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Abatacept

Immunosuppressant · Antirheumatic

ImmunosuppressantAntirheumatic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CertolizumabSevereDatabaseDDInter
  • CladribineSevereDatabaseDDInter

Mechanism

Abatacept prevents the full activation of T-lymphocytes.

Indications

Moderate to severe active rheumatoid arthritis (in combination with methotrexate, in patients unresponsive to other DMARDs, including methotrexate or a tumour necrosis factor (TNF) inhibitor)Granulomatosis with polyangiitis (implied use for patient alert card)Microscopic polyangiitis (implied use for patient alert card)Pemphigus vulgaris (implied use for patient alert card)prophylaxis of organ transplant rejectionautoimmunity trialsrheumatoid arthritis in patients resistant to other drugs

Dosing

Adult
maximum cumulative cyclophosphamide dose, or . cyclophosphamide is contra-indicated or not tolerated, or . the patient has not completed their family, and treatment with cyclophosphamide may materially affect their fertility, or . the disease has remained active or progressed despite a course of cyclophosphamide lasting 3–6 months or . the patient has had uroepithelial malignancy.…

Contraindications

  • Not recommended for use in combination with TNF inhibitors

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: others

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Fingolimod
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Golimumab
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Infliximab
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Leflunomide
Severe
Database

Drug interaction classified as: others.

Source: DDInter

Measles Virus Vaccine Live Attenuated
Severe
Database

Drug interaction classified as: others

Source: DDInter

Mumps Virus Strain B Level Jeryl Lynn Live Antigen
Severe
Database

Clinical effect not specified

Source: DDInter

Natalizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Related guidelines

Other Immunosuppressant drugs

Ask House about Abatacept

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Sources: Goodman & Gilman 14e, BNF·Verified: 2026-05-13 · House clinical team