Nemolizumab (trade name Nemluvio) is a prescription medication indicated for adults with prurigo nodularis, a chronic skin condition characterized by itchy, inflamed nodules. Approved in 2024, it works by blocking the interleukin-31 receptor, reducing pruritus and skin inflammation.
Age and Diagnosis: Only adults (18+ years) diagnosed with prurigo nodularis. Safety and efficacy in pediatric patients are unestablished.
Patients weighing less than 90 kg receive an initial 60 mg dose (two 30 mg injections), followed by 30 mg every 4 weeks.
Those weighing 90 kg or more require 60 mg maintenance doses every 4 weeks.
Prior to treatment, complete all age-appropriate vaccinations as recommended by guidelines.
Avoid live vaccines during therapy due to potential immune interference.
Contraindicated in individuals with known hypersensitivity to nemolizumab-ilto or any excipients (e.g., arginine hydrochloride, poloxamer 188).

