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Skyrizi

risankizumab-rzaa
Used for Plaque Psoriasis, Psoriatic Arthritis, Crohn's Disease
Used for Plaque Psoriasis, Psoriatic Arthritis, Crohn's Disease

Skyrizi (risankizumab-rzaa or risankizumab) is a medication that works as an interleukin antagonist to help lessen inflammation. It's used to treat plaque psoriasis, psoriatic arthritis, and Crohn's disease in adults. This medication is an injection that you typically only need to get every 2 or 3 months after the first couple doses. You can give yourself the injection at home once you get trained on how to use the medication safely and properly. Side effects might differ based on your dose and why you're taking Skyrizi (risankizumab), but can generally include joint pain and a higher risk of infections.

Last reviewed on October 9, 2023
basics-icon

What is Skyrizi (risankizumab)?

What is Skyrizi (risankizumab) used for?

  • Moderate-to-severe plaque psoriasis

  • Psoriatic arthritis

  • Moderate-to-severe Crohn's disease

How Skyrizi (risankizumab) works

Skyrizi (risankizumab) is a monoclonal antibody that works as an interleukin antagonist. It attaches to certain proteins in your immune system called interleukin-23 (IL-23) that play a role in causing inflammation. This stops the proteins from getting turned on, which helps lower inflammation.

Drug Facts

Common BrandsSkyrizi
Drug ClassInterleukin antagonist
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only

More on Skyrizi (risankizumab) essentials

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What are the side effects of Skyrizi (risankizumab)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Other Side Effects

  • Injection site reaction (e.g., bruising, redness, pain, swelling, itching, warmth, bleeding, irritation)
  • Stomach pain
  • Fungal infections

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Serious allergic reactions: difficulty breathing; hives; swelling of your face, lips, tongue, or throat
  • Infection: fever; cough; difficulty breathing; diarrhea; weakness; sweating; chills; scaly, itchy, or burning skin

Source: DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Infection—fever, chills, cough, sore throat, wounds that don't heal, pain or trouble when passing urine, general feeling of discomfort or being unwell
  • Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

pros-and-cons

Pros and cons of Skyrizi (risankizumab)

thumbs-up

Pros

Given every 2 or 3 months after a couple of starter doses (depends on your condition)

Available as a prefilled syringe, prefilled pen, and On-Body Injector for easier use

Can inject at home after proper training

thumbs-down

Cons

Not approved for use in children

Only available as an injection

Might be difficult for some people to administer correctly

pharmacist-tips

Pharmacist tips for Skyrizi (risankizumab)

pharmacist
  • For treating plaque psoriasis and psoriatic arthritis: You can give yourself injections of Skyrizi (risankizumab) at home once you get trained by your provider. You'll use either the Skyrizi prefilled syringe or pen.

    • For treating Crohn's disease: Your provider will give your first 3 doses of Skyrizi (risankizumab) as an infusion through the vein. Be sure to schedule appointments for your infusions; each infusion takes at least 1 hour. After your starter doses, your injections will be given under the skin, and your provider might let you use the medication at home after you get trained. You'll use the Skyrizi On-Body Injector and prefilled cartridges at home.

      • Before you get any vaccines, tell your provider or pharmacist that you're taking Skyrizi (risankizumab). Your providers can make sure the vaccines are safe for you to get. It's not known whether the medication affects how your body responds to vaccines.

        Tips for using Skyrizi (risankizumab) at home

        • Your healthcare team will train you on how to use Skyrizi (risankizumab) at home. Make sure you know how to safely and properly give yourself injections. As a refresher, be sure to read the instructions for the Skyrizi prefilled syringe or pen or the On-Body Injector. Ask your providers if you have any questions on how to use Skyrizi (risankizumab).

          • Keep Skyrizi (risankizumab) in the original carton to protect it from light and place it in the refrigerator.

            • When you're ready for your dose, take the Skyrizi (risankizumab) carton out of the refrigerator (without taking out the pen, syringe, cartridge, or On-Body Injector from the carton). Lay it on a flat surface to warm up; this should take about 15 to 90 minutes, depending on the device you're using. Don't try to warm up the medication any other way.

              • Skyrizi (risankizumab) is injected under the skin at the front of your thighs or stomach (at least 2 inches from your belly button). For the Skyrizi prefilled pen or syringe, you can also ask someone to help inject the medication under the skin at the back of your upper arms. Never inject it into your muscle or vein.

                • Skyrizi prefilled pen: Your injection is complete when the pen makes a second "click" or when the yellow indicator fills the inspection window. An injection can take up to 15 seconds.

