bDMARDs Quick Reference Guide
| Rheumatology | Severe psoriatic arthritis |
| Dermatology | Severe chronic plaque psoriasis |
| Gastroenterology | Severe Crohn disease |
None
Vial for IV infusion 130mg/26mL
Store at 2-8oC (refrigerate do not freeze).
Keep the vial in the outer carton until time of use to protect from light.
Do not shake.
Diluted infusion solution may be stored for up to 8 hours below 25oC.
Crohn disease: initial dose only given by IV infusion:
| Body weight | Dose |
| <55kg | 260mg |
| 55-85kg | 390mg |
| >85kg | 520mg |
Hypersensitivity reactions including rash and urticaria can occur with IV infusion.
Immunosuppression may increase risk and severity of infection. Ustekinumab should be used with caution in serious or untreated infection, e.g. sepsis, hepatitis B, active TB (before completing treatment).
May reactivate inactive hepatitis B and latent TB (begin TB treatment before starting ustekinumab).
Patients with suspected latent or active TB should be treated in consultation with an Infectious Diseases physician.
Live vaccines should not be given concurrently with ustekinumab or for 15 weeks after cessation of therapy.
Pharmaceutical benefits Scheme (PBS) listing. Available from https://www.pbs.gov.au/medicine/item/10767Q-10774C-11164N-11178H-11182M-9304Q-9305R [accessed 6/10/21]
Product information. Available from https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2020-PI-02581-1 [accessed 6/10/21]
Australian Medicines Handbook 2020 (online). Adelaide: Australian Medicines Handbook Pty Ltd; 2020 July. Available from: https://amhonline.amh.net.au/