What is Adalirel 40mg Injection?
Adalirel 40mg Injection is a biologic medicine that calms an overactive immune system. It contains adalimumab as its active ingredient. Reliance Lifesciences makes this drug. Each vial or pre-filled syringe carries 40 mg, given as an injection under the skin.
Adalimumab belongs to a drug class called TNF-alpha blockers. TNF-alpha is a protein your immune system makes during inflammation. When there is too much of it, joints, skin, and gut tissue take the damage.
Uses of Adalirel 40mg injection
Doctors prescribed Adalirel 40mg Injection for long-term inflammatory conditions, where the immune system attacks the body’s own tissue. It is not a fertility drug. But doctors sometimes prescribe it during IVF care when a woman has an autoimmune condition along with infertility.
Common uses include:
- Rheumatoid arthritis (joint pain and swelling)
- Psoriasis and psoriatic arthritis (skin and joint disease)
- Ankylosing spondylitis (spine inflammation)
- Crohn’s disease and ulcerative colitis (gut inflammation)
How does adalimumab work in the body?
Adalimumab is a lab-made antibody. It finds TNF-alpha in your blood and locks onto it before it can attach to your cells. This stops the protein from sending inflammation signals.
Less TNF-alpha activity means less swelling, less pain, and slower tissue damage over time. The effect builds up over weeks, not days. It works by turning down an ongoing immune reaction, not by blocking a single symptom.
What side effects should you watch for?
Most people notice mild reactions where the needle goes in. Others are more general and settle down as the body adjusts.
- Redness, itching, or swelling at the injection spot
- Headache
- Feeling sick or having stomach upset
- Sore throat or a mild cold-like feeling
- Tiredness
- Higher chance of infections, since the drug lowers your immune defense
Call your doctor right away if you get a high fever, chest pain, breathing trouble, or signs of a serious infection. These need urgent medical attention.
Who should not take this injection?
Adalirel 40mg Injection is not right for everyone. Tell your doctor before starting if any of this applies to you.
- You have an active infection, including tuberculosis, or a history of TB
- You have heart failure that is not fully controlled
- You are pregnant or planning pregnancy
- You have had cancer in the past, particularly lymphoma
- You are taking other drugs that suppress the immune system, such as certain transplant medicines
Avoid live vaccines while on this treatment. A weakened immune system reacts differently to them.
How do you store Adalirel 40 mg Injection?
- Keep the injection in a fridge between 2°C and 8°C.
- Do not freeze it, and keep it away from light.
- Needs to carried in thermocol boxes to maintain coldchain.
- Do not let it sit in heat or direct sun.
- Cold chain breaks are the most common reason a dose stops working properly.

