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What the label lists and what reports show

Upadacitinib side effects

Upadacitinib's FDA label: “The most frequently reported serious infections were pneumonia and cellulitis.” FAERS holds 81,041 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is pain (5,353 reports).

  • No generic listed
  • Boxed warning

Check it at the source: the upadacitinib FDA label on DailyMed (effective June 30, 2026, AbbVie Inc.); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of RINVOQ /RINVOQ LQ ?

RINVOQ /RINVOQ LQ may cause serious side effects, including: See “What is the most important information I should know about RINVOQ / RINVOQ LQ ?” The most common side effects of RINVOQ /RINVOQ LQ in people treated for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, and p olyarticular juvenile idiopathic arthritis include: • upper respiratory tract infections (common cold, sinus infections) • shingles (herpes zoster) • herpes simplex virus infections, including cold sores • bronchitis • nausea • cough • fever • acne • headache The most common side effects of RINVOQ in people treated for giant cell arteritis include: • upper respiratory tract infections (common cold, sinus infections • headache • tiredness • swelling of the feet and hands (peripheral edema) • cough • low red blood cell count (anemia) • rash • shingles (herpes […]

Source: FDA drug label, AbbVie Inc., effective June 30, 2026 (SPL set 2966aec7-2ef0-923c-d8ff-fe1a957bf095), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

The most frequently reported serious infections were pneumonia and cellulitis.

Table 5: Adverse Reactions Reported in ≥ 1% of Patients with Atopic Dermatitis Treated with RINVOQ 15 mg or 30 mg

Adverse ReactionPlacebo N = 902 (%)RINVOQ 15 mg N = 899 (%)RINVOQ 30 mg N = 906 (%)
Upper respiratory tract infection (URTI)172325
Acne21016
Herpes simplex248
Headache466
Increased blood creatine phosphokinase256
Cough133
Hypersensitivity223
Folliculitis123
Nausea133
Abdominal pain132
Pyrexia122
Increased Weight122
Herpes zoster122
Influenza<122
Fatigue112
Neutropenia<112
Myalgia112
Influenza like illness112

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following clinically significant adverse reactions are described elsewhere in the labeling: Serious Infections [see Warnings and Precautions ( 5.1 )] Mortality [see Warnings and Precautions ( 5.2 )] Malignancy and Lymphoproliferative Disorders [see Warnings and Precautions ( 5.3 )] Major Adverse Cardiovascular Events [see Warnings and Precautions ( 5.4 )] Thrombosis [see Warnings and Precautions ( 5.5 )] Hypersensitivity Reactions [see Warnings and Precautions ( 5.6 )] Gastrointestinal Perforations [see Warnings and Precautions ( 5.7 )] Hypoglycemia in Patients with Diabetes [see Warnings and Precautions ( 5.8 )] Laboratory Abnormalities [see Warnings and Precautions ( 5.9 )] Rheumatoid arthritis, psoriatic arthritis, ankylosi ng spondylitis, and n on-radiographic a xials pondyloarthritis: Adverse reactions (≥ 1%) were: upper respiratory tract infections, herpes zoster, herpes simplex, bronchitis, nausea, cough, pyrexia, acne, and headache. ( 6.1 ) Giant cell arteritis: Adverse reactions (≥ 5%) are upper respiratory tract infections, headache, fatigue, peripheral edema, cough, anemia, rash, herpes zoster, and nausea. …

Source: FDA drug label, AbbVie Inc., effective June 30, 2026 (SPL set 2966aec7-2ef0-923c-d8ff-fe1a957bf095), via openFDA; the full label on DailyMed

What do FAERS reports show?

81,041 reports list upadacitinib among the medicines taken, each a report of something that happened, not proof the medicine caused it; 3,016 are coded as a death and 20,108 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Reports rose sharply in 2025 (17,234, against a median of 2,841 a year): FAERS counts follow reporting, which news, litigation and label changes can drive, not how often a reaction happens. Of the 20 reactions below, 9 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Pain5,353
  • Arthralgia4,797
  • Drug Ineffective (a use or a product term, not a reaction)4,660
  • Rheumatoid Arthritis (a use or a product term, not a reaction)3,290
  • Covid-193,207
  • Pain In Extremity2,806
  • Fatigue (named in the label)2,692
  • Surgery2,550
  • Fall2,493
  • Headache (named in the label)1,970
  • Pneumonia (named in the label)1,944
  • Death (an outcome recorded in the report)1,913
  • Therapy Interrupted (a use or a product term, not a reaction)1,839
  • Diarrhoea (named in the label)1,805
  • Back Pain1,755
  • Peripheral Swelling1,733
  • Nausea (named in the label)1,732
  • Urinary Tract Infection1,693
  • Off Label Use (a use or a product term, not a reaction)1,657
  • Illness (named in the label)1,622
  • Nasopharyngitis (named in the label)1,592
  • Rash (named in the label)1,555
  • Malaise1,542
  • Musculoskeletal Stiffness1,512
  • Acne (named in the label)1,506

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Upadacitinib: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions