What happens if I miss a dose (Stelara, Stelara PFS)?
Call your doctor for instructions if you miss an appointment for your ustekinumab injection.
What happens if I overdose (Stelara, Stelara PFS)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include severe forms of some of the side effects listed in this medication guide.
What should I avoid while using ustekinumab (Stelara, Stelara PFS)?
Avoid injecting this medication into skin that is bruised, red, tender, or hardened.
Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.
Do not receive a "live" vaccine while using 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), Bacillus Calmette-Guérin (BCG), oral polio, rotavirus, smallpox, typhoid, yellow fever, varicella (chickenpox), H1N1 influenza, 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, Stelara PFS)?
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, Jantoven);
- cyclosporine (Gengraf, Neoral, Sandimmune);
- digoxin (digitalis, Lanoxin, Lanoxicaps);
- fentanyl (Abstral, Actiq, Fentora, Duragesic, Lazanda, Onsolis);
- levothyroxine (Synthroid, Levothroid);
- lithium (Eskalith, Lithobid);
- pimozide (Orap);
- sirolimus (Rapamune) or tacrolimus (Prograf);
- theophylline (Elixophyllin, Theo-24, Uniphyl);
- ergot medicine such as ergotamine (Ergomar, Cafergot) or dihydroergotamine (D.H.E. 45, Migranal Nasal Spray);
- seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol), divalproex (Depakote), ethosuximide (Zarontin), phenytoin (Dilantin), or valproic acid (Depakene, Stavzor); or
- a heart rhythm medication such as disopyramide (Norpace), procainamide (Procan, Pronestyl), or quinidine (Quin-G).
This list is not complete and other drugs may interact with ustekinumab. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. 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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