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Aducanumab

Published: July 26, 2026Updated: August 20, 2026

Aducanumab is a monoclonal antibody medication designed to target and reduce amyloid-beta plaques in the brain, which are believed to play a role in Alzheimer's disease progression. It is used to treat Alzheimer's disease in its early stages, specifically for patients with mild cognitive impairment or mild dementia due to Alzheimer's disease.

Quick summary

Aducanumab is an amyloid-targeting antibody therapy for early-stage Alzheimer's disease that works by reducing brain amyloid plaques.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ATC
N06DX03
RxNorm
2557217
Generic
Aducanumab
Class
atc-n06
Brands
Aduhelm
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding recommended 10 mg/kg that may cause serious toxicity
Chronic overdose: cumulative doses above recommended monthly infusions leading to increased risk of ARIA (Amyloid-Related Imaging Abnormalities)
Immediate actions
discontinue infusion immediately, monitor vital signs, provide supportive care, neurological assessment
Antidote
no specific antidote available(supportive care only, no specific antidote for monoclonal antibody overdose)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless potential benefits justify potential risks to the fetus

Monitor

regular fetal monitoring recommended

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

consider risks vs benefits, monoclonal antibodies may cross placenta

Monitor

fetal monitoring and assessment of immunoglobulin levels in newborn

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

discontinue breastfeeding or discontinue drug, decision should be made based on importance of treatment to mother

Monitor

monitor infant for exposure effects

✓

geriatric

elderly 65 and older
safe
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

no dosage adjustment needed based on age, monitor for ARIA (amyloid-related imaging abnormalities)

Monitor

regular MRI scans to monitor for ARIA-E and ARIA-H

✗

pediatric_age

pediatric
contraindicated
FDA Category
N
Dose Adjustment

not applicable

Key Recommendations

not indicated for use in pediatric patients, no safety or efficacy data available

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

✓

renal_impairment

mild to moderate renal impairment
safe
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

no dosage adjustment needed, monoclonal antibodies not renally eliminated

Monitor

standard monitoring for ARIA

⚠

renal_impairment

severe renal impairment
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

limited data in severe renal impairment, use with caution

Monitor

enhanced monitoring recommended

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate hepatic impairment
caution
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

no dosage adjustment needed, but monitor for ARIA

Monitor

regular MRI monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe hepatic impairment
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

not studied in severe hepatic impairment, use only if benefits outweigh risks

Monitor

enhanced monitoring recommended

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classFDA
2021

Drug class

Value:Monoclonal antibody (Amyloid-beta directed)

Aducanumab is a human immunoglobulin gamma 1 (IgG1) monoclonal antibody

prescribingFDA
2021

FDA approval date

Value:June 2021

Aducanumab received accelerated approval from FDA in June 2021

indicationFDA
2021

Approved indication

Value:Alzheimer's disease (mild cognitive impairment or mild dementia stage)

Indicated for treatment of Alzheimer's disease

mechanismFDA
2021

Mechanism of action

Value:Reduction of amyloid-beta plaques in the brain

Binds to amyloid-beta plaques to reduce them

Aducanumab is indicated for the treatment of Alzheimer's disease in patients with mild cognitive impairment (MCI) or mild dementia due to Alzheimer's disease, the stages of disease where amyloid plaques are present but dementia severity is still limited.

Aducanumab is a monoclonal antibody that selectively binds to aggregated amyloid-beta (Aβ) plaques in the brain. By binding to these plaques, it triggers immune-mediated clearance of amyloid, thereby reducing the amyloid burden in the brain, which is thought to slow disease progression in Alzheimer's disease.

Aducanumab is administered via intravenous infusion every four weeks. A significant safety concern is amyloid-related imaging abnormalities (ARIA), which can manifest as brain swelling (ARIA-E) or microhemorrhages (ARIA-H); patients require monitoring with MRI scans during treatment. The FDA approval was controversial due to mixed clinical trial results, and its use should be discussed carefully with a neurologist or specialist.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy