Shipping with this method takes 3-5 days
Erelzi® Injection for Rheumatoid Arthritis
Stock up and Save - Get 20% off when you buy 3 or more of any one product. Use code SAVE20 at checkout.
Coupon code cannot be combined with other offers. Sale applies to all products originating from Canada. Maximum allowable quantity equal to a 90 day supply per single order.
Price range: $785.99 through $1,539.99
Secure Encrypted Payments
Erelzi® is a biosimilar to etanercept used for several autoimmune conditions. This guide explains what it does, how to use it safely, and how to access it with US delivery from Canada. It also outlines typical costs without insurance so you can plan your care.
What Erelzi Is and How It Works
This medicine contains etanercept-szzs, a tumor necrosis factor (TNF) inhibitor. It blocks TNF, a protein that can drive inflammation in joints and skin. Reducing TNF activity may help ease pain, swelling, and plaque formation. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
The treatment is approved for conditions such as Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, and Plaque Psoriasis. It may also be used in certain pediatric patients as directed by the prescriber. Always follow the official product monograph and your clinician’s guidance.
Who It’s For
This therapy is for adults with moderate to severe rheumatoid arthritis, psoriatic arthritis, or ankylosing spondylitis, and for adults with chronic plaque psoriasis who are candidates for systemic therapy or phototherapy. It may be used alone or with other medicines such as methotrexate when appropriate. Some children with polyarticular juvenile idiopathic arthritis may also receive it, following weight-based directions.
People with active infections should not start it. Those with a history of recurrent infections, tuberculosis, hepatitis B, demyelinating disorders, or heart failure need careful evaluation. Live vaccines are not advised while on TNF blockers. Discuss your full medical history with your healthcare professional.
Dosage and Usage
Typical adult dosing includes a once-weekly subcutaneous injection, as outlined in the official labeling. For plaque psoriasis, some patients may start with a more frequent schedule before moving to weekly maintenance per the label. Pediatric dosing is weight-based and capped at a maximum weekly amount. If you are unsure about your schedule, check the package insert and speak with your prescriber.
General use tips:
- Rotate injection sites to the thigh, abdomen (avoiding the navel area), or outer upper arm.
- Inspect the solution before use; do not use if cloudy, colored, or containing particles.
- Do not shake. Allow refrigerated pens or syringes to reach room temperature as directed before use.
- Use a new needle for each injection and never share devices.
Strengths and Forms
Common presentations include single-dose prefilled syringes and autoinjectors. Strengths typically align to the weekly dosing described in the label; availability may vary by market and stock. Check the product page for current forms carried by our pharmacy team.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next scheduled injection. In that case, skip the missed dose and return to your regular schedule. Do not take extra to make up a missed dose. If you are uncertain how to adjust after a missed dose, consult the official label or your prescriber.
Storage and Travel Basics
Store in a refrigerator in the original carton to protect from light. Do not freeze. If the label allows room-temperature storage for a limited period, keep track of that window and do not return it to the refrigerator after warming. Keep out of reach of children and pets.
When traveling, carry devices in an insulated bag with cool packs, avoiding direct contact with ice. Bring your prescription and a copy of the product information. Plan ahead for time zone changes to maintain a steady weekly schedule. For long trips, ask your healthcare professional about documentation for security checkpoints and how to handle delays.
Pen Handling and Sharps Disposal
For autoinjectors, review the step-by-step instructions in the carton before your first dose. Clean the injection site with an alcohol swab and let it dry. Place the device flat against the skin, activate as directed, and keep it steady until the indicator shows completion. For prefilled syringes, inject slowly and steadily.
- Use a puncture-resistant sharps container for used needles, syringes, and pens.
- Do not recap, bend, or clip needles.
- Follow local regulations for disposal; your pharmacist can advise on options.
