium acetate trihydrate / sodium glycerophosphate pentahydrate / soya-bean oil
  • biotin/colecalciferol/copper (ii)sulfate dried/ cyanocobalamine/ dl-alpha tocopherol acetate/dibasic calcium phosphate anhydrous/folic acid/iron (ii)sulfate dried/ lecithin/ magnesium sulfate dried/ nicotinamide/ pyridoxine hydrochloride/ riboflavin
  • ampicillin sodium / cloxacillin sodium
  • undecylenic acid, undecylenate salts, zincundecate
  • omeprazole/sodium bicarbonate
  • efgartigimod alfa/hyaluronidase
  • xylometazoline/ipratropium
  • cefepime and enmetazobactam
  • isotonic sodium chloride
  • bee venom allergen injection
  • fentanyl intranasal
  • alglucosidase alfa
  • triprolidine/pseudoephedrine
  • pegademase bovine
  • castor oil and peru balsam
  • camphor/eucalyptus oil/menthol
  • oxyquinoline/sodium lauryl sulfate
  • somatorelin
  • menotrophin injection
  • menadiol
  • hylan g-f 20
  • cefepime and taniborbactum
  • water avens
  • camphor/menthol
  • acoramidis
  • elafibranor
  • arrowroot
  • miconazole nitrate/hydrocortisone
  • vildagliptin/metformin
  • dobesilic acid
  • aroxybutynin and atomoxetine
  • hygromycin
  • linvoseltamab
  • nemolizumab
  • aceprometazine
  • limaprost
  • oxazolam
  • trimegestone
  • teceleukin
  • beauty berry
  • dinotefuran
  • imiprothrin
  • transfluthrin
  • thymalfasin
  • technetium Tc 99m tilmanocept
  • glepaglutide
  • marstacimab
  • pixantrone
  • Andiroba
  • arabinoxylan
  • arenaria rubra
  • etripamil
  • jequirity
  • jiaogulan
  • dusquetide
  • rolipram
  • tradipitant
  • sinfungin
  • diclofenac/omeprazole
  • brinzolamide and timolol maleate
  • wormseed
  • wormwood
  • wood sorrel
  • carmellose sodium
  • ibandronic acid
  • cinnarizine and dimenhydrinate
  • ursodeoxycholic acid
  • rhubarb extract/salicylic acid
  • butamirate citrate
  • fumitory
  • taheebo
  • uva ursi
  • vervain
  • coleus
  • coltsfoot
  • crampbark
  • plantain
  • potassium nitrate and silver nitrate
  • gelsemium
  • gentian
  • glucomannan
  • walnut
  • meadowsweet
  • midomafetamine
  • pennyroyal
  • periwinkle
  • betony
  • bitter orange
  • bladderwrack
  • bloodroot
  • emu oil
  • garcinia
  • yellow dock
  • burdock
  • dehydroepiandrosterone
  • aucubin
  • jasmone
  • resacetophenone
  • ecamsule ditriethanolamine
  • feclobuzone
  • fenoprop triethanolamine
  • verdyl acetate
  • caffeic acid
  • cyclamen aldehyde
  • dicetyldimonium chloride
  • wogonin
  • impacarzine
  • laurylpyridinium chloride
  • stepronin
  • matrine
  • sakuranin
  • cannabichromene
  • sandalore
  • sabinene
  • oxypaeoniflora
  • ethylhexyl pelargonate
  • acrylonitrile
  • allyl alcohol
  • dipalmitoylethyl hydroxyethylmonium methosulfate
  • butidrine
  • clothiapine
  • propanediol dicaprylate
  • buchu
  • undecanol
  • enilconazole
  • xymenynic acid
  • angelica
  • nizubaglustat
  • resomelagon
  • ulecaciclib
  • apple cider vinegar
  • bacopa
  • barley grass
  • dandelion
  • deer velvet
  • dolomite
  • bugleweed
  • bupleurum
  • glyceryltrinitrate
  • pociredir
  • asnuciclib
  • actalycabtagene autoleucel
  • butantan–dengue vaccine
  • travoprost/timolol
  • furosemide/potassium chloride
  • amylamine
  • jaborandi
  • patritumab deruxtecan
  • jackfruit
  • sterculia
  • ascorbigen
  • ashitaba
  • androstenetrione
  • andrachne
  • cosibelimab
  • racecadotril
  • neomycin/chlorhexidine
  • octocog alfa
  • cetrimide
  • ispaghula husk
  • polyhexanide
  • octenidine
  • polygeline
  • heparinoid
  • jewelweed
  • boldo
  • anizatrectinib
  • alpinia
  • henbane
  • cynanchum vincetoxicum root and sulfur
  • boditrectinib
  • izumerogant
  • zavondemstat
  • abuta
  • fadogia agrestis
  • fly agaric mushroom
  • meptazinol
  • methoxyflurane
  • tramadol/dexketoprofen
  • betaine/polyhexanide
  • filgotinib
  • inosine acedoben dimepranol
  • alverine citrate
  • hyoscine butylbromide
  • senna+ ispaghula
  • cabbage palm
  • cajeput oil
  • calanus oil
  • calamint
  • canada balsam
  • carnosine
  • alverine citrate/simeticone
  • dihydroartemisinin/piperaquine
  • mebeverine/ispaghula
  • calcipotriol
  • tacalcitol
  • triethyl citrate/ethyl linoleate
  • sodium dilauramidoglutamide lysine
  • fazamorexant
  • avibactam tomilopil and ceftibuten
  • drostanolone
  • tigilanol tiglate
  • isorhynchophylline
  • rhynchophylline
  • crisugabalin
  • epigallocatechin gallate
  • clomocycline
  • corynoxeine
  • isocorynoxeine
  • Culmerciclib
  • Neladenoson
  • ambrein
  • hexylcaine
  • phensuximide
  • resencatinib (investigational)
  • rolusafine
  • pumecitinib
  • arhalofenic acid
  • berdazimer sodium
  • benzquinamide
  • clidinium
  • sulfametopyrazine
  • fulzerasib (Investigational Drug)
  • rovadicitinib (Investigational Drug)
  • Upleganan (Investigational Drug)
  • menthyl ethylamido oxalate
  • quaternium-90 montmorillonite
  • unecritinib (investigational drug)
  • etohexadiol
  • guaiol
  • proximadiol
  • verdinexor
  • sofnobrutinib
  • talbutal
  • ethoxzolamide
  • propiomazine
  • enprofylline
  • phenmetrazine
  • merigolix
  • pralurbactam
  • neracorvir
  • vonifimod
  • apaziquone hydroquinone
  • darizmetinib
  • zandelisib
  • xininurad
  • ritivixibat
  • amiselimod phosphate (investigational drug)
  • emzeltrectinib (investigational drug)
  • ficonalkib
  • cinalukast
  • ulobetasol
  • candoxatril
  • nitrofural
  • acetyldigitoxin
  • bentiromide
  • dextrothyroxine
  • chlorotrianisene
  • remikiren
  • pipobroman
  • vidarabine
  • immune globulin intravenous, human-stwk
  • spermine
  • serine
  • N-acetyl glucosamine
  • valine
  • adenine
  • asparagine
  • citrulline
  • adinazolam
  • interferon alfacon-1
  • interferon alfa-n1
  • felypressin
  • birch triterpenes
  • pyridoxal phosphate
  • technetium Tc-99m arcitumomab
  • beta-alanine
  • dihomo-gamma-linolenic acid
  • urea/hydrocortisone
  • R21/Matrix-M vaccine
  • povidone-iodine (ophthalmic)
  • pheniramine
  • hydrocortisone rectal
  • chloroxylenol/pramoxine/zinc acetate
  • chloroxylenol/pramoxine
  • dextrose/sucrose/vitamin C/zinc sulphate
  • furazolidone/metronidazole/dicyclomine
  • ergocalciferol (vitamin D2)
  • benoxaprofen (discontinued)
  • teicoplanin
  • carbomer
  • chromic chloride / iron (ii) chloride tetrahydrate / potassium iodide / manganese chloride / sodium fluoride / sodium selenite pentahydrate / sodium molybdate dihydrate / zinc chloride/ cupric chloride
  • bufylline
  • lidocaine/prilocaine
  • opium tincture, squill oxymel
  • dibrompropamidine
  • metronidazole/tetracycline/bismuth subsalicylate
  • agnus- castus
  • velaglucerase alfa
  • alendronic acid / colecalciferol
  • bimatoprost / timolol
  • efbemalenograstim alfa
  • dried ferrous sulfate/folic acid
  • dried ferrous sulfate / sodium ascorbate
  • nirogacestat
  • soya-bean oil, medium-chain triglycerides
  • demeclocycline hydrochloride and triamcinolone acetonide
  • fusidic acid / hydrocortisone acetate
  • macrogol
  • storax, benzoin
  • nomegestrol acetate/estradiol
  • flumetasone pivalate/ clioquinol
  • berdazimer topical (Pending FDA Approval)
  • buflomedil
  • butobarbital
  • andexanet alfa
  • methoxypolyethylene glycol-epoetin beta
  • viscum abietis
  • pramoxine vaginal
  • bupivacaine implant
  • cromolyn sodium, inhaled
  • pneumococcal vaccine 20-valent
  • bimatoprost ophthalmic implant
  • tick-borne encephalitis vaccine
  • chloroprocaine ophthalmic
  • travoprost intraocular implant (Pending FDA approval)
  • typhoid polysaccharide vaccine
  • sodium phosphate
  • human papillomavirus vaccine, nonavalent
  • peanut immunotherapy epicutaneous (FDA approval pending)
  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
  • oral mucoadhesive
  • clindamycin vaginal
  • whole blood (Blood Component)
  • fibrinogen/thrombin
  • levothyroxine/liothyronine
  • ipratropium intranasal
  • metronidazole vaginal
  • cyamemazine
  • brinase
  • reviparin
  • ulinastatin
  • saruplase
  • acepromazine
  • emylcamate
  • methionine
  • amino acids and electrolytes in dextrose with calcium
  • slippery elm
  • camostat
  • hemoglobin crosfumaril
  • moperone
  • chlormidazole
  • brilaroxazine
  • palopegteriparatide
  • diazepam buccal
  • benegrastim (pending for FDA approval)
  • COVID-19 vaccine, adjuvanted-Novavax
  • vestronidase alfa-vjbk
  • tebipenem (Pending FDA Approval)
  • tislelizumab (Pending FDA Approval)
  • zolbetuximab (Pending FDA Approval)
  • zoliflodacin (pending FDA approval)
  • zibotentan and dapagliflozin
  • fluorine F18 DCFPyL
  • debamestrocel
  • givinostat
  • amubarvimab and romlusevimab(Pending FDA Approval)
  • sabizabulin(Pending FDA approval)
  • fexapotide(Phase 3 Clinical trial)
  • diatrizoic acid
  • drotaverine
  • diethyl phthalate
  • enclomiphene
  • epalrestat
  • ethamsylate
  • flupirtine
  • imidurea
  • sodium glycolate
  • feracrylum
  • ethacridine
  • furazolidone/metronidazole
  • ozagrel hydrochloride
  • leptazol
  • l-glutamic acid /vitamin B complex
  • etizolam
  • etizolam/propranolol
  • ethoheptazine citrate
  • etophylline and theophylline
  • etophylline
  • finger millet
  • drotaverine/mefenamic acid
  • dichloroxylenol
  • pneumococcal 7-valent vaccine
  • diclofenac and metaxalone
  • dipivefrin ophthalmic
  • enbucrilate
  • potassium citrate and citric acid
  • potassium gluconate
  • aclarubicin
  • alfuzosin/dutasteride
  • adrenochrome monosemicarbazone
  • selenium sulfide topical
  • sertaconazole
  • amorolfine cream
  • amsacrine
  • amylmetacresol
  • sulfonated phenolics in aqueous solution
  • technetium Tc-99m sulfur colloid
  • raltitrexed
  • romiplostim
  • acediasulfone
  • azulene
  • acebrophylline
  • clonazepam/escitalopram oxalate
  • allylestrenol
  • andrographolide
  • artemotil
  • technetium Tc-99m sestamibi
  • rubidium Rb-82
  • somapacitan
  • sodium sulfate, magnesium sulfate and potassium sulfate
  • almitrine
  • gramicidin
  • nikethamide
  • technetium Tc-99m sodium pertechnetate
  • betiatide
  • prilocaine/epinephrine
  • amlexanox
  • acetaminophen/salicylamide/phenyltoloxamine
  • neomycin topical
  • zilucoplan
  • antazoline and xylometazoline
  • toripalimab
  • iron isomaltoside
  • meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • tetradecyl Sulfuric Acid
  • benzoyl peroxide, clindamycin phosphate, adapalene
  • ethylephedrine
  • actarit
  • pyrantel tartrate
  • tenofovir disoproxil fumarate or tenofovir DF
  • melitracen
  • amitriptylinoxide(Phase 4 Clinical Trials)
  • threonine
  • ditiocarb zinc
  • epicriptine
  • levallorphan
  • kinetin
  • laurocapram
  • pentagastrin
  • parthenolide
  • nicoboxil
  • protionamide
  • prulifloxacin
  • proscillaridin
  • tizanidine and rofecoxib
  • tolnaftate, gentamicin, chinoform and betamethasone valerate
  • pine bark extract
  • pipenzolate methylbromide
  • bephenium hydroxynaphthoate
  • niclosamide
  • pyrvinium
  • pipenzolate methylbromide/phenobarbitone
  • piracetam/ginkgo biloba/vinpocetine
  • benzyl benzoate/disulfiram
  • benzyl benzoate
  • loperamide/simethicone
  • piroctone olamine
  • sodium fusidate
  • piroxicam topical/capsaicin/menthol/methyl salicylate
  • sodium metabisulfite
  • sodium lauryl sulfate
  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
  • triamterene / benzthiazide
  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
  • sucralfate/tinidazole/povidone iodine
  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
  • aminophylline, ephedrine and phenobarbitone
  • artesunate, sulphadoxine and pyrimethamine
  • finasteride/tamsulosin
  • flavoxate/ofloxacin
  • fenofibrate/metformin
  • lignocaine, hydrocortisone topical and allantoin
  • linoleic acid and sodium lactate
  • troxerutin
  • meclizine/nicotinic acid
  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
  • ketoconazole/cetrimide
  • ketoconazole/zinc pyrithione
  • lercanidipine/atenolol
  • levocetirizine/montelukast/ambroxol
  • levarterenol
  • levocetirizine/phenylpropanolamine 
  • indapamide/amlodipine
  • itopride/methyl polysiloxane
  • mebendazole/levamisole
  • eberconazole/mometasone
  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
abatacept + 

