Anakinra
About Anakinra
Anakinra is a prescription injection used to treat the painful symptoms and swelling associated with moderate to severe rheumatoid arthritis, especially when other treatments have not worked well. It is also prescribed to treat certain rare autoinflammatory genetic conditions that cause excess swelling and fever throughout the body. By blocking specific inflammatory pathways, this medication helps protect your joints and tissues from ongoing damage.
For this medicine to work effectively, you must inject it consistently every single day at around the same time. Since Anakinra is given as an injection under the skin, it can be taken with or without food. To help support your treatment, incorporating daily joint-friendly physical activities and eating a balanced, nutrient-rich diet can improve your overall physical comfort and joint mobility.
While taking Anakinra, you may experience some mild side effects, with temporary redness, itching, or swelling at the injection site being the most common. However, because this medicine affects your immune system, it can make it easier for you to get infections. You should contact your doctor immediately if you develop a fever, chills, a persistent sore throat, or other signs of an active infection.
Do not take this if you are allergic to proteins made from Escherichia coli (E. coli) bacteria or any of the ingredients in Anakinra. Before you start this treatment, it is highly important to tell your doctor if you have a history of frequent infections, a weakened immune system, asthma, or kidney damage, as these conditions may affect how you use this medication.
Using Anakinra alongside other specific biologic medicines, such as tumour necrosis factor (TNF) blockers, is not recommended because it severely increases your risk of developing serious infections. Additionally, you should avoid receiving live vaccines while on this treatment. Before receiving any vaccine, including non-live vaccines, discuss the timing and suitability with your doctor, as your treatment and immune status may affect vaccination recommendations. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, talk to your doctor or pharmacist to weigh the risks and benefits before starting therapy.
Uses of Anakinra
Medicinal Benefits
Anakinra helps reduce inflammation and improve symptoms in inflammatory conditions by blocking the activity of a protein involved in the inflammatory process. The following are the benefits of this medication:
- Helps reduce inflammation by targeting the underlying cause of inflammatory symptoms.
- Relieves joint pain, swelling, and tenderness.
- Helps reduce joint stiffness and improves joint mobility.
- Helps prevent progressive joint damage associated with chronic inflammation.
- May reduce the frequency of disease flares.
- Improves the ability to perform daily physical activities with greater comfort.
Directions for Use
- Follow your doctor's instructions regarding dosage and timing of Anakinra.
- Your doctor will show you or your caregiver how to inject Anakinra. Check the label for directions and use it as advised by the doctor. Anakinra should be injected subcutaneously (under the skin) in the thighs, stomach, upper arms or buttocks.
- Rotate the injection site each time. Do not inject into an area where your skin is red, bruised, tender, hard, or scaly, or where you have scars or stretch marks.
Storage
Side Effects of Anakinra
Common Side Effects (Usually mild):
- Redness, swelling, bruising, or pain where the injection was given
- Headache
- Nausea or stomach discomfort
- Runny nose, sore throat, or sinus congestion
Serious Side Effects (Call a doctor right away):
- Signs of a serious infection, such as high fever, severe chills, persistent cough, or burning during urination
- Severe allergic reactions, including difficulty breathing, swelling of your face, lips, or throat, and severe hives
- Unexplained, easy bruising or unusual bleeding
Drug Warnings
- Check the syringe before use: Inspect the liquid before injecting. It should be clear and colourless to pale straw-coloured. Do not use it if it is cloudy, discoloured, or contains particles. If you are unsure, ask your pharmacist before using it.
- Rotate injection sites: Use a different injection site for each dose. Do not inject into skin that is red, tender, bruised, hard, scarred, or irritated.
- Do not shake the syringe: Handle the prefilled syringe gently and never shake it. Shaking may damage the medicine and reduce its effectiveness.
- Use a new syringe and needle every time: Never reuse needles or syringes. Always use a new one for each injection to reduce the risk of serious infections.
- Avoid live vaccines: Do not receive live vaccines, such as the nasal spray flu vaccine or the MMR vaccine, while using Anakinra unless your doctor advises you to. This medicine can weaken your immune system, increasing the risk of infection.
Drug Interactions
- TNF (tumour necrosis factor) blockers/Medicines used to treat autoimmune diseases (e.g., etanercept, adalimumab, infliximab): Combining Anakinra with these medications severely increases your risk of developing life-threatening infections and a dangerous drop in white blood cell counts.
- Other biologic therapies (e.g., abatacept, rituximab): Using Anakinra with other immune-suppressing biologics can cause excessive suppression of your immune system.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionIt is not recommended to consume alcohol with Anakinra. Please consult your doctor if you have any concerns.
Pregnancy
unsafeAnakinra is not recommended during pregnancy. Please consult your doctor if you have any concerns.
Breast Feeding
unsafeAvoid breastfeeding while taking Anakinra. Please consult your doctor in case of any concerns.
Driving
cautionIt is not known if Anakinra affects your ability to drive. Drive only if you are alert.
