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Infliximab

Published: July 26, 2026Updated: July 26, 2026

Infliximab is a biologic medication that works by blocking tumor necrosis factor alpha (TNFα), a protein that causes inflammation in the body. It is used to treat autoimmune conditions including rheumatoid arthritis, inflammatory bowel disease (Crohn's disease and ulcerative colitis), ankylosing spondylitis, psoriatic arthritis, and plaque psoriasis.

Quick summary

Infliximab is a TNFα inhibitor biologic used to treat various autoimmune inflammatory conditions.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
L04AB02
RxNorm
191831
Generic
Infliximab
Class
atc-l04
Brands
Inflectra, Renflexis, Remicade, Avsola, Zymfentra
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe, 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)IV infusion
Usual dose
5 mg/kg at weeks 0, 2, and 6, then every 8 weeks
Maximum
consult physician
Frequency
every 8 weeks (maintenance)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)IV infusion
Usual dose
5 mg/kg at weeks 0, 2, and 6, then every 8 weeks
Maximum
consult physician
Frequency
every 8 weeks (maintenance)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)IV infusion
Usual dose
5 mg/kg at weeks 0, 2, and 6, then every 8 weeks
Maximum
consult physician
Frequency
every 8 weeks (maintenance)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity - limited data available, theoretical estimate based on biologic agent toxicity thresholds
Chronic overdose: Cumulative toxicity from repeated doses above recommended dosing schedule may lead to increased risk of serious infections, heart failure exacerbation, and malignancy
Immediate actions
Discontinue infusion, administer corticosteroids and antihistamines as needed for infusion reactions, provide supportive care, monitor vital signs, evaluate for infection
Antidote
No specific antidote exists for infliximab overdose(Not applicable - treatment is supportive and symptomatic)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
B
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh risks; discontinue if pregnancy occurs unless clinically needed

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
B
Dose Adjustment

consider discontinuation near term

Key Recommendations

may cross placenta; consider risks vs benefits; discuss with maternal-fetal medicine

Monitor

fetal growth monitoring

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

compatible with breastfeeding; minimal transfer to breast milk

Monitor

routine infant monitoring

⚠

pediatric_age

pediatric crohn
caution
FDA Category
N
Dose Adjustment

weight-based dosing

Key Recommendations

approved for pediatric Crohn disease and ulcerative colitis; use under specialist supervision

Monitor

growth and development monitoring

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; increased infection risk; consider comorbidities

Monitor

regular infection surveillance

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no dose adjustment required

Key Recommendations

no significant change in pharmacokinetics; use standard dosing

Monitor

standard renal function monitoring

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

limited data in severe renal impairment; monitor closely

Monitor

frequent renal function monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

limited data; monitor liver function tests

Monitor

regular liver function monitoring

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

avoid use in severe hepatic impairment due to limited data

Monitor

comprehensive liver function monitoring

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

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1998

First FDA approval for Remicade brand

drug_classFDA
2023

Drug class

Value:TNF-alpha inhibitor (biologic monoclonal antibody)

Biologic response modifier classification

usageFDA
2023

Common uses

Value:Crohn's disease, ulcerative colitis, rheumatoid arthritis, psoriasis, ankylosing spondylitis

FDA-approved therapeutic indications

administrationFDA
2023

Administration route

Value:Intravenous infusion

Method of drug delivery

Treats autoimmune inflammatory conditions including rheumatoid arthritis, Crohn's disease, ulcerative colitis, ankylosing spondylitis, psoriatic arthritis, and plaque psoriasis.

A monoclonal antibody that binds with high affinity to TNFα, neutralizing its biological activity and preventing it from binding to cell surface receptors, thereby reducing inflammation.

Administered by intravenous infusion, typically every 6-8 weeks. Increases risk of serious infections and infusion reactions. Requires screening for tuberculosis and hepatitis B before starting treatment. May increase risk of certain cancers and heart failure. Should not be used with other biologic immunosuppressants.

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 July 26, 2026. · Read our editorial policy