measles, mumps, rubella, and varicella vaccine, live (Rx)

may diminish the therapeutic effect of vaccines

measles mumps and rubella vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 subunit vaccine

may diminish the therapeutic effect of vaccines

vaccinia immune globulin intravenous (Rx)

may diminish the therapeutic effect of vaccines

poliovirus vaccine, live, trivalent

may diminish the therapeutic effect of vaccines

poliovirus vaccine inactivated

may diminish the therapeutic effect of vaccines

measles, mumps, rubella, and varicella vaccine, live (Rx)

may diminish the therapeutic effect of vaccines

measles mumps and rubella vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 subunit vaccine

may diminish the therapeutic effect of vaccines

smallpox (vaccinia) vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 vaccine

may diminish the therapeutic effect of vaccines

clobetasol propionate 

may enhance the risk of adverse effects of abatacept

cOVID subunit vaccine

it may reduce the therapeutic effect of covid-19 vaccines 

betamethasone (systemic)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (oral inhalation)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (nasal)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (Topical)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

beclomethasone (nasal)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

cOVID vaccine

Immunosuppressants may reduce the therapeutic effect of COVID-19 Vaccine

denosumab

it may enhance the immunosuppressive effect of Immunosuppressants

influenza virus vaccine

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza virus vaccine h n live

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza virus vaccine (h n ) adjuvanted

