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Stelara vs. Skyrizi

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

Key takeaways

Stelara (ustekinumab) and Skyrizi (risankizumab) are both medications used to treat autoimmune conditions like plaque psoriasis, psoriatic arthritis, and Crohn's disease, as well as ulcerative colitis. They belong to the same medication class, interleukin antagonists, which help reduce inflammation by blocking certain proteins in the immune system. However, they have some differences. Stelara is available for both adults and children as young as 6 years old for some indications, whereas Skyrizi is only approved for adults. Stelara is typically injected under the skin every 8 to 12 weeks, depending on the condition, while Skyrizi is given every 2 to 3 months after initial doses. Both medications can weaken your immune system, but Stelara has additional risks like posterior reversible encephalopathy syndrome (PRES) and lung swelling. Common side effects of Stelara include nasal passage inflammation and headaches, while Skyrizi may cause upper respiratory infections and joint pain. Neither medication is available in a generic form.

Stelara

(ustekinumab)

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Skyrizi

(risankizumab)

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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

Summary for Skyrizi

Prescription only

Skyrizi (risankizumab or risankizumab-rzaa) is an injectable medication for many inflammatory conditions. It treats plaque psoriasis in adults and children ages 6 years and up. It can also treat psoriatic arthritis, Crohn's disease, and ulcerative colitis in adults. This medication works as an interleukin antagonist to help lower inflammation. After a few starter doses, it's given every 2 or 3 months, depending on the condition being treated. Side effects include a higher risk of infection.

Indications for Skyrizi

Pros and Cons for Skyrizi

Pros

  • Given every 2 or 3 months after the starter doses (depends on your condition)
  • Can give maintenance doses at home as injections under the skin after proper training
  • Approved for children as young as 6 years old with plaque psoriasis

Cons

  • Must be given as an injection
  • Can raise the risk of infection
  • Might take several weeks to months to work fully

Common Side Effects for Skyrizi

Warnings for Skyrizi

  • Allergic reaction
  • Risk of infection
  • Rare case of liver injury
  • Caution when getting vaccines

Prices with our coupons for Stelara vs. Skyrizi

Price Card Drug Icon
Ustekinumab1 syringe / 1ml of 90mg/ml
$7,002.73$11,160.72
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Skyrizi1 package / 1 pen of 150mg/ml
$20,217.99-
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