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Entocort vs. Stelara

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Entocort EC (budesonide) and Stelara (ustekinumab) are both used to treat Crohn's disease, but they have different uses and ways of working. Entocort EC is a corticosteroid taken by mouth once daily, while Stelara is an injectable medication given under the skin or through an IV. Entocort EC is specifically for mild-to-moderate Crohn's disease and works by reducing inflammation in the intestines. Stelara, on the other hand, treats a range of autoimmune conditions, including moderate-to-severe Crohn's disease, by blocking certain proteins in the immune system to lower inflammation. Entocort EC is available as a lower-cost generic, but Stelara does not have a generic form. Common side effects of Entocort EC include headaches and respiratory infections, while Stelara can cause nasal passage inflammation and headaches. Additionally, Stelara can weaken your immune system more significantly, raising the risk of infections and certain cancers.

Budesonide

 

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Stelara

(ustekinumab)

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Summary for Entocort

Prescription only

Budesonide is a corticosteroid that's used to treat mild-to-moderate Crohn's disease in adults and children. It's available as capsules that are taken by mouth once daily. The most common side effects are headache and respirator infections. More rarely, it might cause weight gain too.

Indications for Entocort

Pros and Cons for Entocort

Pros

Cons

Common Side Effects for Entocort

Treatment of active, mild-to-moderate Crohn’s disease:

  • Headache (21%)
  • Infection in your air passageway (respiratory infection; 11%)
  • Nausea (11%)
  • Back pain (7%)
  • Dizziness (7%)
  • Upset stomach or indigestion (6%)
  • Gas (6%)
  • Stomach pain (6%)
  • Vomiting (6%)
  • Feeling tired (5%)
  • Pain (5%)

Maintenance of remission of Crohn’s disease**:

  • Diarrhea (10%)
  • Sinus inflammation (8%)
  • Viral infection (6%)
  • Joint pain (5%)

** Side effects listed are in addition to those observed with treatment of active Crohn's disease.

Warnings for Entocort

  • Changes in stress hormone levels in the body
  • Higher risk of infections
  • Worsening of certain medical conditions

Summary for Stelara

Prescription only

Stelara (ustekinumab) is an injectable medication used to treat autoimmune conditions like plaque psoriasis, psoriatic arthritis, Crohn's disease, and ulcerative colitis. As an interleukin antagonist, it works by blocking certain proteins that cause inflammation in your body, which helps reduce swelling and ease symptoms. You typically get it as an injection under your skin. Common side effects include common cold symptoms, headache, and feeling tired. This medication also has many biosimilars available.

Indications for Stelara

Pros and Cons for Stelara

Pros

  • After the first few doses, only need a shot every 8 to 12 weeks
  • Available as a prefilled syringe or vial
  • Syringes can be stored at room temperature for up to 30 days
  • Approved for children as young as 6 years old

Cons

  • Can weaken your immune system and raise your risk of infection
  • Potential to cause serious allergic reactions
  • For CD and UC, the first dose must be given as an IV infusion
  • Can't receive live vaccines while taking this medication

Common Side Effects for Stelara

Plaque psoriasis

  • Common cold symptoms (7-8%)
  • Upper respiratory tract infection (4-5%)
  • Headache (5%)

Psoriatic arthritis

  • Joint pain (3%)
  • Nausea (3%)

Crohn's disease

  • Common cold symptoms (11%)
  • Redness at the injection site (5%)
  • Yeast infection (5%)
  • Bronchitis (5%)

Ulcerative colitis:

  • Common cold symptoms (24%)
  • Headache (10%)
  • Stomach pain (7%)
  • Flu infection (6%)
  • Fever (5%)

Warnings for Stelara

  • Infections
  • Cancers
  • Severe allergic reaction
  • Brain condition
  • Vaccines
  • Lung problems

Prices with our coupons for Entocort vs. Stelara

Price Card Drug Icon
Budesonide90 capsules / 3mg
$55.25$1,452.86
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Price Card Drug Icon
Ustekinumab1 syringe / 1ml of 90mg/ml
$7,005.48$14,341.60
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