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza a (h n ) vaccine

it may diminish the therapeutic effect of Influenza Virus Vaccines

poliovirus vaccine, live, trivalent

immunosuppressants may diminish the therapeutic effect of Vaccines

poliovirus vaccine inactivated

immunosuppressants may diminish the therapeutic effect of Vaccines

cOVID-19 subunit vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

vaccinia immune globulin intravenous (Rx)

immunosuppressants may diminish the therapeutic effect of vaccines

cOVID-19 vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

pneumococcal vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

prednisolone 

may diminish the therapeutic effect of corticosteroids

fludrocortisone 

may decrease the therapeutic effect

cOVID-19 Vaccine, mRNA 

may decrease the therapeutic effect of COVID-19 vaccine

pegcetacoplan 

may increase the risk or severity of toxic effects when combined

betamethasone (systemic)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (oral inhalation)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (Topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

trimethadione 

may enhance the metabolism of each other when combined

vernakalant 

abatacept increases the metabolism of vernakalant

betamethasone (systemic)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide (oral inhalation)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide intranasal

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide (Topical)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

beclomethasone (nasal)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

vaccinia immune globulin intravenous (Rx)

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

pneumococcal vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine, live, trivalent

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine inactivated

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 subunit vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

smallpox (vaccinia) vaccine, live

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

adenovirus vaccine type 7

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

thalidomide

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

golimumab

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

etanercept

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

adalimumab

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

pseudoephedrine

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

cOVID-19 subunit vaccine 

immunosuppressants may enhance the adverse/toxic effect of Vaccines

thalidomide

may increase the immunosuppressive effect of abatacept

golimumab

may increase the immunosuppressive effect of abatacept

etanercept

may increase the immunosuppressive effect of abatacept

adalimumab

may increase the immunosuppressive effect of abatacept

pseudoephedrine

may increase the immunosuppressive effect of abatacept

idecabtagene vicleucel 

It may enhance the immunosuppressive effects when combined with idecabtagene vicleucel

etanercept

it may increase the immunosuppressive effect of abatacept 

dengue vaccine

immunosuppressants may enhance the adverse/toxic effect of dengue Vaccine

cOVID-19 subunit vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

smallpox (vaccinia) vaccine, live

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

adenovirus vaccine type 7

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

bcg vaccine

may enhance the adverse/toxic effect of BCG products

abrocitinib 

may increase the immunosuppressive effect of immunosuppressants

cOVID-19 subunit vaccine

may increase the adverse/toxic effect of immunosuppressants

vaccinia immune globulin intravenous (Rx)

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 vaccine

may increase the adverse/toxic effect of immunosuppressants

pneumococcal vaccine

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine, live, trivalent

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine inactivated

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 subunit vaccine

may increase the adverse/toxic effect of immunosuppressants

smallpox (vaccinia) vaccine, live

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 vaccine

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine

may increase the adverse/toxic effect of immunosuppressants

adenovirus vaccine type 7

may increase the adverse/toxic effect of immunosuppressants

measles, mumps, rubella and varicella vaccine, live 

may increase the toxic effects of varicella virus containing vaccine

rubella vaccine 

it increases the toxicity of rubella or varicella-containing live vaccines

measles, mumps, rubella, and varicella vaccine, live (Rx) 

may enhance the adverse/toxic effect of rubella, and varicella vaccine, live 

baricitinib 

immunosuppressants increase the effect of baricitinib

bcg vaccine 

immunosuppressants increase the toxicity of BCG products

cladribine 

immunosuppressants increase the effect of immunosuppression of cladribine

dengue vaccine 

immunosuppressants increase the toxicity of the dengue tetravalent vaccine

natalizumab 

immunosuppressants increase the effect of immunosuppression of natalizumab

pimecrolimus 

it increases the effect of immunosuppressants

poliovirus vaccine 

immunosuppressants increase the toxicity of the poliovirus vaccine

ruxolitinib 

immunosuppressants increase the effect of immunosuppression of ruxolitinib

tacrolimus 

immunosuppressants increase the effect of immunosuppression of tacrolimus

talimogene Laherparepvec 

immunosuppressants increase the toxicity of talimogene laherparepvec

tofacitinib 

immunosuppressants increase the effect of immunosuppression of tofacitinib

typhoid vaccine 

immunosuppressants increase the toxicity of the typhoid vaccine

upadacitinib 

immunosuppressants increase the effect of immunosuppression of upadacitinib

measles, mumps, rubella, and varicella vaccine, live (Rx)

immunosuppressants increase the toxicity of live vaccines

measles mumps and rubella vaccine, live

immunosuppressants increase the toxicity of live vaccines

yellow fever vaccine 

immunosuppressants increase the toxicity of the yellow fever vaccine

imipenem/cilastatin 

may decrease the therapeutic effect of antibiotics

adalimumab-aacf 

may increase the immunosuppressive effect

epinastine 

may increase the metabolism of Epinastine when combined

baricitinib 

the toxicity of either of the drugs is increased by immunosuppressive activity

amoxicillin and clavulanate potassium

may diminish the therapeutic effect of immune checkpoint inhibitors

lansoprazole, amoxicillin, and clarithromycin

may diminish the therapeutic effect of immune checkpoint inhibitors

bismuth subcitrate, metronidazole and tetracycline

may diminish the therapeutic effect of immune checkpoint inhibitors

amikacin (systemic)

may diminish the therapeutic effect of immune checkpoint inhibitors

pentamycin

may diminish the therapeutic effect of immune checkpoint inhibitors

dibekacin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

demeclocycline

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

plicamycin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

zuclopenthixol 

it may enhance the metabolism when combined with zuclopenthixol

azelastine ophthalmic 

it may enhance the metabolism when combined with azelastine

netupitant 

When netupitant is used alongside abatacept, its metabolism may also be accelerated

mitomycin 

it may enhance the risk of side effects when combined with mitomycin

ximelagatran (investigational) 

