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Ustekinumab

Monoclonal Antibody · Immunomodulator

Monoclonal AntibodyImmunomodulator
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CertolizumabSevereDatabaseDDInter
  • CladribineSevereDatabaseDDInter

Mechanism

Ustekinumab is an IL-12 and IL-23 inhibitor.

Indications

Moderate to severely active Crohn’s disease (when conventional therapy or therapy with adalimumab or infliximab is unsuccessful, contraindicated or not tolerated)Psoriasisplaque psoriasispsoriatic arthritismoderate-to-severe plaque psoriasisactive psoriatic arthritismoderately to severely active crohn’s diseasemoderately to severely active ulcerative colitisinduction and maintenance of remission in Crohn’s diseasemoderate-to-severe ulcerative colitis

Dosing

Adult
as 50 mg weekly in RA. In psoriasis, 50 mg is given twice weekly for 12 weeks. Adverse Effects: Common adverse effects include viral, bacterial, or. is 50 mg given every 4 weeks or 2 mg/kg at weeks 0 and 4, and then every 8 weeks. A higher dose of golimumab is used to treat ulcerative colitis: 200 mg. initially at week 0 followed by 100 mg at week 2 and every 4 weeks thereafter.…

Pharmacokinetics

Peak effect
Time to peak Cp is 1 to 2 weeks.
Half-life
Variable and long elimination half-life (up to 120 days).

Side effects

Common
upper respiratory tract infectionsheadachearthralgiainfectionnauseanasopharyngitis
Serious
  • increased risk of serious infections

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: others

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Fingolimod
Severe
Database

Clinical effect not specified

Source: DDInter

Golimumab
Severe
Database

Clinical effect not specified

Source: DDInter

Infliximab
Severe
Database

Clinical effect not specified

Source: DDInter

Leflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Measles Virus Vaccine Live Attenuated
Severe
Database

Clinical effect not specified

Source: DDInter

Mumps Virus Strain B Level Jeryl Lynn Live Antigen
Severe
Database

Clinical effect not specified

Source: DDInter

Natalizumab
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Monoclonal Antibody drugs

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Sources: Goodman & Gilman 14e, Katzung·Verified: 2026-05-13 · House clinical team