ustekinumab (cont.)

What is ustekinumab (Stelara)?
What are the possible side effects of ustekinumab (Stelara)?
What is the most important information I should know about ustekinumab (Stelara)?
What should I discuss with my health care provider before using ustekinumab (Stelara)?
How should I use ustekinumab (Stelara)?
What happens if I miss a dose (Stelara)?
What happens if I overdose (Stelara)?
What should I avoid while using ustekinumab (Stelara)?
What other drugs will affect ustekinumab (Stelara)?
Where can I get more information?

What happens if I miss a dose (Stelara)?

Call your doctor for instructions if you miss an appointment for your ustekinumab injection.

What happens if I overdose (Stelara)?

Seek emergency medical attention if you think you have received too much of this medicine.

Symptoms of a ustekinumab overdose are not known.

What should I avoid while using ustekinumab (Stelara)?

Avoid injecting this medication into skin that is bruised, red, tender, or hardened.

Avoid being near people who have colds, the flu, or other contagious illnesses. Contact your doctor at once if you develop signs of infection.

Do not receive a "live" vaccine while you are being treated with ustekinumab, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), oral polio, chickenpox (varicella), BCG (Bacillus Calmette and Guérin), and nasal flu vaccine.

BCG vaccine should not be given for at least 1 year after you receive your last dose of ustekinumab.

Non-live vaccines (including flu shots) may not work as well during your treatment, and may not fully protect you from disease. Make sure you are current on all vaccines before you begin treatment with ustekinumab.

What other drugs will affect ustekinumab (Stelara)?

Tell your doctor about all other medications you use, especially:

drugs that weaken your immune system (such as cancer medicine or steroids);
a blood thinner such as warfarin (Coumadin);
cyclosporine (Gengraf, Neoral, Sandimmune);
digoxin (digitalis, Lanoxin, Lanoxicaps);
sirolimus (Rapamune) or tacrolimus (Prograf);
theophylline (Elixophyllin, Theo-24, Uniphyl);
seizure medication such as carbamazepine (Carbatrol, Tegretol), divalproex (Depakote), phenytoin (Dilantin), or valproic acid (Depakene); or
a heart rhythm medication such as disopyramide (Norpace), procainamide (Procan, Pronestyl), or quinidine (Quinidex, Quin-Release Quin-G).

This list is not complete and there may be other drugs that can interact with ustekinumab. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your doctor or pharmacist can provide more information about ustekinumab.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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