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What is Ilaris?

Ilaris is an IL-1β monoclonal antibody approved for several hereditary periodic fever syndromes — including FMF, TRAPS, HIDS/MKD, and CAPS. By specifically blocking IL-1β, a key inflammatory cytokine driving periodic fever attacks, it can substantially reduce attack frequency and prevent the long-term complications of untreated autoinflammatory disease such as amyloidosis. Coordination with rheumatology is common for ongoing management.

What it treats

Ilaris is FDA-approved for the following indications:

  • Familial Mediterranean Fever (FMF)
  • TNF Receptor-Associated Periodic Syndrome (TRAPS)
  • Hyperimmunoglobulin D Syndrome / Mevalonate Kinase Deficiency (HIDS/MKD)
  • Cryopyrin-Associated Periodic Syndromes (CAPS)
  • Active Still's disease in adults and children ≥2 years

How it is administered

Ilaris is administered subcutaneously, with dosing frequency depending on the specific indication and patient response. Most patients receive injections every 4 to 8 weeks. Coordination with rheumatology is part of standard care.

Patient assistance & support

The manufacturer offers a patient support program — Novartis Patient Assistance Now — that can help with insurance navigation, copay assistance for eligible patients, nursing support, and ongoing education. More information is available at https://www.pharma.us.novartis.com/patient-support.

Coordination at Optimed Immunology

Treatment with Ilaris is initiated and monitored by Dr. McNeil. Prior authorizations are handled in-house — patients are not asked to navigate insurance approvals on their own. This is a subcutaneous self-administered medication. After prior authorization, the prescription is sent to a specialty pharmacy that ships the medication directly to the patient. A manufacturer-sponsored nurse or office-based training visit is typically arranged for the first dose so patients are confident with self-administration before continuing at home.

A note on age: The FDA indications above may include pediatric or adolescent age groups. Optimed Immunology's clinical practice is focused on adults. If you are seeking care for a minor, please contact the office and we can advise on referral options.

Important safety note: This page is not a substitute for the FDA prescribing information. Risks, contraindications, drug interactions, and required monitoring vary by patient. The official manufacturer website (https://www.ilaris.com) provides the most current full prescribing and safety information. Treatment decisions and monitoring are individualized — please discuss with Dr. McNeil whether Ilaris is appropriate for your situation.

Medically reviewed

Donald L. McNeil, MD · Board Certified in Allergy & Immunology and Internal Medicine

Last reviewed: November 2025 · Sources: FDA prescribing information · manufacturer label · AAAAI · ACAAI · relevant clinical guidelines

This page is provided for educational purposes only and is not medical advice. If you have an emergency, call 911.

Have questions about Ilaris?

Treatment selection is a shared decision. Schedule a consultation with Dr. McNeil to discuss whether Ilaris is appropriate for you.