Benefits
This therapy targets a key inflammatory pathway and may reduce joint pain and swelling. It can also help clear plaques in eligible patients. Weekly maintenance dosing may fit well with routines. Prefilled devices are designed for at-home administration. Supportive monitoring with your care team can help you get the most from treatment. Erelzi from Canada is available through our pharmacy service model when prescribed.
Side Effects and Safety
- Injection-site redness or pain
- Upper respiratory symptoms such as cough or sore throat
- Headache or dizziness
- Nausea or mild gastrointestinal upset
- Rash or itching
Serious risks can include severe infections, tuberculosis reactivation, blood disorders, demyelinating disease, heart failure worsening, allergic reactions, and certain malignancies. Seek urgent care for signs of infection, trouble breathing, severe rash, or persistent fever. Risk of low blood sugar can rise when combined with diabetes medicines that cause hypoglycemia; speak with your clinician if applicable.
Drug Interactions and Cautions
Avoid live vaccines while receiving TNF inhibitors. Using this therapy with other biologic immunomodulators can increase infection risk and is generally not recommended. Hepatitis B reactivation can occur in surface antigen carriers; prescribers may test and monitor. Tell your healthcare professional about all medicines, including methotrexate, corticosteroids, NSAIDs, and any over-the-counter products or supplements.
What to Expect Over Time
Response varies. Some people notice gradual improvement in joint stiffness and skin symptoms as treatment continues. Your clinician may schedule periodic check-ins and lab tests. Keep a symptom diary, note injection dates, and report any adverse effects promptly. If your condition remains active, your prescriber may reassess therapy options based on the official labeling and clinical judgment.
Compare With Alternatives
Other TNF inhibitors and targeted therapies may be considered if this option is not suitable. An originator reference product is available as Enbrel Pre Filled Sureclick Auto Injector. Another biosimilar option is Rymti Pre Filled Injection. Discuss how each therapy’s device, dosing, and support program align with your needs. Your clinician can also consider therapies from other classes based on diagnosis and history. Considering etanercept-szzs injection price can help you compare options discussed with your prescriber.
Pricing and Access
We aim to make biologic therapy more approachable for US patients through Canadian pharmacy access. Check current Erelzi price on this page and review any ongoing offers. You can also compare etanercept-szzs price with similar therapies to understand value for your situation. We provide clear checkout and support for prescription transfers. For additional seasonal offers, see our Promotions page. Ordering includes US shipping from Canada with careful packing and tracking.
Availability and Substitutions
Stock can vary by device type and strength. If a particular presentation is unavailable, a prescriber may suggest a suitable alternative in the same class or a different pathway based on your condition. If you are planning a start date, allow time for prescription review and fulfillment by the pharmacy team. If needed, ask your clinician about Erelzi cash price and whether another option might meet your clinical and budget needs.
Patient Suitability and Cost-Saving Tips
Good candidates are those with eligible diagnoses and no active serious infection. People with chronic or recurrent infections, untreated TB, severe heart failure, or demyelinating disease may not be suitable. Review vaccines and screenings before initiating therapy, and ask about non-live vaccines while on treatment.
Cost tips:
- Multi-month supply plan: fewer refills can reduce per-order fees.
- Schedule refills: set reminders to avoid rush surcharges.
- Device choice: compare Erelzi autoinjector price to syringe preferences and training needs.
- Coordination: ask your prescriber to submit documentation once to streamline refills.
- Payment: use a single method on file to speed verification.
As an added privacy and security note, our site uses encrypted checkout. If you have questions about coverage, your clinician or insurer can clarify benefits for biologic therapies.
Questions to Ask Your Clinician
- Is a TNF inhibitor appropriate for my diagnosis and severity?
- How will we monitor for infections or other adverse effects?
- What vaccine updates should I complete before starting?
- Which device suits me better: autoinjector or prefilled syringe?
- How should I time doses around travel or procedures?
- What lab tests will we check over the first few months?
- If this option is not effective, which class would you consider next?