The combination of abatacept may lead to an enhanced metabolism of ximelagatran

methysergide 

Combining methysergide and abatacept can enhance methysergide's metabolism

levobetaxolol 

Combining levobetaxolol and abatacept can enhance levobetaxolol’s metabolism

simvastatin/ezetimibe

It may enhance the risk of adverse effects when combined with antihyperlipidemic

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

lomitapide

It may enhance the risk of adverse effects when combined with antihyperlipidemic

pitavastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

pravastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

acetohexamide 

When acetohexamide is used together with abatacept, this lead to rise in acetohexamide’s metabolism

mometasone furoate 

When mometasone furoate is used together with abatacept, this leads to enhanced risk or seriousness of adverse outcomes

encainide 

When encainide is used together with abatacept, this leads to a rise in the encainide’s metabolism

terfenadine 

abatacept will increase the metabolism of terfenadine when used in combination

metronidazole vaginal 

when coupled with abatacept, metronidazole's metabolism can be accelerated

mycophenolic acid 

combining mycophenolic acid with abatacept may heighten the risk or severity of adverse effects

lornoxicam 

abatacept: it may increase the metabolism of lornoxicam

diphenoxylate/atropine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

phenobarbital

abatacept: it may decrease the excretion rate of abacavir CNS depressant

apomorphine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

flurazepam

abatacept: it may decrease the excretion rate of abacavir CNS depressant

perphenazine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

oxprenolol 

abatacept: it may increase the metabolism of oxprenolol

piperazine 

abatacept: it may increase the metabolism of pipotiazine

tepoxalin 

the risk or extent of adverse effects can be increased when abatacept is combined with tepoxalin

diethylstilbestrol 

combining abatacept with diethylstilbestrol can raise its metabolism

dengue vaccine 

dengue vaccine efficacy will be reduced by abatacept by immunosuppression

alemtuzumab

when both drugs are combined, the risk or severity of adverse effects increases  

esomeprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

lansoprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

omeprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

ondansetron

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

pantoprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

abrocitinib

it may enhance the immunosuppressive effect of immunosuppressants

cOVID subunit vaccine

immunosuppressants may reduce the therapeutic effect of COVID-19 Vaccine

inebilizumab

Immunosuppressants may enhance the immunosuppressive effect of Inebilizumab.

baricitinib

may enhance the immunosuppressive effect of baricitinib

brincidofovir 

immunosuppressants decrease the efficacy of brincidofovir

imipenem/cilastatin/relebactam 

may decrease the therapeutic effect of antibiotics

amoxicillin and clavulanate potassium

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

lansoprazole, amoxicillin, and clarithromycin

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

bismuth subcitrate, metronidazole and tetracycline

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

amikacin (systemic)

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

pentamycin

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

betamethasone (systemic)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (oral inhalation)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (nasal)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (Topical)

may diminish the therapeutic effect of immune Checkpoint inhibitors

beclomethasone (nasal)

may diminish the therapeutic effect of immune Checkpoint inhibitors

dexlansoprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

esomeprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

lansoprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

omeprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

ondansetron

may diminish the therapeutic effect of immune checkpoint inhibitors

daptomycin 

may decrease the therapeutic effect of antibiotics

dalbavancin 

may decrease the therapeutic effect of antibiotics

aztreonam 

may decrease the therapeutic effect of antibiotics

tinidazole 

may decrease the therapeutic effect of antibiotics

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone dipropionate

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone dipropionate

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

cefazolin 

may decrease the therapeutic effect of antibiotics

meropenem 

may decrease the therapeutic effect of antibiotics

dibekacin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

demeclocycline

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

plicamycin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

ampicillin/sulbactam

may diminish the therapeutic effect

amoxicillin and clavulanate potassium

may diminish the therapeutic effect

bismuth subcitrate, metronidazole and tetracycline

may diminish the therapeutic effect

fidaxomicin

may diminish the therapeutic effect

tobramycin (systemic)

may diminish the therapeutic effect

valrubicin

may diminish the therapeutic effect

doxorubicin

may diminish the therapeutic effect

epirubicin

may diminish the therapeutic effect

mitoxantrone

may diminish the therapeutic effect

mitomycin

may diminish the therapeutic effect

valrubicin

may diminish the therapeutic effect

doxorubicin

may diminish the therapeutic effect

epirubicin

may diminish the therapeutic effect

mitoxantrone

may diminish the therapeutic effect

mitomycin

may diminish the therapeutic effect

fidaxomicin

may diminish the therapeutic effect

erythromycin stearate

may diminish the therapeutic effect

erythromycin lactobionate

may diminish the therapeutic effect

erythromycin ethylsuccinate

may diminish the therapeutic effect

troleandomycin

may diminish the therapeutic effect

neomycin/polymyxin B/gramicidin ophthalmic 

may decrease the therapeutic effect of Antibiotics

acetaminophen rectal 

may decrease the therapeutic effect of acetaminophen

acetaminophen and phenyltoloxamine

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen/ibuprofen

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen and caffeine

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen/pamabrom

may reduce the therapeutic effect of immune checkpoint inhibitors

eptinezumab

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen and phenyltoloxamine

may reduce the therapeutic effect

acetaminophen/ibuprofen

may reduce the therapeutic effect

acetaminophen and caffeine

may reduce the therapeutic effect

acetaminophen/pamabrom

may reduce the therapeutic effect

aceclofenac

may reduce the therapeutic effect

acemetacin

may reduce the therapeutic effect

antrafenine

may reduce the therapeutic effect

olsalazine

may reduce the therapeutic effect

salicylamide

may reduce the therapeutic effect

remifentanil

may reduce the therapeutic effect

propoxiphene napsylate

may reduce the therapeutic effect

propoxiphene hydrochloride

may reduce the therapeutic effect

pralatrexate

may reduce the therapeutic effect

hydrocodone and homatropine

may reduce the therapeutic effect

dezocine

may reduce the therapeutic effect

methadone

may reduce the therapeutic effect

oxymorphone

may reduce the therapeutic effect

hydrocodone

may reduce the therapeutic effect

acetaminophen 

may decrease the therapeutic effect when combined

acetaminophen/doxylamine/dextromethorphan 

may decrease the therapeutic effect when combined.

ceftolozane/​tazobactam 

may decrease the therapeutic effect of Antibiotics

ceftazidime/avibactam 

may decrease the therapeutic effect of Antibiotics

ciprofloxacin inhaled (Pending FDA approval) 

may diminish the therapeutic effect of antibiotics

cyclizine 

it increases the effect of ototoxicity of aminoglycosides Immune Checkpoint Inhibitors

delafloxacin

It may diminish the metabolism when combined with Fluroquinolones

enoxacin

It may diminish the metabolism when combined with Fluroquinolones

gatifloxacin

It may diminish the metabolism when combined with Fluroquinolones

gemifloxacin

It may diminish the metabolism when combined with Fluroquinolones

grepafloxacin

It may diminish the metabolism when combined with Fluroquinolones

fluindione 

fluindione metabolism is increased when used in combination with abatacept

fluocortolone 

the risk of adverse effects may be increased when abatacept is taken with fluocortolone

hepatitis A vaccine inactivated 

when used with abatacept, the Hepatitis A Vaccine's therapeutic efficacy may be compromised

meningococcal A C Y and W-135 diphtheria conjugate vaccine

may decrease the therapeutic effect of Antibiotics

prabotulinumtoxinA

may decrease the therapeutic effect of Antibiotics

tobramycin (systemic)

may decrease the therapeutic effect of Antibiotics

omadacycline

may decrease the therapeutic effect of Antibiotics

tobramycin (ophthalmic)

may decrease the therapeutic effect of Antibiotics

asunaprevir's metabolism may be accelerated when taken in conjunction with abatacept

dihydroergocristine 

abatacept can increase the metabolism of dihydroergocristine when combined with it

dihydroergocornine 

the rate of metabolism of dihydroergocornine may be increased

pantoprazole

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

meningococcal group B vaccine 

the efficacy of the vaccine may be reduced

daclizumab 

the risk of adverse effects can be increased

ivacaftor 

the coadministration of abatacept with ivacaftor has the potential to enhance the metabolism of ivacaftor

