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Drug: Ustekinumab
Brand: Pyzchiva 45mg
Manufacturer /
TM Owner
Samsung Bioepis
Origin: South Korea

Pyzchiva 45mg Vial

Pyzchiva contains Ustekinumab, a monoclonal antibody. It binds precisely to a disease-driving target, blocking harmful signalling or flagging abnormal cells for immune destruction. It is used in the treatment of autoimmune and inflammatory diseases. It is supplied as a vial (45mg). Available on prescription, it forms part of modern, guideline-driven care.
Strength: 45mg
Pack Size: 1s
Storage: 2°C to 8°C
Form: Vial

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Indications & Clinical Uses

  • Pyzchiva 45 mg (ustekinumab-ttwe in the US) is a biosimilar to the reference biologic Stelara, containing the same active substance, ustekinumab, a monoclonal antibody that blocks the interleukin-12 and interleukin-23 pathways involved in inflammation.
  • It is indicated for moderate to severe plaque psoriasis in adults and in children and adolescents aged 6 years and older who have not responded adequately to, or cannot tolerate, other systemic therapies; for active psoriatic arthritis in adults, alone or with methotrexate; and for moderately to severely active Crohn's disease and, in the US label, ulcerative colitis in adults.
  • The 45 mg single-dose vial is given by subcutaneous injection and is intended for patients weighing 100 kg or less; heavier patients typically need the 90 mg strength.
  • Pyzchiva is administered by, or under the guidance of, a healthcare provider trained in giving injectable biologics.

Side Effects

  • The most common side effects of Pyzchiva, reported in more than 5 in 100 people, are headache and nasopharyngitis (a cold-like upper airway infection).
  • Other common reactions include upper respiratory tract infection, fatigue, injection-site redness, nausea, vomiting and diarrhoea, depending on the condition treated.
  • There is no boxed warning on the current label, but Pyzchiva can lower the body's ability to fight infection, so serious bacterial, fungal, viral or mycobacterial (including tuberculosis) infections have occurred; report fever, persistent cough, weight loss or wounds that will not heal promptly.
  • Seek urgent medical help for signs of a severe allergic reaction, such as facial swelling, difficulty breathing or widespread rash, or for new headaches, seizures, confusion or vision changes, which can rarely indicate a serious brain condition called posterior reversible encephalopathy syndrome.

Precautions & Warnings

  • Pyzchiva must not be given to anyone with a clinically significant hypersensitivity to ustekinumab or any vial ingredient.
  • Before starting treatment, patients should be evaluated for tuberculosis and screened for other infections, and Pyzchiva should not be started during an active, clinically important infection.
  • Because ustekinumab affects the immune system, there is a potential increased risk of malignancy, and regular skin checks are recommended, particularly for non-melanoma skin cancer.
  • Live vaccines (such as BCG, MMR, yellow fever or oral typhoid) should be avoided during treatment, and vaccinations should ideally be brought up to date beforehand.
  • Use in pregnancy or breastfeeding should be discussed with a healthcare provider, as data are limited.
  • Pyzchiva is for subcutaneous injection only; the 45 mg single-dose vial must be refrigerated at 2°C to 8°C, protected from light, and never frozen or shaken.

Avoid Interactions

  • Live vaccines should not be given while receiving Pyzchiva, and BCG vaccination should be avoided for at least one year before or after treatment.
  • Clinical studies found no clinically meaningful interactions between ustekinumab and cytochrome P450 enzyme substrates, so no dose adjustment is generally needed for medicines metabolised this way.
  • Pyzchiva has been used together with methotrexate, corticosteroids, NSAIDs and other immunosuppressants such as azathioprine or 6-mercaptopurine without unexpected interactions, but combined immunosuppression increases infection risk and should be monitored.
  • Allergen immunotherapy may be less effective, and its protective effect against severe allergic reactions may be reduced, during Pyzchiva treatment.
  • Always tell your healthcare provider about all prescription, over-the-counter and herbal products you use, and never mix or dilute the injection with other substances.

References

Frequently Asked Questions

Pyzchiva (ustekinumab) is a biosimilar to Stelara, used to treat moderate to severe plaque psoriasis in adults and children aged 6 and over, active psoriatic arthritis, and moderately to severely active Crohn's disease; the US label also covers ulcerative colitis.

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