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[Crossref] (accessed 3/12/2016) (accessed April 24,2016) Aronson PJ, Swearingen J, Malick F, Mehregan DA, Mehregan DM (2015) High dose folic acid, plus vitamins B6 and B12 added to Adalimumab can worsen psoriasis in patients with low BMIs and in others may cause unanticipated EKG effects

Reconstituted solution must be refrigerated

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Pre-injection preparation techniques include: Cleaning the injection site with an alcohol swab and allowing it to dry completely (wet alcohol can cause stinging and tissue irritation) Refraining from rubbing or massaging the injection site before or immediately after injection Using standard 4-mm, 32G pen needles, which minimize tissue trauma for most patients Applying firm pressure (without rubbing) with a clean gauze pad or cotton ball for at least 2 minutes after needle withdrawal, especially for patients on blood thinners For patients taking anticoagulants or antiplatelet medications, do not change your medication dosing or timing for injections