licofelone 

the rate of metabolism of lifelong may be increased

cethromycin 

the rate of metabolism of cethromyucin may be increased

interferon alfacon-1 

the risk of adverse effects may be increased

interferon alfa-n1 

the risk of adverse effects may be increased

candesartan cilexetil 

the rate of metabolism of candesartan cilexetil may be increased

antithymocyte globulin rabbit 

the risk or extent of adverse effects can be raised when anti-thymocyte immunoglobulin (rabbit) is combined with abatacept

methoxyflurane 

the rate of metabolism of methoxyflurane may be increased

filgotinib 

the risk or intensity of negative effects can be heightened when abatacept is combined with filgotinib

lomitapide 

When abatacept is used together with lomitapide, this leads to an enhancement in lomitapide’s metabolism

stepronin 

the danger or seriousness of adverse effects can be heightened when abatacept is combined with strepronin

podophyllotoxin

may decrease the therapeutic effect of drug

neomycin oral

may diminish the therapeutic effect of drug

neomycin/polymyxin B/bacitracin topical

may diminish the therapeutic effect of drug

sarecycline

may diminish the therapeutic effect of drug

sulfamethoxazole

may diminish the therapeutic effect of drug

tetracycline

may diminish the therapeutic effect of drug

amoxicillin

may diminish the therapeutic effect of drug

azithromycin

may diminish the therapeutic effect of drug

bacitracin

may diminish the therapeutic effect of drug

cOVID-19 vaccine 

immunosuppressants decrease the efficacy of the COVID-19 vaccine

denosumab 

it increases the effect of immunosuppressive agents

influenza virus vaccine 

immunosuppressants decrease the efficacy of the influenza virus vaccine

leflunomide 

immunosuppressants increase the effect of immunosuppression of leflunomide

rabies vaccine 

immunosuppressants decrease the efficacy of the rabies vaccine

measles, mumps, rubella, and varicella vaccine, live (Rx)

immunosuppressants decrease the efficacy of vaccines

measles mumps and rubella vaccine, live

immunosuppressants decrease the efficacy of vaccines

 

Dosage forms & Strengths:

Adult:

Lyophilized Powder for Injection

250 mg/vial

Solution for Subcutaneous injection

125 mg/ml (prefilled syringe, autoinjector)

Rheumatoid Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



Psoriatic Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



Psoriatic Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



 

Lyophilized Powder for Injection

250 mg/vial

Solution for Subcutaneous injection

125 mg/ml (prefilled syringe)

 

Refer to the adult dosing

>10%:

Headache (18%)

Nasopharyngitis (12%)

Nausea (>10%)

1-10%:

Dizziness (9%)

Cough (8%)

Hypertension (7%)

Back pain (7%)

Urinary Tract Infection (6%)

Dyspepsia (6%)

Pain in extremities (3%)

Rash (4%)

<1%:

Anaphylaxis

COPD exacerbation

Cellulitis

Disease flare

Dyspnea

Diverticulitis

Hypersensitivity

Joint wear

Lymphoma

Pruritus

Urticaria

Rhonchi

Wheezing

Varicella infection

Frequency Not Defined:

Nausea

Diarrhea

Abdominal pain

Black Box Warning:

It is essential to follow the dosage and administration instructions for the medication carefully.

Contraindication/Caution:

abatacept is contraindicated in individuals with hypersensitivity to abatacept or its components.

Cautions:

  • Active infections: abatacept should not be used in individuals with active infections.
  • Tuberculosis: abatacept should be used with caution in individuals with a history of tuberculosis or at risk of developing tuberculosis.
  • Vaccination: abatacept may impair the body’s ability to respond to vaccinations. The individuals receiving abatacept should be up to date on their vaccinations.

Pregnancy consideration:

Category C.

Breastfeeding warnings:

The presence of the drug in breast milk and its effect on lactating infants is unknown.

Pregnancy category:

Category A: well-controlled and Satisfactory studies do not show risk to the fetus in the first/later trimester.

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.

Category D: adequate data available with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.

Category N: No data is available for the drug under this category.

Pharmacology

abatacept is a biologics medication that modulates the immune system to reduce inflammation in autoimmune disorders. It is a selective co-stimulation modulator that binds to CD80 and CD86, co-stimulatory molecules on antigen-presenting cells (APCs).

By binding to these co-stimulatory molecules, abatacept interferes with the interaction between APCs and T cells, involved in the body’s immune response. It reduces T cells’ activation, reducing inflammation and joint damage in autoimmune disorders such as rheumatoid arthritis.

Pharmacodynamics:

abatacept is a biologics medication that blocks the activation of T-cells, involved in the body’s immune response. It specifically targets the co-stimulatory signal needed for T-cell activation, thus reducing inflammation, and slowing down the progression of autoimmune diseases such as rheumatoid arthritis. abatacept modulates the immune system by binding to CD80 and CD86 on antigen-presenting cells, preventing the interaction with CD28 on T-cells. This results in a decreased activation of T-cells and decreased production of pro-inflammatory cytokines, leading to reduced inflammation and joint damage.

Pharmacokinetics:

After SC administration, abatacept is absorbed more slowly, with peak plasma concentrations occurring between 24-72 hours.

Following IV administration, abatacept is rapidly distributed into the bloodstream, with peak plasma concentrations occurring within 1-2 hours.

The drug is then slowly cleared from the body through metabolism and excretion.

Terminal Half-life: 13 days

Peak Plasma concentration: 295 mcg/mL

The volume of distribution: 0.07 L/kg

Rate of Clearance: 0.22 mL/hr/kg

Administration:

Administer the medication intravenously or subcutaneously. Dilute the powder with 10 ml of sterile water for injection to obtain 25 mg/ml of solution.

Patient information leaflet

Generic Name: abatacept

Pronounced: ab-a-tah-sept

Why do we use abatacept?

abatacept treats Rheumatoid Arthritis, Psoriatic Arthritis, Graft versus Host Disease, and Juvenile Idiopathic Arthritis in children.

Content loading

abatacept

Brand Name :

Orencia ClickJect, Orencia

Synonyms :

abatacept

Class :

DMARDs, Immunomodulators; Immunosuppressants

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No data available for drug.

Dosage forms & Strengths:

Adult:

Lyophilized Powder for Injection

250 mg/vial

Solution for Subcutaneous injection

125 mg/ml (prefilled syringe, autoinjector)

Rheumatoid Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



Psoriatic Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



Psoriatic Arthritis 

IV bolus

weight <60 kg: 500 mg
weight 60-100 kg: 750 mg
weight >100 kg: 1000 mg

Maintenance: Repeat the aforementioned dose every two weeks for two weeks, then every four weeks

Subcutaneous (SC)

You can start SC with or without an IV loading dose
Give the first SC injection if an IV loading dose is taken within a day following the infusion
125 mg SC every 7 days

Making the switch from IV to SC:

Instead of the planned IV dosage, administer the first SC dose



Lyophilized Powder for Injection

250 mg/vial

Solution for Subcutaneous injection

125 mg/ml (prefilled syringe)

Refer to the adult dosing

DRUG INTERACTION

abatacept

&

abatacept + 

measles, mumps, rubella, and varicella vaccine, live (Rx)

may diminish the therapeutic effect of vaccines

measles mumps and rubella vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 subunit vaccine

may diminish the therapeutic effect of vaccines

vaccinia immune globulin intravenous (Rx)

may diminish the therapeutic effect of vaccines

poliovirus vaccine, live, trivalent

may diminish the therapeutic effect of vaccines

poliovirus vaccine inactivated

may diminish the therapeutic effect of vaccines

measles, mumps, rubella, and varicella vaccine, live (Rx)

may diminish the therapeutic effect of vaccines

measles mumps and rubella vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 subunit vaccine

may diminish the therapeutic effect of vaccines

smallpox (vaccinia) vaccine, live

may diminish the therapeutic effect of vaccines

cOVID-19 vaccine

may diminish the therapeutic effect of vaccines

clobetasol propionate 

may enhance the risk of adverse effects of abatacept

cOVID subunit vaccine

it may reduce the therapeutic effect of covid-19 vaccines 

betamethasone (systemic)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (oral inhalation)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (nasal)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

budesonide (Topical)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

beclomethasone (nasal)

Corticosteroids may diminish the therapeutic effect of Immune Checkpoint Inhibitors.

cOVID vaccine

Immunosuppressants may reduce the therapeutic effect of COVID-19 Vaccine

denosumab

it may enhance the immunosuppressive effect of Immunosuppressants

influenza virus vaccine

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza virus vaccine h n live

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza virus vaccine (h n ) adjuvanted

it may diminish the therapeutic effect of Influenza Virus Vaccines

influenza a (h n ) vaccine

it may diminish the therapeutic effect of Influenza Virus Vaccines

poliovirus vaccine, live, trivalent

immunosuppressants may diminish the therapeutic effect of Vaccines

poliovirus vaccine inactivated

immunosuppressants may diminish the therapeutic effect of Vaccines

cOVID-19 subunit vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

vaccinia immune globulin intravenous (Rx)

immunosuppressants may diminish the therapeutic effect of vaccines

cOVID-19 vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

pneumococcal vaccine

immunosuppressants may diminish the therapeutic effect of vaccines

prednisolone 

may diminish the therapeutic effect of corticosteroids

fludrocortisone 

may decrease the therapeutic effect

cOVID-19 Vaccine, mRNA 

may decrease the therapeutic effect of COVID-19 vaccine

pegcetacoplan 

may increase the risk or severity of toxic effects when combined

betamethasone (systemic)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (oral inhalation)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

budesonide (Topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

trimethadione 

may enhance the metabolism of each other when combined

vernakalant 

abatacept increases the metabolism of vernakalant

betamethasone (systemic)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide (oral inhalation)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide intranasal

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

budesonide (Topical)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

beclomethasone (nasal)

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

vaccinia immune globulin intravenous (Rx)

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

pneumococcal vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine, live, trivalent

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine inactivated

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 subunit vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

smallpox (vaccinia) vaccine, live

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

adenovirus vaccine type 7

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

thalidomide

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

golimumab

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

etanercept

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

adalimumab

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

pseudoephedrine

tumor necrosis factor (TNF) blocking agent may enhance the immunosuppressive effect of abatacept

cOVID-19 subunit vaccine 

immunosuppressants may enhance the adverse/toxic effect of Vaccines

thalidomide

may increase the immunosuppressive effect of abatacept

golimumab

may increase the immunosuppressive effect of abatacept

etanercept

may increase the immunosuppressive effect of abatacept

adalimumab

may increase the immunosuppressive effect of abatacept

pseudoephedrine

may increase the immunosuppressive effect of abatacept

idecabtagene vicleucel 

It may enhance the immunosuppressive effects when combined with idecabtagene vicleucel

etanercept

it may increase the immunosuppressive effect of abatacept 

dengue vaccine

immunosuppressants may enhance the adverse/toxic effect of dengue Vaccine

cOVID-19 subunit vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

smallpox (vaccinia) vaccine, live

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

cOVID-19 vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

poliovirus vaccine

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

adenovirus vaccine type 7

Immunosuppressants may enhance the adverse/toxic effect of Vaccines

bcg vaccine

may enhance the adverse/toxic effect of BCG products

abrocitinib 

may increase the immunosuppressive effect of immunosuppressants

cOVID-19 subunit vaccine

may increase the adverse/toxic effect of immunosuppressants

vaccinia immune globulin intravenous (Rx)

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 vaccine

may increase the adverse/toxic effect of immunosuppressants

pneumococcal vaccine

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine, live, trivalent

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine inactivated

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 subunit vaccine

may increase the adverse/toxic effect of immunosuppressants

smallpox (vaccinia) vaccine, live

may increase the adverse/toxic effect of immunosuppressants

cOVID-19 vaccine

may increase the adverse/toxic effect of immunosuppressants

poliovirus vaccine

may increase the adverse/toxic effect of immunosuppressants

adenovirus vaccine type 7

may increase the adverse/toxic effect of immunosuppressants

measles, mumps, rubella and varicella vaccine, live 

may increase the toxic effects of varicella virus containing vaccine

rubella vaccine 

it increases the toxicity of rubella or varicella-containing live vaccines

measles, mumps, rubella, and varicella vaccine, live (Rx) 

may enhance the adverse/toxic effect of rubella, and varicella vaccine, live 

baricitinib 

immunosuppressants increase the effect of baricitinib

bcg vaccine 

immunosuppressants increase the toxicity of BCG products

cladribine 

immunosuppressants increase the effect of immunosuppression of cladribine

dengue vaccine 

immunosuppressants increase the toxicity of the dengue tetravalent vaccine

natalizumab 

immunosuppressants increase the effect of immunosuppression of natalizumab

pimecrolimus 

it increases the effect of immunosuppressants

poliovirus vaccine 

immunosuppressants increase the toxicity of the poliovirus vaccine

ruxolitinib 

immunosuppressants increase the effect of immunosuppression of ruxolitinib

tacrolimus 

immunosuppressants increase the effect of immunosuppression of tacrolimus

talimogene Laherparepvec 

immunosuppressants increase the toxicity of talimogene laherparepvec

tofacitinib 

immunosuppressants increase the effect of immunosuppression of tofacitinib

typhoid vaccine 

immunosuppressants increase the toxicity of the typhoid vaccine

upadacitinib 

immunosuppressants increase the effect of immunosuppression of upadacitinib

measles, mumps, rubella, and varicella vaccine, live (Rx)

immunosuppressants increase the toxicity of live vaccines

measles mumps and rubella vaccine, live

immunosuppressants increase the toxicity of live vaccines

yellow fever vaccine 

immunosuppressants increase the toxicity of the yellow fever vaccine

imipenem/cilastatin 

may decrease the therapeutic effect of antibiotics

adalimumab-aacf 

may increase the immunosuppressive effect

epinastine 

may increase the metabolism of Epinastine when combined

baricitinib 

the toxicity of either of the drugs is increased by immunosuppressive activity

amoxicillin and clavulanate potassium

may diminish the therapeutic effect of immune checkpoint inhibitors

lansoprazole, amoxicillin, and clarithromycin

may diminish the therapeutic effect of immune checkpoint inhibitors

bismuth subcitrate, metronidazole and tetracycline

may diminish the therapeutic effect of immune checkpoint inhibitors

amikacin (systemic)

may diminish the therapeutic effect of immune checkpoint inhibitors

pentamycin

may diminish the therapeutic effect of immune checkpoint inhibitors

dibekacin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

demeclocycline

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

plicamycin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

zuclopenthixol 

it may enhance the metabolism when combined with zuclopenthixol

azelastine ophthalmic 

it may enhance the metabolism when combined with azelastine

netupitant 

When netupitant is used alongside abatacept, its metabolism may also be accelerated

mitomycin 

it may enhance the risk of side effects when combined with mitomycin

ximelagatran (investigational) 

