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certolizumab vs infliximab

Side-by-side comparison of certolizumab and infliximab Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

Drug Class
certolizumab TNF-Alpha Inhibitor (Biologic)
infliximab TNF-Alpha Inhibitor (Biologic)
Type
certolizumab Prescription
infliximab Prescription
Summary
certolizumab

Cimzia is a medicine that blocks a protein called TNF. It helps reduce inflammation and other symptoms of certain diseases.

infliximab

Inflectra is a medicine that blocks a protein called TNF. It is used to treat autoimmune diseases and reduce inflammation.

What It Treats
certolizumab

Cimzia treats Crohn's disease by easing symptoms. It also helps keep the disease under control in adults. Cimzia can also treat rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis in adults. It is also used for juvenile idiopathic arthritis in children 2 years and older.

infliximab

Inflectra treats Crohn's disease in adults and children (6+). It helps reduce symptoms and keep the disease under control. It also treats ulcerative colitis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and plaque psoriasis.

How It Works
certolizumab

Cimzia blocks a protein in your body called tumor necrosis factor (TNF). TNF can cause inflammation and damage in certain diseases. By blocking TNF, Cimzia can reduce these symptoms.

infliximab

Inflectra blocks a protein in your body called tumor necrosis factor (TNF). TNF can cause inflammation and damage in autoimmune diseases. By blocking TNF, Inflectra can reduce inflammation and improve symptoms.

Common Side Effects
certolizumab
  • Upper respiratory infection
  • Rash
  • Urinary tract infection
infliximab
  • Infections (like colds, sinus infections, and sore throat)
  • Infusion-related reactions
  • Headache
  • Abdominal pain
FAERS Reports
certolizumab

No adverse event reports.

infliximab
  • The medicine is not working 38,909
  • Using the medicine for a condition it is not approved for 36,963
  • Reaction during or shortly after the infusion 18,647
  • Condition got worse 18,302
  • Rheumatoid arthritis 18,137
Serious Warnings
certolizumab

Cimzia can make you more likely to get serious infections that could lead to death. Tell your doctor if you have any kind of infection before starting Cimzia. Children and teenagers taking TNF blockers like Cimzia have a higher chance of getting lymphoma and other cancers.

infliximab

Inflectra can increase your risk of serious infections that may lead to hospitalization or death. Tell your doctor if you have any infection symptoms. You should be tested for tuberculosis (TB) before starting Inflectra. Some people, especially children and young adults, have developed cancers like lymphoma while taking TNF blockers. Some of these cancers have been fatal.

Pregnancy
certolizumab

Tell your doctor if you are pregnant or plan to become pregnant. Studies suggest Cimzia transfer to the baby is minimal during pregnancy. Talk to your doctor about the risks and benefits of getting vaccines if your baby was exposed to Cimzia during pregnancy.

infliximab

Tell your doctor if you are pregnant or plan to become pregnant. Inflectra can pass to your baby during pregnancy, mainly in the third trimester. Live vaccines are not recommended for at least 6 months after birth for babies exposed to Inflectra in the womb.

Also Compare — Nearby Drugs

How to Read This certolizumab vs infliximab Comparison

certolizumab is classified in the TNF-Alpha Inhibitor (Biologic) drug class, while infliximab sits within the TNF-Alpha Inhibitor (Biologic) class. Because both drugs share the same classification, they are often considered interchangeable in theory — but clinical outcomes rarely track that cleanly. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, certolizumab has 0 submissions while infliximab has 130,958. Those figures reflect cumulative reporting volume — not per-patient risk — so older, widely dispensed drugs typically look worse on count alone. No direct interaction between these two drugs is listed in our FDA-derived dataset, though co-prescription still warrants pharmacist review. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between certolizumab and infliximab — always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.