Table 2

Adverse effects and risks with different ulcerative colitis treatments

MedicationObserved side effectsLong-term risks/concerns
Anti-TNF therapyInfusion reactions, headache, upper respiratory tract infection, diarrhoea, arthralgia.Lymphoma, paradoxical psoriasis, tuberculosis or viral hepatitis reactivation, infections.
Anti-integrin therapyHeadache, upper respiratory tract infection, arthralgia.Very few reported.
Anti-IL12/23 therapyInfusion reactions, headache, upper respiratory tract infection, diarrhoea, arthralgia.Infections.
JAK inhibitorsTemporary worsening of diarrhoea, headache.Varicella reactivation, hypercholesterolaemia, infections, increased risk of cardiovascular events.
S1P receptor modulatorsNausea, arthralgia, headache.Liver function abnormalities.
  • IL, interleukin; JAK, Janus kinase; S1P, sphingosine-1-phosphate; TNF, tumour necrosis factor .