 Altamiris can lower your immune system's ability to fight infections, increasing your chance of serious meningococcal infections, which may become life-threatening or fatal, and other types of infections. Complete or update your meningococcal vaccines at least two weeks before starting Altamiris. If Altamiris is urgent, you should also receive antibiotics with your vaccines. Before starting Altamiris, tell your doctor about all of your medical conditions and medications. Altamiris can cause reactions such as back pain, tiredness, dizziness, limb discomfort, or bad taste. Altamiris is