TNF -alpha inhibitors should not be used in:
Tumor necrosis factor-a (TNF-a) inhibitors are known to increase reactivation of concurrent chronic hepatitis B,Hence not used ESSENTIALS OF MEDICAL PHARMACOLOGY: SEVENTH EDITION K.D TRIPATHI PAGE:804,805,884
Rheumatoid ahritis with HIV infection
Rheumatoid ahritis with hepatitis B
Rheumatoid ahritis with hepatitis C
Rheumatoid ahritis with pulmonary fibrosis
Immunomodulators