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The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome

doi: 10.1161/01.ATV.17.11.2554

After oral treatment, the disease appeared to remain active, as 40.0% of patients in the placebo group and 26.7% in the adalimumab group developed at least one new erosive interphalangeal joint in 3.6% and 2.1% of their non-erosive interphalangeal joints, respectively, during the 12-month follow-up period, demonstrating that adalimumab has no therapeutic effect on degenerative OA of the hand