The combination of abatacept may lead to an enhanced metabolism of ximelagatran

methysergide 

Combining methysergide and abatacept can enhance methysergide's metabolism

levobetaxolol 

Combining levobetaxolol and abatacept can enhance levobetaxolol’s metabolism

simvastatin/ezetimibe

It may enhance the risk of adverse effects when combined with antihyperlipidemic

amlodipine/atorvastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

lomitapide

It may enhance the risk of adverse effects when combined with antihyperlipidemic

pitavastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

pravastatin

It may enhance the risk of adverse effects when combined with antihyperlipidemic

acetohexamide 

When acetohexamide is used together with abatacept, this lead to rise in acetohexamide’s metabolism

mometasone furoate 

When mometasone furoate is used together with abatacept, this leads to enhanced risk or seriousness of adverse outcomes

encainide 

When encainide is used together with abatacept, this leads to a rise in the encainide’s metabolism

terfenadine 

abatacept will increase the metabolism of terfenadine when used in combination

metronidazole vaginal 

when coupled with abatacept, metronidazole's metabolism can be accelerated

mycophenolic acid 

combining mycophenolic acid with abatacept may heighten the risk or severity of adverse effects

lornoxicam 

abatacept: it may increase the metabolism of lornoxicam

diphenoxylate/atropine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

phenobarbital

abatacept: it may decrease the excretion rate of abacavir CNS depressant

apomorphine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

flurazepam

abatacept: it may decrease the excretion rate of abacavir CNS depressant

perphenazine

abatacept: it may decrease the excretion rate of abacavir CNS depressant

oxprenolol 

abatacept: it may increase the metabolism of oxprenolol

piperazine 

abatacept: it may increase the metabolism of pipotiazine

tepoxalin 

the risk or extent of adverse effects can be increased when abatacept is combined with tepoxalin

diethylstilbestrol 

combining abatacept with diethylstilbestrol can raise its metabolism

dengue vaccine 

dengue vaccine efficacy will be reduced by abatacept by immunosuppression

alemtuzumab

when both drugs are combined, the risk or severity of adverse effects increases  

esomeprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

lansoprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

omeprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

ondansetron

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

pantoprazole

it may diminish the therapeutic effect of Immune Checkpoint Inhibitors

abrocitinib

it may enhance the immunosuppressive effect of immunosuppressants

cOVID subunit vaccine

immunosuppressants may reduce the therapeutic effect of COVID-19 Vaccine

inebilizumab

Immunosuppressants may enhance the immunosuppressive effect of Inebilizumab.

baricitinib

may enhance the immunosuppressive effect of baricitinib

brincidofovir 

immunosuppressants decrease the efficacy of brincidofovir

imipenem/cilastatin/relebactam 

may decrease the therapeutic effect of antibiotics

amoxicillin and clavulanate potassium

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

lansoprazole, amoxicillin, and clarithromycin

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

bismuth subcitrate, metronidazole and tetracycline

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

amikacin (systemic)

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

pentamycin

antibiotics may reduce the therapeutic effect of immune checkpoint inhibitors

betamethasone (systemic)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (oral inhalation)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (nasal)

may diminish the therapeutic effect of immune Checkpoint inhibitors

budesonide (Topical)

may diminish the therapeutic effect of immune Checkpoint inhibitors

beclomethasone (nasal)

may diminish the therapeutic effect of immune Checkpoint inhibitors

dexlansoprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

esomeprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

lansoprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

omeprazole

may diminish the therapeutic effect of immune checkpoint inhibitors

ondansetron

may diminish the therapeutic effect of immune checkpoint inhibitors

daptomycin 

may decrease the therapeutic effect of antibiotics

dalbavancin 

may decrease the therapeutic effect of antibiotics

aztreonam 

may decrease the therapeutic effect of antibiotics

tinidazole 

may decrease the therapeutic effect of antibiotics

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone dipropionate

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (topical)

may reduce the therapeutic effect of immune checkpoint inhibitors

beclomethasone dipropionate

may reduce the therapeutic effect of immune checkpoint inhibitors

fluticasone (nasal)

may reduce the therapeutic effect of immune checkpoint inhibitors

cefazolin 

may decrease the therapeutic effect of antibiotics

meropenem 

may decrease the therapeutic effect of antibiotics

dibekacin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

demeclocycline

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

plicamycin

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

ampicillin/sulbactam

may diminish the therapeutic effect

amoxicillin and clavulanate potassium

may diminish the therapeutic effect

bismuth subcitrate, metronidazole and tetracycline

may diminish the therapeutic effect

fidaxomicin

may diminish the therapeutic effect

tobramycin (systemic)

may diminish the therapeutic effect

valrubicin

may diminish the therapeutic effect

doxorubicin

may diminish the therapeutic effect

epirubicin

may diminish the therapeutic effect

mitoxantrone

may diminish the therapeutic effect

mitomycin

may diminish the therapeutic effect

valrubicin

may diminish the therapeutic effect

doxorubicin

may diminish the therapeutic effect

epirubicin

may diminish the therapeutic effect

mitoxantrone

may diminish the therapeutic effect

mitomycin

may diminish the therapeutic effect

fidaxomicin

may diminish the therapeutic effect

erythromycin stearate

may diminish the therapeutic effect

erythromycin lactobionate

may diminish the therapeutic effect

erythromycin ethylsuccinate

may diminish the therapeutic effect

troleandomycin

may diminish the therapeutic effect

neomycin/polymyxin B/gramicidin ophthalmic 

may decrease the therapeutic effect of Antibiotics

acetaminophen rectal 

may decrease the therapeutic effect of acetaminophen

acetaminophen and phenyltoloxamine

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen/ibuprofen

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen and caffeine

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen/pamabrom

may reduce the therapeutic effect of immune checkpoint inhibitors

eptinezumab

may reduce the therapeutic effect of immune checkpoint inhibitors

acetaminophen and phenyltoloxamine

may reduce the therapeutic effect

acetaminophen/ibuprofen

may reduce the therapeutic effect

acetaminophen and caffeine

may reduce the therapeutic effect

acetaminophen/pamabrom

may reduce the therapeutic effect

aceclofenac

may reduce the therapeutic effect

acemetacin

may reduce the therapeutic effect

antrafenine

may reduce the therapeutic effect

olsalazine

may reduce the therapeutic effect

salicylamide

may reduce the therapeutic effect

remifentanil

may reduce the therapeutic effect

propoxiphene napsylate

may reduce the therapeutic effect

propoxiphene hydrochloride

may reduce the therapeutic effect

pralatrexate

may reduce the therapeutic effect

hydrocodone and homatropine

may reduce the therapeutic effect

dezocine

may reduce the therapeutic effect

methadone

may reduce the therapeutic effect

oxymorphone

may reduce the therapeutic effect

hydrocodone

may reduce the therapeutic effect

acetaminophen 

may decrease the therapeutic effect when combined

acetaminophen/doxylamine/dextromethorphan 

may decrease the therapeutic effect when combined.

ceftolozane/​tazobactam 

may decrease the therapeutic effect of Antibiotics

ceftazidime/avibactam 

may decrease the therapeutic effect of Antibiotics

ciprofloxacin inhaled (Pending FDA approval) 

may diminish the therapeutic effect of antibiotics

cyclizine 

it increases the effect of ototoxicity of aminoglycosides Immune Checkpoint Inhibitors

delafloxacin

It may diminish the metabolism when combined with Fluroquinolones

enoxacin

It may diminish the metabolism when combined with Fluroquinolones

gatifloxacin

It may diminish the metabolism when combined with Fluroquinolones

gemifloxacin

It may diminish the metabolism when combined with Fluroquinolones

grepafloxacin

It may diminish the metabolism when combined with Fluroquinolones

fluindione 

fluindione metabolism is increased when used in combination with abatacept

fluocortolone 

the risk of adverse effects may be increased when abatacept is taken with fluocortolone

hepatitis A vaccine inactivated 

when used with abatacept, the Hepatitis A Vaccine's therapeutic efficacy may be compromised

meningococcal A C Y and W-135 diphtheria conjugate vaccine

may decrease the therapeutic effect of Antibiotics

prabotulinumtoxinA

may decrease the therapeutic effect of Antibiotics

tobramycin (systemic)

may decrease the therapeutic effect of Antibiotics

omadacycline

may decrease the therapeutic effect of Antibiotics

tobramycin (ophthalmic)

may decrease the therapeutic effect of Antibiotics

asunaprevir's metabolism may be accelerated when taken in conjunction with abatacept

dihydroergocristine 

abatacept can increase the metabolism of dihydroergocristine when combined with it

dihydroergocornine 

the rate of metabolism of dihydroergocornine may be increased

pantoprazole

may decrease the therapeutic effect when combined with immune checkpoint inhibitors

meningococcal group B vaccine 

the efficacy of the vaccine may be reduced

daclizumab 

the risk of adverse effects can be increased

ivacaftor 

the coadministration of abatacept with ivacaftor has the potential to enhance the metabolism of ivacaftor

licofelone 

the rate of metabolism of lifelong may be increased

cethromycin 

the rate of metabolism of cethromyucin may be increased

interferon alfacon-1 

the risk of adverse effects may be increased

interferon alfa-n1 

the risk of adverse effects may be increased

candesartan cilexetil 

the rate of metabolism of candesartan cilexetil may be increased

antithymocyte globulin rabbit 

the risk or extent of adverse effects can be raised when anti-thymocyte immunoglobulin (rabbit) is combined with abatacept

methoxyflurane 

the rate of metabolism of methoxyflurane may be increased

filgotinib 

the risk or intensity of negative effects can be heightened when abatacept is combined with filgotinib

lomitapide 

When abatacept is used together with lomitapide, this leads to an enhancement in lomitapide’s metabolism

stepronin 

the danger or seriousness of adverse effects can be heightened when abatacept is combined with strepronin

podophyllotoxin

may decrease the therapeutic effect of drug

neomycin oral

may diminish the therapeutic effect of drug

neomycin/polymyxin B/bacitracin topical

may diminish the therapeutic effect of drug

sarecycline

may diminish the therapeutic effect of drug

sulfamethoxazole

may diminish the therapeutic effect of drug

tetracycline

may diminish the therapeutic effect of drug

amoxicillin

may diminish the therapeutic effect of drug

azithromycin

may diminish the therapeutic effect of drug

bacitracin

may diminish the therapeutic effect of drug

cOVID-19 vaccine 

immunosuppressants decrease the efficacy of the COVID-19 vaccine

denosumab 

it increases the effect of immunosuppressive agents

influenza virus vaccine 

immunosuppressants decrease the efficacy of the influenza virus vaccine

leflunomide 

immunosuppressants increase the effect of immunosuppression of leflunomide

rabies vaccine 

immunosuppressants decrease the efficacy of the rabies vaccine

measles, mumps, rubella, and varicella vaccine, live (Rx)

immunosuppressants decrease the efficacy of vaccines

measles mumps and rubella vaccine, live

immunosuppressants decrease the efficacy of vaccines

Actions and Spectrum:

abatacept is a biologics medication used to treat autoimmune disorders such as rheumatoid arthritis. It works by inhibiting the activation of T cells, involved in the body’s immune response.

It leads to a reduction in the inflammation and joint damage that occurs in autoimmune disorders. abatacept is an immunomodulatory drug that modulates or regulates the immune system. It is administered by intravenous infusion.

>10%:

Headache (18%)

Nasopharyngitis (12%)

Nausea (>10%)

1-10%:

Dizziness (9%)

Cough (8%)

Hypertension (7%)

Back pain (7%)

Urinary Tract Infection (6%)

Dyspepsia (6%)

Pain in extremities (3%)

Rash (4%)

<1%:

Anaphylaxis

COPD exacerbation

Cellulitis

Disease flare

Dyspnea

Diverticulitis

Hypersensitivity

Joint wear

Lymphoma

Pruritus

Urticaria

Rhonchi

Wheezing

Varicella infection

Frequency Not Defined:

Nausea

Diarrhea

Abdominal pain

Black Box Warning:

It is essential to follow the dosage and administration instructions for the medication carefully.

Contraindication/Caution:

abatacept is contraindicated in individuals with hypersensitivity to abatacept or its components.

Cautions:

  • Active infections: abatacept should not be used in individuals with active infections.
  • Tuberculosis: abatacept should be used with caution in individuals with a history of tuberculosis or at risk of developing tuberculosis.
  • Vaccination: abatacept may impair the body’s ability to respond to vaccinations. The individuals receiving abatacept should be up to date on their vaccinations.

Pregnancy consideration:

Category C.

Breastfeeding warnings:

The presence of the drug in breast milk and its effect on lactating infants is unknown.

Pregnancy category:

Category A: well-controlled and Satisfactory studies do not show risk to the fetus in the first/later trimester.

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.

Category D: adequate data available with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.

Category N: No data is available for the drug under this category.

Pharmacology

abatacept is a biologics medication that modulates the immune system to reduce inflammation in autoimmune disorders. It is a selective co-stimulation modulator that binds to CD80 and CD86, co-stimulatory molecules on antigen-presenting cells (APCs).

By binding to these co-stimulatory molecules, abatacept interferes with the interaction between APCs and T cells, involved in the body’s immune response. It reduces T cells’ activation, reducing inflammation and joint damage in autoimmune disorders such as rheumatoid arthritis.

Pharmacodynamics:

abatacept is a biologics medication that blocks the activation of T-cells, involved in the body’s immune response. It specifically targets the co-stimulatory signal needed for T-cell activation, thus reducing inflammation, and slowing down the progression of autoimmune diseases such as rheumatoid arthritis. abatacept modulates the immune system by binding to CD80 and CD86 on antigen-presenting cells, preventing the interaction with CD28 on T-cells. This results in a decreased activation of T-cells and decreased production of pro-inflammatory cytokines, leading to reduced inflammation and joint damage.

Pharmacokinetics:

After SC administration, abatacept is absorbed more slowly, with peak plasma concentrations occurring between 24-72 hours.

Following IV administration, abatacept is rapidly distributed into the bloodstream, with peak plasma concentrations occurring within 1-2 hours.

The drug is then slowly cleared from the body through metabolism and excretion.

Terminal Half-life: 13 days

Peak Plasma concentration: 295 mcg/mL

The volume of distribution: 0.07 L/kg

Rate of Clearance: 0.22 mL/hr/kg

Administration:

Administer the medication intravenously or subcutaneously. Dilute the powder with 10 ml of sterile water for injection to obtain 25 mg/ml of solution.

Patient information leaflet

Generic Name: abatacept

Pronounced: ab-a-tah-sept

Why do we use abatacept?

abatacept treats Rheumatoid Arthritis, Psoriatic Arthritis, Graft versus Host Disease, and Juvenile Idiopathic Arthritis in children.

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