Compare Remicade vs. methotrexate

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Remicade (infliximab)

Prescription only

Otrexup (methotrexate)

Prescription only
Calms down your immune system.

Remicade (infliximab) is an effective treatment for many autoimmune diseases, but you can have serious side effects.

4.0/ 5 average rating with 55 reviewsforRemicade
Reduces inflammation and cell replication.

Otrexup (methotrexate) is the first-choice treatment for many types of cancer and arthritis, but it has many side effects.

Upsides
  • People taking Remicade (infliximab) for ulcerative colitis, Crohn's disease, rheumatoid arthritis and other autoimmune conditions had more clinical response, clinical remission and symptom improvement compared to people who did not take Remicade (infliximab).
  • People who were also taking steroids for treatment were able to discontinue steroid use while taking Remicade (infliximab).
  • Remicade (infliximab) has almost two decades of clinical trial data and real-life experience with many people who have used it.
  • After the initial dosing, you only need to take Remicade (infliximab) every 6-8 weeks, depending on your condition.
  • Compared to other medications used to treat autoimmune conditions, Remicade (infliximab) has not been associated with as many harmful effects during pregnancy and breastfeeding.
  • Otrexup (methotrexate) is available as an affordable generic form.
  • Otrexup (methotrexate) comes as a tablet, an injection that you give yourself, or an infusion that you get in the doctor's office or infusion center.
Downsides
  • You have to receive this medication at your doctor's office or clinic. You might need to be tested regularly for tuberculosis.
  • Remicade (infliximab) lowers your ability to fight infection and can cause serious illness. The risk is greater if you take other drugs that lower your immune system, or have a history of diabetes or tuberculosis.
  • Remicade (infliximab) can in some cases worsen symptoms of heart failure or neurologic conditions. People 65 years and older may have more side effects from this medication.
  • In rare cases, Remicade (infliximab) has been associated with cancers in children and adolescents.
  • No generic available, so it can be costly.
  • You may need frequent blood tests for monitoring when taking Otrexup (methotrexate).
  • Otrexup (methotrexate) can cause serious birth defects so women should avoid getting pregnant for at least 6 month and men 3 months after taking it.
  • While on Otrexup (methotrexate), you should avoid alcohol and staying out in the sun for too long.
Used for
Dosage forms
  • Injection
  • Pill
  • Injection
  • Liquid
Price
Lowest price
$20695.40
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Reviews
55 reviews so far
76%
saidit'sworth it
62%
saiditworked well
15%
saidit'sa big hassle

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Side effects
The Remicade (infliximab) FDA package insert doesn’t have numbers about how common side effects are.
The Otrexup (methotrexate) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Serious infections
    • Taking other immunosuppressant drugs
    • Age 65 or older
    • Comorbidities
  • Cancer
    • Taking other immunosuppressant drugs
    • History of malignancy
  • Heart failure
    • History of heart failure
    • Receiving higher doses
  • Nervous system effects
    • History of nerve problems
  • Lower blood cell counts
    • Ongoing or history of blood problems
  • Liver injury
See more detailed risks and warnings
  • Bone marrow suppression
  • Worsening side-effects
    • Reduced kidney function
    • fluid in the abdomen
    • fluid in the lungs
  • Use of NSAIDs
    • NSAIDS
    • High dose of methotrexate
  • Liver problems
    • Long-term use
    • Psoriasis
  • Lung problems
  • Diarrhea and mouth sores
    • Taking Otrexup (methotrexate) with high-dose NSAIDs
  • Tumor lysis syndrome
    • Rapidly growing tumors
  • Skin reactions
  • Infections
  • White blood cell cancer
  • Skin and bone tissue deterioration
    • Radiotherapy
See more detailed risks and warnings