Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS code
Name of the Procedure:
Injection, infliximab-abda, biosimilar, (Renflexis), 10 mg (Q5104)
Summary
This procedure involves administering the biosimilar drug infliximab-abda (Renflexis) via injection. It's a treatment commonly used to reduce inflammation and manage symptoms associated with various autoimmune conditions.
Purpose
Medical Conditions Addressed:
- Rheumatoid arthritis
- Crohn's disease
- Ulcerative colitis
- Ankylosing spondylitis
- Psoriatic arthritis
- Plaque psoriasis
Goals/Expected Outcomes: To relieve inflammation, reduce pain and swelling, improve joint function, and help manage overall symptoms of autoimmune diseases.
Indications
Conditions Warranting the Procedure:
- Severe and active autoimmune disease symptoms not adequately managed by other treatments.
- Patients experiencing flare-ups or worsening of their condition.
Patient Criteria:
- Diagnosis of a qualifying autoimmune disorder.
- Unresponsive or intolerant to conventional therapy.
- Assessment by a healthcare provider confirming the necessity for infliximab-abda treatment.
Preparation
Pre-Procedure Instructions:
- Discuss medical history and current medications with your healthcare provider.
- Undergo any necessary blood tests or screenings.
- Inform the doctor about any signs of infection or recent vaccinations.
- No specific fasting required, but follow specific instructions from the healthcare provider.
Procedure Description
- Initial Assessment: Medical history and vital signs are reviewed.
- Injection Preparation: The healthcare provider prepares the precise dosage of infliximab-abda (Renflexis), 10 mg.
- Administration: The drug is injected intravenously (IV) or as prescribed by the healthcare provider, typically over a period of 2 hours.
- Monitoring: The patient is monitored for any adverse reactions during and after the injection.
Tools and Equipment:
- Sterile needles and syringes
- IV infusion setup (if applicable)
Anesthesia/Sedation:
- Not typically required, but comfort measures may be provided.
Duration
The administration usually takes about 2 hours, but the total time at the clinic may be longer depending on observation requirements post-injection.
Setting
The procedure is usually performed in:
- Outpatient clinic
- Hospital infusion center
Personnel
Involved Healthcare Professionals:
- Nurse or trained healthcare provider for administration
- Possibly a physician or specialist overseeing the procedure
Risks and Complications
Common Risks:
- Injection site reactions (pain, redness, swelling)
Rare Risks:
- Allergic reactions
- Infections due to immune suppression
- Liver dysfunction
- Heart problems
Management of Complications:
- Immediate medical attention if severe reactions occur.
- Pre-treatment assessments to mitigate risks.
Benefits
Expected Benefits:
- Reduction in autoimmune disease activity
- Improved quality of life
- Symptom management within a few days to weeks
Recovery
Post-Procedure Care:
- Monitoring for immediate adverse reactions
- Routine follow-up appointments as needed
Recovery Time:
- Minimal downtime; normal activities can usually resume shortly after monitoring.
Restrictions:
- Avoid activities that might increase the risk of infection.
- Follow specific instructions from your healthcare provider.
Alternatives
Other Treatment Options:
- Other biologics (e.g., adalimumab, etanercept)
- Conventional therapy (e.g., methotrexate, corticosteroids)
Comparative Pros and Cons:
- Alternative biologics may offer similar benefits with different side effect profiles.
- Conventional therapies may be less expensive but might not be as effective for severe cases.
Patient Experience
During the Procedure:
- Some discomfort at the injection site.
- Possible mild side effects like headache, nausea, or fatigue.
After the Procedure:
- Most patients feel well enough to resume their daily activities after observation.
- Pain management and supportive care are provided as needed.
Always consult with your healthcare provider for personalized medical advice tailored to your specific condition and treatment needs.