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
PNH: Note: Side effects reported by adults with PNH getting IV infusions of Ultomiris (ravulizumab)
- Upper respiratory tract infection (39%)
- Headache (32%)
aHUS:
- Headache (40%)
- Diarrhea (31%)
- Nausea (26%)
- Vomiting (26%)
- Upper respiratory tract infection (26%)
- High blood pressure (24%)
- Joint pain (22%)
- Fever (19%)
- Cough (17%)
- Shortness of breath (17%)
- Swelling in arms or legs (17%)
- Urinary tract infection (17%)
gMG:
- Diarrhea (15%)
- Upper respiratory tract infection (14%)
NMOSD:
- COVID-19 infection (24%)
- Headache (24%)
- Back pain (12%)
- Joint pain (10%)
- Urinary tract infection (10%)
Less Common Side Effects
PNH:
- Diarrhea
- Nausea
- Stomach pain
- Pain in arms, legs, or joints
- Fever
- Dizziness
aHUS:
- Tiredness
- Anxiety
- Constipation
- Stomach infections
- Stomach pain
- Pain in arms and legs
- Back pain
- Muscle spasm
- Hair loss
- Dry skin
gMG:
- Dizziness
- Back pain
- Stomach pain
- Urinary tract infection
NMOSD:
- Upper respiratory tract infection
- Fever
- Constipation
- Vomiting
- Dizziness
Ultomiris serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Serious infections (including meningococcal infections): fever, weakness, chills, trouble breathing, cough, diarrhea, stomach pain, burning when you urinate, urinating more or less often, neck pain, neck stiffness, confusion, severe headache
- Severe allergic reaction: rash, trouble breathing, feeling faint, swelling of the face or throat
Source: DailyMed
The following Ultomiris 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
- Fever, neck pain or stiffness, sensitivity to light, headache, nausea, vomiting, confusion, which may be signs of meningitis
- Infection—fever, chills, cough, sore throat, wounds that don't heal, pain or trouble when passing urine, general feeling of discomfort or being unwell
- Infusion reactions—chest pain, shortness of breath or trouble breathing, feeling faint or lightheaded
- Low blood pressure—dizziness, feeling faint or lightheaded, blurry vision
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):


