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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 injection used to treat different inflammatory conditions in adults. This includes plaque psoriasis, psoriatic arthritis, Crohn's disease, and ulcerative colitis. It belongs to the drug class called interleukin antagonists. It works to lower inflammation and relieve symptoms. After the first few doses, you usually get the Skyrizi (risankizumab) injection every 2 or 3 months. This medication can raise your risk of infection as a side effect.

Indications for Skyrizi

Pros and Cons for Skyrizi

Pros

  • Given every 2 or 3 months after a couple of starter doses (depends on your condition)
  • Can give injections under the skin at home after you get trained

Cons

  • Must be given as an injection
  • Not approved for children

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
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Skyrizi1 package / 1 pen of 150mg/ml
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