Is Stelara an immunosuppressant?
Yes, Stelara (ustekinumab) is an immunosuppressant. It is approved to treat certain forms of psoriasis, psoriatic arthritis and moderate to severe Crohn's disease and ulcerative colitis.
How Stelara Works
Stelara is a biologic medication that targets interleukin-12 and interleukin-23, two cytokines involved in immune system regulation. Cytokines are substances released by cells in the immune system that signal other immune cells to grow, respond or release other substances. They all work together to help the body prevent or fight infection. Some diseases, such as psoriasis and inflammatory bowel disease, are thought to be a result of an improper or exaggerated response of the immune system.
Risk of Infections
Since Stelara suppresses the immune system, it can increase the risk of bacterial, viral, or fungal infections. Patients should not start Stelara if they have an active infection. Before prescribing Stelara, doctors may conduct tests to check for tuberculosis (TB) or other underlying infections.
When to Contact Your Doctor
If you develop any symptoms of an infection, you should notify your health care provider right away. If you do develop an infection while on the medicine, your health care provider may have you stop taking it for a time.
Can Stelara Be Used with Other Immunosuppressants?
Yes, Stelara may be used alongside other immunosuppressive drugs, but this should be done under a doctor’s supervision to minimize the risk of infections and other complications.
References
- Janssen Pharmaceuticals. Stelara Product Information. November 2019. Available at: https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/STELARA-pi.pdf. [Accessed June 7, 2022].
- National Institute of Allergy and Infectious Diseases (NIAID). Overview of the Immune System. June 2022. Available at: https://www.niaid.nih.gov/research/immune-system-overview. [Accessed June 8, 2022].
Read next
What are 7 key Stelara side effects to watch out for?
Common side effects of Stelara include nasopharyngitis, infections, nausea, and injection site reactions. More serious but rare side effects of Stelara are severe allergic reactions, posterior reversible encephalopathy syndrome (PRES), and a potentially higher risk of cancer. Continue reading
What food should I avoid while on Stelara?
There are no known food interactions with Stelara (ustekinumab). However, potential interactions have not been fully studied, so consult your doctor about any necessary dietary adjustments. Stelara is a biologic medication that suppresses parts of the immune system, increasing the risk of infections. For this reason, food safety is critical. Continue reading
Stelara and the Covid Vaccine: What should I know?
While there is limited data on how Stelara specifically affects the COVID-19 vaccine, all non-live vaccines, including COVID-19 vaccines, are generally considered safe for Stelara patients. Continue reading
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Drug information
- Stelara Information for Consumers
- Stelara prescribing info & package insert (for Health Professionals)
- Side Effects of Stelara (detailed)
- Stelara user reviews (252)
Related support groups
- Stelara (24 questions, 68 members)