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Interleukin inhibitors prefilled syringe for subcutaneous injection (100 mg/mL)

Ilumya

Generic name: tildrakizumab-asmn

Last updated August 2, 2026 0 views Reviewed by Carmen Pope, Senior Medical Editor, B. Pharm
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What is Ilumya?

Ilumya is used to treat moderate-to-severe plaque psoriasis in adults who are candidates for systemic treatment (injections or pills) or phototherapy (ultraviolet [UV] light therapy). Ilumya is given as an injection under the skin (subcutaneous).

Ilumya (tildrakizumab-asmn) works by binding to the p19 subunit of interleukin-23 (IL-23), a protein involved in inflammation, and blocks it from reaching its receptor. This lowers the release of inflammatory proteins, which helps calm an overactive immune system and improve plaque psoriasis symptoms. Ilumya belongs to the drug class called interleukin inhibitors. it may also be called a monoclonal antibody.

Ilumya received FDA approval on March 20, 2018. There is no generic.

Serious side effects

Ilumya may cause serious side effects, including:

  • Serious allergic reactions. Get emergency medical help right away if you get any of the following symptoms of a serious allergic reaction: feel faint swelling of your face, eyelids, lips, mouth, tongue, or throat chest tightness skin rash trouble breathing or throat tightness
  • Infections. Ilumya is a medicine that may lower the ability of your immune system to fight infections and may increase your risk of infections. Your healthcare provider should check you for infections and tuberculosis (TB) before starting treatment with Ilumya and may treat you for TB before you begin treatment with Ilumya if you have a history of TB or have active TB. Your healthcare provider should watch you closely for signs and symptoms of TB during and after treatment with Ilumya.

Tell your healthcare provider right away if you have an infection or develop symptoms of an infection, including:

  • fever, sweats, or chills cough or shortness of breath blood in your phlegm (mucus) muscle aches warm, red, or painful skin or sores on your body different from your psoriasis weight loss diarrhea or stomach pain burning when you urinate or urinating more often than normal.

Common side effects

The most common side effects of Ilumya include:

  • upper respiratory infections
  • injection site reactions
  • diarrhea

These are not all of the possible side effects of Ilumya. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before receiving

Do not use Ilumya if you have had a severe allergic reaction to tildrakizumab or any of the other ingredients in Ilumya. See the end of this Medication Guide for a complete list of ingredients in Ilumya.

Before receiving Ilumya, tell your healthcare provider about all of your medical conditions, including if you:

  • have any of the conditions or symptoms listed in the section "What is the most important information I should know about Ilumya?"
  • have an infection that does not go away, or that keeps coming back
  • have TB or have been in close contact with someone with TB
  • recently received or are scheduled to receive a vaccine (immunization). You should avoid receiving live vaccines during treatment with Ilumya.
  • are pregnant or plan to become pregnant. It is not known if Ilumya can harm your unborn baby. There is a pregnancy exposure registry for women who become pregnant during treatment with or are exposed to Ilumya during pregnancy. If you become pregnant during treatment with Ilumya, you can enroll in the pregnancy registry. The purpose of this registry is to collect information about the health of women exposed to Ilumya and their baby. Talk with your healthcare provider or call 1-866-626-6847 to enroll in this registry or visit https://mothertobaby.org/ongoing-study/Ilumya-tildrakizumab-asmn
  • are breastfeeding or plan to breastfeed. It is not known if Ilumya passes into your breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

It is not known if Ilumya is safe and effective in children under 18 years of age.

How will I receive Ilumya?

  • Ilumya should only be given to you by a healthcare provider.
  • Ilumya is given as an injection under your skin (subcutaneous injection) in areas of your body such as your thighs, stomach area (abdomen), or upper arm.
  • If you miss a follow-up appointment and do not receive your dose of Ilumya, schedule another appointment as soon as possible.

What are the ingredients in Ilumya?

Active ingredient: tildrakizumab-asmn

Inactive ingredients: L-histidine, L-histidine hydrochloride monohydrate, polysorbate 80, sucrose, and Water for Injection, USP.

Ilumya (tildrakizumab-asmn) is manufactured by Sun Pharmaceutical Industries Limited, Mumbai, Maharashtra, India 400 063. U.S. License No. 2092.

Common questions about Ilumya

What are IL-23 Inhibitors and how do they work?
IL-23 inhibitors represent a class of biologic medications that target interleukin-23 (IL-23), a key inflammatory cytokine that plays a central role in driving immune system dysfunction. Continue reading
Skyrizi vs Ilumya. What’s the difference?
Skyrizi and Ilumya are both IL-23 inhibitors for plaque psoriasis, but Skyrizi treats more conditions, allows at-home self-injection, and is now approved for patients aged 6 and older. Continue reading
Does Ilumya treat psoriatic arthritis?
Ilumya is not approved by the FDA to treat psoriatic arthritis, but studies for this use are ongoing. Illumya is only approved to treat plaque psoriasis at this time. Your doctor may decide, based on their medical judgement, to prescribe Ilumya off-label for other conditions. Continue reading
How does Ilumya compare to other treatments?
There have been few comparative trials comparing Ilumya to other biologics used for the treatment of moderate to severe plaque-type psoriasis. The joint AAD and NPF guidelines conclude that all 11 biologics have grade A evidence for efficacy as monotherapy in plaque psoriasis and a person’s medical and social should be taken into account when choosing a biologic. Certain biologics may be preferred in people who are overweight because they use weight-based dosing (such as infliximab or Stelara), whereas others may be preferred in those with poor compliance because they are dosed every 12 weeks (such as Stelara, Skyrizi or Ilumya). Continue reading
How does Ilumya work to treat psoriasis?
Ilumya works by binding selectively to interleukin-23 (IL-23) which is a naturally occurring cytokine. IL-23 plays a key role in promoting inflammation and regulating other cytokines (such as IL-17) and inflammatory substances, such as TNF-α3-7. By blocking the effects of IL-23, Ilumya helps control the release of IL-17 and TNF-α, which reduces inflammation associated with psoriasis. It also decreases how many inflammatory cells are present within psoriatic lesions, helps prevent plaque formation, and resolves tissue damage. Continue reading
How long does it take Ilumya to work?
It takes approximately 12 weeks for Ilumya to start working with nearly 60% of people experiencing a 75% reduction in the severity of their psoriasis within that time; however, it may take over a year for the full benefits to be seen. Continue reading
How does Ilumya affect my immune system?
Ilumya affects the immune system by blocking the effects of IL-23, a proinflammatory cytokine that helps to regulate inflammation associated with autoimmune conditions, such as psoriasis) as well as bacterial and viral infections. By blocking the effects of IL-23, Ilumya increases your risk of developing infections and may cause the reactivation of latent tuberculosis; however, the risk of serious infections is low (0.3%) and the same as placebo. Continue reading
How is Ilumya administered?
Ilumya is given as by subcutaneous injection by a healthcare professional into an area of undamaged skin such as the abdomen (stomach), thighs, or upper arm. Continue reading
What are the side effects of Ilumya?
Upper respiratory infections, injection site reactions, and diarrhea are the most commonly reported side effects of Ilumya. Continue reading

Related medicines

Before you take this medicine: the information on this page is general and may not cover your personal circumstances. Read the label supplied with your medicine and ask a pharmacist or doctor if you are unsure, especially if you are pregnant, breastfeeding, taking other medicines or managing a long-term condition.
General medicine information Consumer-friendly language Source: Drugs.com

Content is provided for education and is not medical advice. See our medical disclaimer. Source page medically reviewed by Carmen Pope, Senior Medical Editor, B. Pharm on August 2, 2026.