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Last Updated: 12/30/2024

Upadacitinib

Drug Name(s): Rinvoq

Class: DMARDs

Type: Janus Kinase (JAK) inhibitors

Used to treat rheumatoid arthritis (RA), ankylosing spondylitis (AS), non-radiographic axial spondyloarthritis (nr-axSpA), psoriatic arthritis (PsA), polyarticular juvenile idiopathic arthritis (JIA), and pediatric psoriatic arthritis (PsA).

Dosage

Form(s): tablet

For RA, AS, nr-axSpA, PsA: 15 mg once daily 

Polyarticular JIA and PsA: Dosage is based on body weight

Special Instructions

Swallow whole. Do not cut, chew, crush, divide or dissolve.

Blood tests are required before and during treatment.

Patients should be tested and treated for tuberculosis before and during use of this drug.

Potential Side Effects

The most common side effects are upper respiratory tract infections, nausea and cough.

Be Aware

Based on a safety trial of the JAK inhibitor tofacitinib (Xeljanz), the FDA has determined upadacitinib and other JAK inhibitors have an increased risk of serious cardiovascular-related events, including heart attack and stroke; cancer, including lymphoma and lung cancer; thrombosis and death.

This drug is associated with an increased risk of serious viral, invasive fungal and bacterial infections and herpes zoster (shingles).

Do not use if pregnant, planning to become pregnant or breastfeeding. 

Do not get live, attenuated vaccines while on this medication.

The Arthritis Foundation’s Drug Guide is meant for education — not self-medicating. The Arthritis Foundation does not endorse any products mentioned in this guide. While we endeavor to keep the information up to date, we make no representations or warranties about the completeness of the information provided.