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Tremfya vs. Dupixent

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

Key takeaways

Tremfya (guselkumab) and Dupixent (dupilumab) are both injectable medications used to treat different inflammatory conditions, but they have some key differences. Tremfya is specifically approved for moderate-to-severe plaque psoriasis and active psoriatic arthritis, while Dupixent is used for a wider range of conditions, including eczema, asthma, sinus congestion with nasal polyps, eosinophilic esophagitis, and prurigo nodularis. Tremfya works by blocking the IL-23 protein to reduce inflammation, whereas Dupixent blocks multiple proteins responsible for inflammation. Tremfya is typically injected every 8 weeks after the initial doses, while Dupixent's dosing varies from weekly to monthly depending on the condition being treated. Tremfya is only available as a brand-name medication, making it potentially more expensive, whereas Dupixent also lacks a generic form. Both medications can cause injection site reactions and increase the risk of infections, but Dupixent is more likely to cause eye inflammation and has a broader range of side effects.

Tremfya

(guselkumab)

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Dupixent

(dupilumab)

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Summary for Tremfya

Prescription only

Tremfya (guselkumab) is an injection used to treat certain inflammatory conditions. It's for people ages 6 year and older with plaque psoriasis or psoriatic arthritis. It can also treat adults with ulcerative colitis (UC) or Crohn's disease. This medication is an interleukin antagonist that works to lower inflammation. The dosing schedule is usually every 2 months after the starter doses. Adults with UC or Crohn's disease can also get their maintenance doses once a month. Side effects are upper respiratory infections, headache, and injection site reactions. Long-term side effects include a risk of other infections and liver problems.

Indications for Tremfya

Pros and Cons for Tremfya

Pros

  • Approved for adults and children 6 years and up weighing at least 88 lbs with either plaque psoriasis or psoriatic arthritis
  • Given every 1 or 2 months (depending on your condition and treatment plan)
  • Few side effects
  • Can give yourself injections under the skin at home after you get trained

Cons

  • Given as an injection
  • Raises the risk of infections
  • Can cause some injection site reactions
  • Can take several months to see the benefits of the medication

Common Side Effects for Tremfya

Warnings for Tremfya

  • Serious allergic reactions
  • Risk of infection
  • Liver damage
  • Interaction with vaccines

Summary for Dupixent

Prescription only

Dupixent (dupilumab) is an injection that helps treat certain inflammatory conditions. This includes eczema, asthma, and chronic obstructive pulmonary disease (COPD), among others. It's a biologic medication known as an interleukin antagonist that lowers inflammation. Dupixent (dupilumab) comes as prefilled pens and prefilled syringes. It's injected under the skin of the belly or thighs (or in the back of the upper arm with someone's help). The dosing schedule depends on the condition you have, your age, and your weight. It's injected either every week, every 2 weeks, or every 4 weeks. Side effects include injection site reactions and eye problems.

Indications for Dupixent

Pros and Cons for Dupixent

Pros

  • Taken every other week or monthly for most conditions
  • Approved for some children (specific age depends on the condition)
  • Available as prefilled pens (for people ages 2 years and older)
  • Available as prefilled syringes (for people ages 6 months and older)

Cons

  • Given as an injection under the skin
  • Not used for helping with asthma attacks
  • Can cause injection reactions, such as pain, bruising, and swelling
  • Unknown if it's safe or works well while pregnant or breastfeeding

Common Side Effects for Dupixent

  • Injection site reaction (e.g., pain, swelling, bruising; 10%)
  • Eye redness or eye inflammation (10%)
  • Cold sores (4%)

Warnings for Dupixent

  • Allergic reactions
  • Eye inflammation
  • Other inflammation in the body
  • Risk of worsening of breathing problems in people with asthma or COPD
  • Risk of psoriasis
  • Joint pain and psoriatic arthritis
  • Unknown effect in people with parasitic worm infections
  • Interaction with vaccines

Prices with our coupons for Tremfya vs. Dupixent

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Tremfya1 injection / 1ml of 100mg/ml
$13,364.33-
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Dupixent2 cartons / 2 pens of 300mg/2ml
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