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Ustekinumab, for intravenous injection, 1 mg

HCPCS code

Name of the Procedure:

Ustekinumab for Intravenous Injection (1 mg), also known as Stelara IV.

Summary

Ustekinumab is a medication given through an IV to treat certain autoimmune conditions. It works by targeting and inhibiting specific proteins in the immune system that can cause inflammation.

Purpose

Ustekinumab is used to manage and alleviate symptoms of autoimmune diseases such as Crohn's disease and ulcerative colitis. The primary goal is to reduce inflammation, achieve and maintain remission, and improve the quality of life.

Indications

  • Moderate to severe Crohn's disease
  • Moderate to severe ulcerative colitis
  • Other autoimmune conditions as determined by a healthcare provider

Preparation

  • Pre-procedure: Patients may need to undergo lab tests to check for infections.
  • Ensure no signs of infections are present.
  • Patients should inform their doctor about any medications they are taking.

Procedure Description

  1. Patient arrives at the medical facility.
  2. A healthcare professional inserts an IV line into a vein.
  3. Ustekinumab solution is administered through the IV over the course of about an hour.
  4. The patient is monitored for any reactions during and after the infusion.

Duration

The infusion typically takes about one hour.

Setting

  • Hospital
  • Outpatient clinic

Personnel

  • Nurses to administer the IV
  • Doctor to supervise and manage the procedure
  • Support staff as needed

Risks and Complications

  • Common: Headache, fatigue, nausea.
  • Rare: Serious infection, allergic reactions, injection site reactions.
  • Management: Monitoring and immediate intervention for severe reactions; antibiotics for infections.

Benefits

  • Reduction in disease symptoms.
  • Improved overall well-being.
  • The effects may be noticed within a few weeks after the infusion.

Recovery

  • Patients can usually go home shortly after the procedure.
  • Minimal restrictions apply, normal activities can typically be resumed.
  • Follow-up appointments to monitor progress and adjust treatment.

Alternatives

  • Other IV medications like Infliximab.
  • Oral or subcutaneous medications.
  • Pros and cons should be discussed with a healthcare provider.

Patient Experience

  • The patient might feel a slight sting from the IV insertion.
  • The infusion process is typically comfortable.
  • Post-procedure: Patients may feel a bit tired; however, managing any discomfort can usually be done with over-the-counter pain relievers. Regular monitoring helps ensure they remain comfortable and safe.

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