For clinicians · Medication guide

Rituximab

anti-CD20, RTX

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Bottom lineAnti-CD20 B-cell-depleting biologic, generally used in refractory SLE and refractory lupus nephritis.

Dosing and administration[2]

IV infusion with premedication (corticosteroid, antihistamine, acetaminophen). Screen for hepatitis B (reactivation risk, including fatal cases) and tuberculosis before starting.

IndicationStarting doseTitration and maximum
Rheumatoid arthritisTwo 1000 mg IV infusions given 2 weeks apart (days 1 and 15), repeated every 6 months or by disease activity, usually with methotrexate.Retreat based on clinical response, typically no sooner than every 16 to 24 weeks.
ANCA-associated vasculitis375 mg/m2 IV weekly for 4 weeks (induction), or 1000 mg x 2; maintenance regimens follow.Per protocol for induction and maintenance.

Monitoring

Contraindications

Key interactions

Clinical notes

How it is used in lupus

Used for refractory SLE and refractory lupus nephritis as an anti-CD20 B-cell-depleting option.[1]

Common side effects

Infusion reactions and increased infection risk occur; repeated courses can lower immunoglobulin levels. Described from background clinical knowledge and the Table 5 monitoring note; reconcile with the product monograph.

Tests and monitoring

CBC with differential at 3 months, then every 6 months. Assess IgG levels every 6 months.[1]

Before you start

Screen for hepatitis B, tuberculosis, and HIV before starting. As a B-cell-depleting therapy, it carries a higher hepatitis B reactivation risk, so antiviral prophylaxis is used for higher-risk hepatitis B profiles. Address vaccination beforehand; live vaccines are not given during treatment.[1]

Important cautions

Reproductive-safety data are limited; individualise, with full guidance maintained on the pregnancy record. Avoid live vaccines during treatment.

+Reproductive health. Pregnancy, breastfeeding, and paternal guidance for this agent is maintained on the same record and is verified separately.

References

  1. Sammaritano LR, Askanase A, Bermas BL, et al. 2025 American College of Rheumatology (ACR) Guideline for the Treatment of Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken). 2025. doi:10.1002/acr.25690 https://doi.org/10.1002/acr.25690
  2. RITUXAN (rituximab) Product Monograph. Health Canada authorized product monograph. https://health-products.canada.ca/dpd-bdpp/