                  • Skyrizi prefilled syringe: The prefilled syringes come in two strengths (150 mg/mL and 75 mg/0.83 mL). If you're using the 75 mg/0.83 mL strength, you'll need two 75 mg injections, one after the other, to make your 150 mg dose. Use a different area of skin for each injection. Each injection is complete when you see that the syringe is empty, the plunger rod is pushed all the way in, and the whole needle is covered by the needle guard.

                    • Skyrizi On-Body Injector: It can take up to 5 minutes to complete a full injection, and the On-Body Injector will stop by itself. You'll know when your injection is done when you hear beeps and when the status light becomes solid green (not flashing).

                      • After your injection, place your Skyrizi device in a sharps container or a heavy-duty plastic container (e.g., empty milk carton, laundry detergent bottle) to lower the risk of needle-stick injuries. Don't throw away syringes, needles, or On-Body Injectors into your trash can. Visit the FDA's website for guidance on how to safely throw away your sharps container in your specific state.

                        More on Skyrizi (risankizumab) tips

                        faqs

                        Frequently asked questions about Skyrizi (risankizumab)

                        How long do Skyrizi (risankizumab) side effects last?
                        Side effects of Skyrizi (risankizumab) can include infections, such as upper respiratory infections, among others. These infections can last a few days to a few months, depending on the type and severity of the infection. Talk to your provider if you have a fever, cough, weakness, night sweats, or chills while you’re taking Skyrizi (risankizumab) because these can be signs of an infection that might require treatment. It's unclear how long other side effects, like headache or joint pain, will last though. Tell your provider if you’re having other bothersome side effects like headache or fatigue that aren’t getting better with time.
                        Is Skyrizi (risankizumab) a biologic?
                        Yes, Skyrizi (risankizumab) is a type of biologic medication. Biologics are medications that are made from living sources, like cells, in the lab. Skyrizi (risankizumab) is a monoclonal antibody, which is a lab-made protein that's made from cells. The medication helps block inflammation in your body to relieve symptoms of different inflammatory problems.
                        How is Skyrizi (risankizumab) administered?
                        Skyrizi (risankizumab) is given as an injection under the skin into the fat tissue between your skin and muscle. You can inject the medication under the skin of your upper thighs or stomach (at least 2 inches away from your belly button). Make sure to choose a different area for your injection than the last time you used the medication to lower the risk of bruising and skin irritation. Don't inject into an area of skin that's sore, bruised, red, hard, scarred, or has stretch marks or in areas with psoriasis. Also, don't inject through clothes. For Crohn's disease only, the first 3 doses of Skyrizi (risankizumab) are given by a healthcare provider as an infusion through the veins that lasts at least 1 hour.
                        Is Skyrizi (risankizumab) an immunosuppressant?
                        Skyrizi (risankizumab) can be considered an immunosuppressant. This medication blocks a certain protein in your immune system and makes the immune system less active to treat certain health conditions that cause too much inflammation. But in the process, Skyrizi (risankizumab) can weaken your immune system and raise your risk for infections.
                        How long can Skyrizi (risankizumab) stay out of the fridge?
                        You should keep Skyrizi (risankizumab) in the refrigerator at a temperature between 36°F and 46°F at all times. The only time the medication can be out of the refrigerator is when you're letting it reach room temperature right before your dose (15 to 30 minutes for the prefilled syringe, 30 to 90 minutes for the prefilled pen, and 45 to 90 minutes for the On-Body Injector). If Skyrizi (risankizumab) is accidentally left at room temperature for a longer period of time, throw it away and contact your provider or pharmacist for a replacement. If you're traveling and don't have access to a refrigerator, make arrangements to properly store the medication (for example, a portable cooler with ice packs).
                        How long does it take for Skyrizi (risankizumab) to work?
                        How long it takes for Skyrizi (risankizumab) to work will depend on what condition the medication is being used for. Studies show that some people saw improvements in their symptoms within 2 months of treatment for plaque psoriasis and psoriatic arthritis and within 1 month of treatment for Crohn's disease. Keep in mind that everyone responds to Skyrizi (risankizumab) differently. So make sure to follow up with your provider about how well Skyrizi (risankizumab) is working for your medical condition.
                        Does Skyrizi (risankizumab) cause hair loss?
                        Hair loss wasn't a side effect that was reported by people using Skyrizi (risankizumab) during clinical trials. Contact your provider if you notice hair loss while you're taking Skyrizi (risankizumab). Your provider can examine you for possible causes for any hair loss.
                        Does Skyrizi (risankizumab) cause weight gain?
                        Skyrizi (risankizumab) doesn't appear to cause weight changes. In clinical studies, people taking Skyrizi (risankizumab) didn't report weight gain or weight loss. Speak with your provider if you experience unusual weight changes while you're taking Skyrizi (risankizumab).
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                        What are the risks and warnings for Skyrizi (risankizumab)?

