Product image of Imuldosa (Ustekinumab) supplied by GNH India

Imuldosa

Active Ingredient:
Ustekinumab
Origin:
EU

Imuldosa (Ustekinumab)

Ustekinumab, the active ingredient in Imuldosa, is a IL-12/23 inhibitor presented as a sterile solution for intravenous use. It modulates immune activity and is indicated for the treatment of plaque psoriasis, psoriatic arthritis, and Crohn's disease in adult patients.

GNH India supplies Imuldosa as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and clinics worldwide. The company adheres to stringent quality standards and provides reliable cold‑chain logistics for biologic products.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Imuldosa (ustekinumab) targets the interleukin‑12 and interleukin‑23 pathways, which are central to several inflammatory disorders.

  • Plaque psoriasis: reduces skin plaque formation and improves disease severity.
  • Psoriatic arthritis: alleviates joint pain, swelling, and structural damage.
  • Crohn's disease: induces clinical remission and promotes mucosal healing.

How It Works

  • Ustekinumab is a human IgG1 monoclonal antibody that binds with high affinity to the p40 subunit shared by interleukin‑12 and interleukin‑23. By blocking these cytokines from interacting with their cell‑surface receptors, the drug suppresses Th1 and Th17 mediated inflammatory pathways, leading to decreased production of downstream pro‑inflammatory mediators.

Side Effects

Ustekinumab may be associated with a range of adverse reactions, which are generally categorized by frequency and severity.

Common Side Effects

  • Upper respiratory tract infection: mild symptoms such as sore throat or nasal congestion.
  • Headache: transient and usually mild.
  • Fatigue: general tiredness without specific cause.
  • Injection site reaction: redness or swelling at the infusion site.

Serious or Rare Side Effects

  • Serious infections: including tuberculosis and opportunistic pathogens.
  • Malignancies: rare cases of lymphoma or skin cancer.
  • Hypersensitivity reactions: anaphylaxis or severe rash.
  • Cardiovascular events: rare cases of myocardial infarction or stroke.

Precautions & Warnings

Before initiating Imuldosa, several precautionary measures should be considered to ensure patient safety.

  • Screen for latent infections: test for tuberculosis and hepatitis before therapy.
  • Monitor for active infections: postpone dosing if serious infection is present.
  • Evaluate malignancy risk: avoid use in patients with a history of malignancy unless benefits outweigh risks.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk, as safety data are limited.
  • Vaccinations: administer required non‑live vaccines prior to treatment; avoid live vaccines during therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ustekinumab can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Live vaccines: concurrent use may cause uncontrolled infection.
  • Other biologic immunosuppressants: combined therapy can markedly increase infection risk.

Moderate Interactions (Monitor Closely)

  • Systemic corticosteroids: may enhance immunosuppression, requiring infection monitoring.
  • Antifungal agents (e.g., azoles): may affect immune response, monitor for signs of infection.
  • Cytochrome P450 substrates: ustekinumab has minimal effect, but monitor drugs with narrow therapeutic index.

Frequently Asked Questions

Imuldosa, whose active ingredient is ustekinumab, is prescribed for adult patients with moderate to severe plaque psoriasis, psoriatic arthritis, and moderate to severe Crohn's disease when other systemic therapies are insufficient or unsuitable.

Ustekinumab is a monoclonal antibody that binds to the p40 subunit shared by interleukin‑12 and interleukin‑23. This binding blocks the cytokines from activating their receptors, thereby reducing Th1 and Th17 driven inflammation that underlies psoriasis, psoriatic arthritis, and Crohn's disease.

The dose and infusion schedule of Imuldosa are individualized by the prescribing healthcare professional based on the patient’s weight, disease severity, prior treatment response, and clinical guidelines. Patients should follow the prescriber’s specific instructions.

Safety data for ustekinumab in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by the treating physician.

To request Imuldosa, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics), and necessary import documentation.

Imuldosa (ustekinumab) targets both IL‑12 and IL‑23, whereas some alternatives focus on a single cytokine (e.g., IL‑17 inhibitors). This dual inhibition can offer efficacy in patients who have not responded to agents that block only one pathway, but the choice of therapy depends on individual disease characteristics, prior treatment history, and safety considerations.

Imuldosa should be stored in a refrigerator at 2 °C to 8 °C. It must be kept in its original packaging, protected from light, and must not be frozen or shaken. If the product reaches room temperature, it should be used promptly according to the manufacturer’s guidance.

Imuldosa is supplied as a sterile intravenous solution. It is administered by a qualified healthcare professional through an IV infusion, typically over a period of 30 to 60 minutes, following the dosing schedule prescribed by the treating physician.

The most serious risks include severe or opportunistic infections (such as tuberculosis), potential development of malignancies, hypersensitivity reactions including anaphylaxis, and rare cardiovascular events. Patients should be monitored closely for signs of infection, new skin lesions, or allergic reactions throughout treatment.

Imuldosa is contraindicated in patients with known hypersensitivity to ustekinumab or any component of the formulation. It should also be avoided in individuals with active serious infections, uncontrolled tuberculosis, or those who have received live vaccines within four weeks of dosing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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