Summary
More frequently reported side effects include: headache. Continue reading for a comprehensive list of adverse effects.
Applies to ustekinumab: parenteral injection, parenteral injection concentrate.
Side effects include:
Patients with psoriasis (≥3%): Nasopharyngitis, upper respiratory tract infection, headache, fatigue.
Patients with psoriatic arthritis (≥3%): Adverse effects similar to those in patients with psoriasis.
Patients with Crohn disease (≥3%): Vomiting during induction therapy; nasopharyngitis, injection site erythema, vulvovaginal candidiasis/mycotic infection, bronchitis, pruritus, urinary tract infection, sinusitis during maintenance therapy.
Patients with ulcerative colitis (≥3%): Nasopharyngitis during induction therapy; nasopharyngitis, headache, abdominal pain, influenza, fever, diarrhea, sinusitis, fatigue, nausea during maintenance therapy.
For Healthcare Professionals
Applies to ustekinumab: intravenous solution, subcutaneous solution.
Respiratory
Common (1% to 10%): Nasopharyngitis, upper respiratory tract infection, oropharyngeal pain
Uncommon (0.1% to 1%): Nasal congestion[Ref]
Nervous system
Common (1% to 10%): Headache, dizziness
Uncommon (0.1% to 1%): Facial palsy[Ref]
Other
Common (1% to 10%): Fatigue[Ref]
Gastrointestinal
Common (1% to 10%): Diarrhea, nausea[Ref]
Musculoskeletal
Common (1% to 10%): Back pain, myalgia, arthralgia[Ref]
Local
Common (1% to 10%): Injection site erythema, pain, bruising, irritation
Uncommon (0.1% to 1%): Injection site reactions (including hemorrhage, hematoma, induration, swelling, and pruritus)[Ref]
Dermatologic
Common (1% to 10%): Pruritus
Uncommon (0.1% to 1%): Pustular psoriasis, skin exfoliation
Rare (less than 0.1%): Exfoliative dermatitis
Postmarketing reports: Erythrodermic psoriasis[Ref]
Psychiatric
Common (1% to 10%): Depression[Ref]
Oncologic
Common (1% to 10%): Malignancies (1.7%)
Postmarketing reports: Rapidly appearing, multiple cutaneous squamous cell carcinomas[Ref]
Hypersensitivity
Uncommon (0.1% to 1%): Hypersensitivity reactions (including rash, urticaria)
Rare (less than 0.1%): Serious hypersensitivity reactions (including anaphylaxis and angioedema)[Ref]
Immunologic
Very common (10% or more): Infections (up to 27%)
Common (1% to 10%): About 6% of patients developed antibodies to this drug, dental infections
Uncommon (0.1% to 1%): Cellulitis, herpes zoster, viral upper respiratory tract infection[Ref]