Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zeposia (ozanimod) and Entyvio (vedolizumab) are both medications used to treat ulcerative colitis (UC) in adults. However, they belong to different medication classes and have distinct uses and administration methods. Zeposia is a sphingosine 1-phosphate receptor modulator also approved for relapsing forms of multiple sclerosis (MS), while Entyvio is an integrin antagonist also used for Crohn's disease (CD). Zeposia is taken orally once daily, whereas Entyvio is administered either as an intravenous infusion every two months or as a subcutaneous injection every two weeks. Common side effects of Zeposia include infections and changes in liver tests, while Entyvio may cause headaches, mild infections, and joint pain. You should avoid foods high in tyramine (e.g., aged cheeses, pickled or fermented foods, or alcohol) while taking Zeposia.
Zeposia (ozanimod)
Entyvio (vedolizumab)
Zeposia (ozanimod)
Entyvio (vedolizumab)
Summary of Zeposia vs. Entyvio
Summary for S1P receptor modulator
Prescription only
Zeposia (ozanimod) treats adults with relapsing forms of multiple sclerosis (MS). This medication can also treat adults with ulcerative colitis (UC). It works as a sphingosine 1-phosphate (S1P) receptor modulator to relieve inflammation in the body. It's a capsule you take by mouth, usually once per day (or as directed by your prescriber if you have liver problems). You use a starter pack for the first week. It helps you slowly raise your dosage to a maintenance level. Side effects include upper respiratory infections and higher liver enzymes. Zeposia (ozanimod) is only available as a brand-name medication.
Summary for Integrin antagonist
Prescription only
Entyvio, the brand name for vedolizumab, is an injection used to treat ulcerative colitis (UC) and Crohn's disease (CD) in adults. It belongs to a drug class called integrin antagonists that helps lower inflammation in the gut. Entyvio (vedolizumab) is an infusion that's given through the vein by a healthcare professional. After the first 2 doses, it's usually given every 2 months. If it works well, people can switch to injections under the skin every 2 weeks using prefilled syringes or pens. Side effects include headache, mild infections, and joint pain.