Liver
cautionExercise caution before using Anakinra in case of established liver disease. Please consult your doctor to address any concerns.
Kidney
cautionExercise caution before using Anakinra in case of established kidney disease. Please consult your doctor to address any concerns.
Children
cautionAnakinra should be used with caution in children and only if prescribed by the doctor. Anakinra is not recommended for use in children with rheumatoid arthritis. Also, it is not recommended for children younger than 8months for Still's disease. Please consult your doctor in case of any concerns.
Habit Forming
Diet & Lifestyle Advise
- Eat an anti-inflammatory diet: Focus on foods high in omega-3 fatty acids, such as salmon and flaxseeds, and eat plenty of colourful vegetables and fruits to help support your body's joints.
- Engage in low-impact exercise: Activities like swimming, stationary cycling, and water aerobics help maintain joint flexibility and muscle strength without placing excessive stress on your joints.
- Practice strict hand hygiene: Because Anakinra can lower your body's ability to fight off infections, wash your hands frequently with warm water and soap, and carry hand sanitiser when you are on the go.
- Avoid sick contacts: Stay away from individuals who have contagious illnesses like the flu, colds, or stomach viruses while you are receiving this treatment.
Special Advise
Discuss contraception with your doctor while taking Anakinra.
You may self-inject once you have been trained properly. Make sure you get all your questions and queries cleared with your healthcare professional.
In case you miss a dose of Anakinra, contact your doctor to find out when to take the next dose.
Use Anakinra with caution in the elderly as they’re more prone to infections.
Live vaccinations should not be taken along with Anakinra. Discuss with the doctor if you are due to take any vaccines.
Patients Concern
Disease/Condition Glossary
Rheumatoid Arthritis: Rheumatoid arthritis is an autoimmune inflammatory disorder of the joints. Autoimmunity is when the body recognises its own cells as foreign and tends to attack them. Rheumatoid arthritis is often seen in conjunction with other autoimmune diseases such as hypothyroidism, inflammatory bowel disease (IBD), vitiligo, lupus etc. Symptoms include stiffness, swelling and weakness at the joints, lumps and redness on the skin, compromised movements, bone erosion and joint deformity.
Still’s Disease: Still’s disease is a form of inflammation and arthritis that causes joint pain, fever and rash. It commonly affects the joints of the wrists.
Coronavirus Disease: Coronavirus disease is an infection caused by the SARS-CoV-2 virus. It can range from a mild cold, cough and fever to full-blown pneumonia. Drop-in oxygen saturations and breathlessness may also occur.
FAQs
Anakinra belongs to the group of immunosuppressive agents used in the treatment of rheumatoid arthritis, Still disease, various periodic fever syndromes, neonatal-onset multisystem inflammatory disease (NOMID) and COVID-19.
Anakinra works by blocking the action of interleukin, a protein that causes inflammation. It shields the body from the harmful effects of proteins called cytokines.
Anakinra may cause neutropenia (low levels of white blood cells). This may increase the risk of infections. If you develop any signs or symptoms of infection, consult your doctor. The neutrophil count should be tested prior to starting the treatment, for every 3months during the treatment, and thereafter for every 4months for up to a year after the treatment.
Please consult your doctor before taking other medicines such as warfarin or phenytoin. Your doctor may adjust the dose accordingly.
No, you should never inject Anakinra if it has been frozen. Freezing destroys the active protein structure of the medicine, making it unsafe and ineffective. Discard the syringe in a sharps container and use a new one.
You should avoid live vaccines while taking Anakinra. Before receiving any vaccine, including non-live vaccines such as the standard flu shot or the recombinant shingles vaccine (Shingrix), consult your doctor. Your healthcare provider will determine the most appropriate vaccine and timing based on your condition, treatment, and immune status
Mild redness, itching, swelling, or bruising at the injection site is very common, especially during the first month of treatment. Applying a cold compress to the area for a few minutes can help. If the reaction is severe, warm to the touch, or does not go away after a few days, contact your doctor.
There is limited clinical data on the safety of using Anakinra during pregnancy. If you are pregnant or planning to conceive, talk to your doctor to carefully weigh the benefits of controlling your inflammatory disease against any potential risks to the baby.
Alcohol does not have a direct, known chemical interaction with Anakinra. However, regular or heavy alcohol use can put extra stress on your liver and worsen overall inflammation. It is best to consult your doctor about safe alcohol consumption limits for your specific condition.
Taking Anakinra with other biologics (like TNF blockers) does not offer extra benefit for your arthritis, but it greatly increases your risk of developing severe, dangerous infections and lowering your white blood cell count. Always tell your doctor about all medications you are taking.
The liquid inside the syringe may occasionally contain tiny, translucent or white protein particles. This is normal and safe to inject as long as the liquid itself is clear, not cloudy, and not heavily discoloured. If the liquid is cloudy or contains large clumped particles, do not inject it and consult your pharmacist or healthcare provider.
