Anti-Tumor Necrosis Factor alpha

• It may be given as 
  o subcutaneous injection (inject under the skin, into areas like the abdomen or thigh) such as adalimumab and golimumab. This can be injected  by yourself or a caregiver at home. 
  o intravenous infusion (inject into the blood vessel) such as infliximab. This has to be done in the hospital for typically 2 to 4 hours.
  
• Do not stop using your medication without checking with your healthcare professional.
  
• Other medications such as corticosteroids (e.g. prednisolone) or disease modifying anti-rheumatic drugs (DMARDs) may be taken with anti-TNFα.
  

Different biologics have different intervals between doses. If you forget to inject a dose, do it as soon as you remember. Then inject your next dose at the usual time. Do not administer two doses to make up for the missed dose. DO check with your healthcare professional if unsure.