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ustekinumab

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Brand names: Stelara

Anti-IL-12/23 Monoclonal Antibody Rx

Ustekinumab-aekn (Stelara) is a medicine that helps control inflammation in your body. It works by blocking certain proteins that cause inflammation.

Drug Pricing (NADAC)

Brand Price

$26794.63/unit

Generic Available

No

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine can treat moderate to severe plaque psoriasis in adults and children 6 years and older.

Common side effects

Common cold symptoms (nasopharyngitis), Upper respiratory infection, Headache

Key warnings

Ustekinumab-aekn can increase your risk of getting serious infections.

How It Works

Ustekinumab-aekn blocks two proteins in your body called interleukin-12 and interleukin-23. These proteins cause inflammation. By blocking them, the medicine helps reduce inflammation and the symptoms of your condition.

How to Take It

This medicine is given as an injection under your skin or through a vein. For psoriasis and psoriatic arthritis, adults usually get a 45 mg or 90 mg injection initially, then again 4 weeks later. After that, you'll get an injection every 12 weeks. For Crohn's disease and ulcerative colitis, you will get a single intravenous infusion based on your weight, followed by a 90 mg injection under your skin 8 weeks later, then every 8 weeks.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if ustekinumab-aekn will harm your unborn baby. Talk to your doctor about the risks and benefits of using this medicine during pregnancy. It is also not known if ustekinumab-aekn passes into breast milk.

Missed Dose

If you miss a dose, take it as soon as you remember. Then, continue with your regular schedule.

Storage

Store Ustekinumab-aekn in the refrigerator between 36°F to 46°F (2°C to 8°C) in its original carton to protect it from light. Do not freeze or shake.

Side Effects (from patient reports)

Based on 77,446 FDA adverse event reports.

The medicine is not working
14,435
Using the medicine for a condition it's not approved for
12,254
A dose of the medicine was missed
9,763
Tiredness
6,589
Psoriasis
6,432
Pain
6,034
Joint pain
5,628
Crohn's disease
5,563
Skin rash
5,438
Problem with using the medicine
5,310

FDA Adverse Event Report Analysis

Detailed analysis of 98,899 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2009–2025.

Total Reports

98,899

Death-Related Reports

5,465

Hospitalization Reports

21,428

Top Indication

Psoriasis

Gender Distribution

Female 51,237 (60%)
Male 34,661 (40%)

Age Distribution

0–17 3,844
18–44 21,364
45–64 21,106
65–74 6,358
75+ 2,679

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 14,436
2 OFF LABEL USE 12,254
3 PRODUCT DOSE OMISSION ISSUE 9,763
4 FATIGUE 6,589
5 PSORIASIS 6,433
6 PAIN 6,033
7 ARTHRALGIA 5,628
8 CROHN^S DISEASE 5,563
9 RASH 5,437
10 PRODUCT USE ISSUE 5,310
11 HEADACHE 5,129
12 CONDITION AGGRAVATED 5,057
13 INFUSION RELATED REACTION 4,945
14 RHEUMATOID ARTHRITIS 4,644
15 JOINT SWELLING 4,567

Reactions in Death Reports

TYPE 2 DIABETES MELLITUS 1,672
WOUND 1,660
SYSTEMIC LUPUS ERYTHEMATOSUS 1,649
GLOSSODYNIA 1,642
HAND DEFORMITY 1,629
JOINT SWELLING 1,626
INFUSION RELATED REACTION 1,624
SYNOVITIS 1,618
GENERAL PHYSICAL HEALTH DETERIORATION 1,616
RASH 1,591

Reactions in Hospitalization Reports

OFF LABEL USE 3,420
DRUG INEFFECTIVE 3,117
FATIGUE 2,702
PAIN 2,508
RHEUMATOID ARTHRITIS 2,459
ARTHRALGIA 2,412
RASH 2,403
INFUSION RELATED REACTION 2,313
SYNOVITIS 2,297
JOINT SWELLING 2,251

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Ustekinumab-aekn can increase your risk of getting serious infections. Tell your doctor if you have any signs of an infection, like fever, cough, or body aches. Before starting this medicine, your doctor should check you for tuberculosis (TB). This medicine may also increase your risk of certain cancers. Contact your doctor right away if you have a severe allergic reaction. This medicine can also cause a rare condition called Posterior Reversible Encephalopathy Syndrome (PRES).

Common Questions

Can I get vaccines while taking Ustekinumab-aekn?
Avoid live vaccines during treatment with Ustekinumab-aekn.
What should I do if I think I have an infection?
Seek medical advice if you have signs of an infection while taking Ustekinumab-aekn.
Can Ustekinumab-aekn cause allergic reactions?
Yes, serious allergic reactions are possible. Stop using the medicine and get medical help right away if you have any signs of a severe allergic reaction.
Does Ustekinumab-aekn interact with other medicines?
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Can I store Ustekinumab-aekn at room temperature?
Prefilled syringes can be stored at room temperature for up to 30 days. Vials can be stored at room temperature for up to 7 days. Do not put them back in the refrigerator once stored at room temperature.
What does Ustekinumab-aekn look like?
It is a clear and colorless to slightly yellow solution.
What should I do if I experience side effects?
Tell your doctor if you experience any side effects while taking Ustekinumab-aekn.
Will Ustekinumab-aekn cure my condition?
Ustekinumab-aekn helps manage your condition by reducing inflammation. It is not a cure.
How long does it take for Ustekinumab-aekn to start working?
It may take several weeks or months to see the full effects of Ustekinumab-aekn.
Can I take Ustekinumab-aekn if I have cancer?
The safety of Ustekinumab-aekn in patients with a history of cancer has not been studied.
What are the common side effects of ustekinumab?
The most commonly reported side effects of ustekinumab include Common cold symptoms (nasopharyngitis), Upper respiratory infection, Headache, Tiredness (fatigue), Vomiting (for Crohn's disease induction). Based on 77,446 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is ustekinumab?
ustekinumab belongs to the Anti-IL-12/23 Monoclonal Antibody drug class. It requires a prescription (Rx). This medicine can treat moderate to severe plaque psoriasis in adults and children 6 years and older.
Is ustekinumab safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. It is not known if ustekinumab-aekn will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for ustekinumab

The FDA label for ustekinumab (sold under brand names such as Stelara) classifies it as a prescription-only medication in the Anti-IL-12/23 Monoclonal Antibody class. This medicine can treat moderate to severe plaque psoriasis in adults and children 6 years and older. Official labeling lists 16 commonly reported side effects, including Common cold symptoms (nasopharyngitis), Upper respiratory infection, Headache.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 77,446 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 5, 2026

All federal data sources used on this page