Do not take this medication with any of the following:
-Biologic medications, such as abatacept, adalimumab, anakinra, etanercept, golimumab, infliximab, natalizumab, rituximab, secukinumab, tocilizumab, ustekinumab
-Live vaccines
-Tofacitinib

They need to know if you have any of these conditions:
-Cancer
-Diabetes
-Guillain-Barre syndrome
-Heart failure
-Hepatitis B or history of hepatitis B infection
-Immune system problems
-Infection or history of infections
-Low blood counts, such as low white cell, platelet, or red cell counts
-Multiple sclerosis
-Recently received or scheduled to receive a vaccine
-Tuberculosis, a positive skin test for tuberculosis, or recent close contact with someone who has tuberculosis
-An unusual or allergic reaction to certolizumab, other medications, latex, rubber, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. Your condition will be monitored carefully while you are receiving this medication.
You will be tested for tuberculosis (TB) before you start this medication. If your care team prescribes any medication for TB, you should start taking the TB medication before starting this medication. Make sure to finish the full course of TB medication.
This medication may increase your risk of getting an infection. Call your care team for advice if you get a fever, chills, sore throat, or other symptoms of a cold or flu. Do not treat yourself. Try to avoid being around people who are sick.
Talk to your care team about your risk of cancer. You may be more at risk for certain types of cancers if you take this medication.

Keep out of the reach of children and pets.
Store in the refrigerator. Do not freeze. Keep this medication in the original packaging until you are ready to take it. Protect from light. Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.