Authoritative Sources
Health Canada Drug Product Database
Storage and Travel Basics
Keep cartons refrigerated and protected from light until use. If room-temperature storage is permitted by the label for a limited time, track the allowable window and do not re-refrigerate once warmed. Do not freeze or shake. When traveling, pack extra supplies in case of delays, and carry documentation for security checkpoints and airline policies.
Drug Interactions and Cautions
Tell your healthcare professional about all prescription and nonprescription medicines you take. Avoid live vaccines while on TNF blockade. Using multiple biologics can increase infection risk. Your prescriber may monitor for hepatitis B reactivation and tuberculosis. Report any new neurological symptoms or shortness of breath promptly.
What to Expect Over Time
As you continue therapy, you and your care team will evaluate symptom trends and tolerability. Keep consistent weekly dosing and track any side effects. If adjustments are needed, your clinician will guide changes based on the label and your health status. Educational resources like Arthritis Drugs, Arthritis What Are The Most Common Forms Of Arthritis, and Juvenile Arthritis Awareness Month Helping Kids Thrive can support your understanding of therapy choices.
Pricing and Access
To review current options across inflammatory conditions, browse our Immunology category and condition pages for Plaque Psoriasis and Psoriatic Arthritis. For rheumatoid disease education, see Rheumatoid Arthritis. Ready to proceed? Place your order with prompt, express, cold-chain shipping. Ships from Canada to US. This content is for general information and does not replace medical advice.
Express Shipping - from $25.00
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How is this biosimilar different from the reference product?
It contains etanercept-szzs, a biosimilar to the reference product. Biosimilars are highly similar and have no clinically meaningful differences in safety, purity, and potency compared with the reference, based on regulatory standards. The device, packaging, or support materials may differ. Your prescriber can explain whether staying on your current therapy or switching is appropriate for your condition and treatment history.
Can I receive vaccines while taking this treatment?
Avoid live vaccines during treatment with a TNF inhibitor. Inactivated or non-live vaccines may be considered, but timing should be discussed with your clinician. Some patients update vaccines before starting therapy. If you live with household members who receive live vaccines, your clinician can advise on precautions. Always review your vaccine schedule before and during therapy.
Where should I inject it and how often?
Common sites include the front of the thigh, the abdomen away from the navel area, and the outer upper arm if someone else is giving the dose. Typical adult maintenance is once weekly per the label. Rotate sites, clean with an alcohol swab, and let the skin dry. Allow refrigerated supplies to reach room temperature as directed before injection. Do not inject into tender, bruised, or scarred skin.
What should I know about infection risk?
TNF inhibitors can increase the risk of infections. Tell your clinician if you have symptoms such as fever, cough, shortness of breath, painful urination, or skin wounds that do not heal. Your prescriber may test for tuberculosis before starting and may monitor for hepatitis B reactivation if you are at risk. Report exposure to contagious illnesses and any persistent or severe symptoms promptly.
Can I travel with my pens or syringes?
Yes, with preparation. Keep supplies in an insulated bag with cool packs, away from direct ice. Bring your prescription, product information, and a travel letter if available. Plan dosing around time zones and keep a checklist of supplies. Know the label’s room-temperature allowance and do not re-refrigerate after warming. Allow extra time at security and avoid packing injections in checked luggage.
What if I miss a weekly dose?
If you miss a dose, take it when you remember unless it is close to the next scheduled injection. Then skip the missed dose and resume your usual schedule. Do not take extra to make up for it. If you frequently forget doses, set calendar alerts or use a medication app. Ask your healthcare professional for advice if you are unsure about timing after a missed dose.
Will I need lab tests during treatment?
Your clinician may order tests before and during treatment, such as TB screening, hepatitis B tests when appropriate, and routine labs to monitor for infection or other issues. The exact plan depends on your condition and any medicines you take with this therapy. Keep all appointments and promptly report any new or worsening symptoms to guide safe, ongoing use.