                        Skyrizi (risankizumab) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                        risk-warning

                        Allergic reaction

                        It's possible to have a serious allergic reaction to Skyrizi (risankizumab). These allergic reactions can include difficulty breathing; hives; swelling of your face, lips, tongue, or throat; or any other symptom of anaphylaxis. Get medical help right away if you have an allergic reaction to Skyrizi (risankizumab) at any time during treatment.

                        risk-warning

                        Infections

                        • Risk factors: Active, chronic, or recurrent infection | Having other conditions that raise your risk of infection

                          Skyrizi (risankizumab) can affect your body's ability to fight off germs and raise your risk for bacterial, viral, or fungal infections. In clinical studies, people most commonly reported upper respiratory infections and fungal infections.

                          Skyrizi (risankizumab) can also cause new or old tuberculosis (TB) infections to come back. You'll need to get tested for TB before you start this medication and get treated if it's confirmed that you have TB. Tell your provider about your medical conditions and medications to make sure Skyrizi (risankizumab) is safe to take.

                          Contact your provider if you develop symptoms of an infection, such as fever; cough; difficulty breathing; diarrhea; weakness; sweating; chills; or itchy, scaly, or burning skin). Your provider can examine you to see whether you have an infection. If you do, you might have to stop taking Skyrizi (risankizumab) so your body can fight the infection.

                          risk-warning

                          Caution when getting vaccines

                          Avoid getting live vaccines because it's not known whether they're safe to get while you're taking Skyrizi (risankizumab). Examples of live vaccines include Varivax (chickenpox vaccine) and MMR (measles, mumps, and rubella vaccine). It's best to be up to date on all your vaccines before you start Skyrizi (risankizumab). Let your provider or pharmacist know that you're taking Skyrizi (risankizumab) before you get any vaccines.

                          risk-warning

                          Rare case of liver injury in the treatment of Crohn's disease

                          So far, one person with Crohn's disease has had serious liver injury after getting a couple doses of Skyrizi (risankizumab) infused through the vein. Tell your provider if you have any liver problems along with Crohn's disease before starting this medication to make sure it's safe for you. Although liver injury is rare, your provider might order blood tests to check your liver health when you first start Skyrizi (risankizumab) for Crohn's disease. Get medical attention right away if you have any symptoms of liver injury, such as stomach pain, nausea, or yellowing of the skin or whites of the eyes.

                          dosage

                          Skyrizi (risankizumab) dosage forms

                          Typical dosing for Skyrizi (risankizumab)

                          • Plaque psoriasis and psoriatic arthritis: The typical starting dose is 150 mg injected under the skin once every month for the first 2 doses. Then, it's given once every 3 months.

                          • Crohn's disease: The typical starting dose is 600 mg infused through the veins (intravenous or IV) once every month for the first 3 doses. Then one month later, the dose changes to 180 mg or 360 mg injected under the skin that's given once every 2 months.

                          More on Skyrizi (risankizumab) dosage forms

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                          alternatives

                          What are alternatives to Skyrizi (risankizumab)?

                          There are a number of medications that your doctor can prescribe in place of Skyrizi (risankizumab). Compare a few possible alternatives below.
                          Skyrizi (risankizumab)
                          Used for:
                          • Moderate-to-severe plaque psoriasis

                          • Psoriatic arthritis

                          • Moderate-to-severe Crohn's disease

                          $20217.99 Lowest GoodRx priceView Prices
                          Used for:
                          • Rheumatoid arthritis (RA) - adults only

                          • Juvenile idiopathic arthritis (JIA) - people age 2 and older

                          • Psoriatic arthritis (PsA) - adults only

                          • Ankylosing spondylitis (AS) - adults only

                          • Crohn's disease (CD) - people age 6 and older

                          • Ulcerative colitis (UC) - people age 5 and older

                          • Plaque psoriasis - adults only

                          • Hidradenitis suppurativa (HS) - people age 12 and older

                          • Uveitis - people age 2 and older

                          $1115.35 Lowest GoodRx priceView Prices
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                          What is the latest news about Skyrizi (risankizumab)?

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                          Skyrizi (risankizumab) images

                          yellow - Skyrizi 150mg / mL Prefilled Pen Solution for Injection
                          This medicine is Yellow Package.yellow - Skyrizi 150mg / mL Prefilled Pen Solution for Injection

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                          References

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