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Drug reference

Upadacitinib

Immunosuppressant

Also known as Rinvoq

Immunosuppressant
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AbataceptSevereDatabaseDDInter
  • AbemaciclibSevereDatabaseDDInter
  • AcalabrutinibSevereDatabaseDDInter
  • AdalimumabSevereDatabaseDDInter

Mechanism

Upadacitinib is a Janus kinase inhibitor. At concentrations related to its clinical indications, it exhibits specific mechanisms of action that may differ in tissues. Its effects cannot be automatically extrapolated from serum concentration-derived mechanisms.

Indications

rheumatoid arthritispsoriatic arthritisatopic dermatitis

Dosing

Adult
2 Guidance on prescribing. prescribed in doses other than multiples of 5 mL. The oral. syringe is marked in 0.5 mL divisions from 1 to 5 mL to. measure doses of less than 5 mL (other sizes of oral syringe. instruction leaflet. The 5–mL spoon is used for doses of 5 mL

Contraindications

  • nonuse during breastfeeding
  • concurrent use of live vaccines

Side effects

Common
infectionsupper respiratory infectionscoughheadachefeverthrombocytopeniaanemianeutropeniaincreased risk of infections (upper respiratory, sinus, common cold, hepatitis c virus)
Serious
  • Herpes zoster
  • tuberculous infections
  • fungal infections
  • opportunistic infections
  • venous thromboembolism
  • increased risk of serious bacterial, fungal, viral, and opportunistic infections leading to hospitalization or death
  • higher rate of all-cause mortality, including sudden cardiovascular death
  • higher rate of certain cancers
  • higher rate of thrombosis, cardiovascular death, myocardial infarction, and stroke
  • increased risk of venous thromboembolism
  • deep venous thromboembolism
  • pulmonary embolism

Drug interactions

Abatacept
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Abemaciclib
Severe
Database

Drug interaction classified as: others

Source: DDInter

Acalabrutinib
Severe
Database

Drug interaction classified as: others

Source: DDInter

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Aflibercept
Severe
Database

Drug interaction classified as: others

Source: DDInter

Aldesleukin
Severe
Database

Drug interaction classified as: others

Source: DDInter

Alefacept
Severe
Database

Drug interaction classified as: others

Source: DDInter

Alemtuzumab
Severe
Database

Drug interaction classified as: others

Source: DDInter

Altretamine
Severe
Database

Drug interaction classified as: others

Source: DDInter

Amprenavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Anakinra
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Antithymocyte Immunoglobulin (rabbit)
Severe
Database

Drug interaction classified as: others

Source: DDInter

Related guidelines

Other Immunosuppressant drugs

Ask House about Upadacitinib

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, BNF·Verified: 2026-05-10 · House clinical team