Prescription medication · JAK Inhibitor

upadacitinib

Also sold as Rinvoq. Rinvoq can treat rheumatoid arthritis, psoriatic arthritis, atopic dermatitis (eczema), ulcerative colitis, Crohn’s disease, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis, and giant cell arteritis.

Data updated 2026-05-15

72,798
FDA reportsOften reported
4
InteractionsFew interactions
Rx
Availability

What the data shows

upadacitinib (Rinvoq) is a prescription JAK Inhibitor, more reported than most tracked drugs (72,798 FDA reports), with 4 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

upadacitinib (Rinvoq) is a prescription JAK Inhibitor. Rinvoq can treat rheumatoid arthritis, psoriatic arthritis, atopic dermatitis (eczema), ulcerative colitis, Crohn’s disease, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis, and giant cell arteritis.

Rinvoq contains upadacitinib and it is a medicine that reduces inflammation in your body. It is used to treat several conditions, including arthritis and Crohn's disease.

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Rinvoq can treat rheumatoid arthritis, psoriatic arthritis, atopic dermatitis (eczema), ulcerative colitis, Crohn’s disease, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis, and giant cell arteritis.

Common side effects

Upper respiratory tract infections (like a cold), Acne, Herpes simplex (cold sores)

Key warnings

Rinvoq can cause serious side effects, including serious infections, cancer, blood clots, major heart problems, and death.

The sections below are summarized in plain English from upadacitinib's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Rinvoq is a JAK inhibitor. It works by blocking certain enzymes in your body called Janus kinases (JAKs). By blocking these enzymes, Rinvoq helps to reduce inflammation and relieve symptoms of the conditions it treats.

Side Effects (from patient reports)

Based on 72,798 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for upadacitinib, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for upadacitinib each year to the FDA Adverse Event Reporting System (FAERS).

05,00010,00015,00020,000 2016201720182019202020212022202320242025 17,006

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where upadacitinib sits

upadacitinib has more FDA adverse-event reports than 81% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is upadacitinib; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 72,798 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2016–2025.

Total Reports

72,798

Reports Mentioning Death

2,641

3.6% of reports — not proof of cause

Hospitalization Reports

17,708

Top Indication

Rheumatoid Arthritis

Gender Distribution

Female 48,021 (71%)
Male 20,013 (29%)

Age Distribution

0–17 675
18–44 7,186
45–64 17,577
65–74 8,884
75+ 4,637

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 PAIN 4,942
2 ARTHRALGIA 4,342
4 COVID-19 3,131
5 RHEUMATOID ARTHRITIS 3,037
6 PAIN IN EXTREMITY 2,575
7 FATIGUE 2,433
8 FALL 2,255
9 SURGERY 2,204
10 HEADACHE 1,792
11 THERAPY INTERRUPTED 1,783
12 PNEUMONIA 1,779
13 DEATH 1,630
14 BACK PAIN 1,598
15 DIARRHOEA 1,583
16 PERIPHERAL SWELLING 1,583

Reactions in Death Reports

DEATH 1,572
PNEUMONIA 206
COVID-19 131
DYSPNOEA 129
PYREXIA 115
INFECTION 114
MALAISE 113
GENERAL PHYSICAL HEALTH DETERIORATION 107
RHEUMATOID ARTHRITIS 106
PAIN 105

Reactions in Hospitalization Reports

PNEUMONIA 1,209
PAIN 1,201
COVID-19 1,089
FALL 1,025
ARTHRALGIA 998
PYREXIA 726
RHEUMATOID ARTHRITIS 723
URINARY TRACT INFECTION 690
FATIGUE 645
DYSPNOEA 644

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Rinvoq can cause serious side effects, including serious infections, cancer, blood clots, major heart problems, and death. Your doctor will check you for tuberculosis before you start Rinvoq. Tell your doctor if you have any symptoms of infection, such as fever, cough, or fatigue. If you have a heart attack or stroke, stop taking Rinvoq.

Known Drug Interactions

( 7.2 ) 7.1 Strong CYP3A4 Inhibitors Upadacitinib exposure is increased when it is co-administered with a strong CYP3A4 inhibitor (such as ketoconazole, clarithromycin, and grapefruit), which may increase the risk of adverse reactions [see Clinical Pharmacology ( 12.3 )] .

Mechanism: Ketoconazole slows down the enzyme that processes upadacitinib, which can cause the drug to build up in your body.

( 7.2 ) 7.1 Strong CYP3A4 Inhibitors Upadacitinib exposure is increased when it is co-administered with a strong CYP3A4 inhibitor (such as ketoconazole, clarithromycin, and grapefruit), which may increase the risk of adverse reactions [see Clinical Pharmacology ( 12.3 )] .

Mechanism: Clarithromycin blocks the liver enzymes that normally break down upadacitinib, leading to higher drug levels and a greater risk of side effects.

7.2 Strong CYP3A4 Inducers Upadacitinib exposure is decreased when it is co-administered with strong CYP3A4 inducers (such as rifampin), which may lead to reduced therapeutic effect [see Clinical Pharmacology ( 12.3 )] .

Mechanism: Rifampin makes your liver work faster to break down upadacitinib. This lowers the amount of medicine in your body and may stop it from working correctly.

upadacitinib ↑ upadacitinib Dosing recommendations for co-administration of upadacitinib with PAXLOVID depends on the upadacitinib indication. Refer to the upadacitinib product label for more information.

Mechanism: Ritonavir slows down how the body breaks down upadacitinib, which can cause the levels of this medicine to rise in your blood.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I take Rinvoq with other medicines?
Rinvoq is not recommended with other JAK inhibitors, biologic DMARDs, or strong immunosuppressants.
What should I do if I get an infection?
Tell your doctor right away if you get any symptoms of an infection, such as fever, cough, or fatigue.
Can Rinvoq cause cancer?
Yes, lymphoma and other cancers have been seen in people taking Rinvoq.
Can Rinvoq cause blood clots?
Yes, blood clots in the legs, lungs, and arteries have happened in people taking Rinvoq.
How often will my doctor check my blood?
Your doctor will do blood tests before you start Rinvoq and while you are taking it.
Can I get vaccines while taking Rinvoq?
Avoid live vaccines while taking Rinvoq.
What if I need surgery?
Talk to your doctor. They may have you stop Rinvoq before surgery.
Can Rinvoq affect my liver?
Rinvoq can affect your liver. Your doctor will check your liver enzymes.
Is there a risk of gastrointestinal (GI) perforations?
Yes, there is a risk of GI perforations. Your doctor will monitor you if you are at risk.
Can Rinvoq cause medication residue in stool?
Yes, this has been observed. Your doctor will monitor you and may change your treatment if needed.
What are the common side effects of upadacitinib?
The registry lists Upper respiratory tract infections (like a cold), Acne, Herpes simplex (cold sores), Headache, Increased blood creatine phosphokinase among the most-reported FAERS reaction terms for upadacitinib. The compiled record contains 72,798 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does upadacitinib interact with other medications?
The registry has 4 documented interaction rows for upadacitinib. Notable source-record pairings include ketoconazole, clarithromycin, rifampin. These rows are not a complete medication review.
What drug class is upadacitinib?
upadacitinib belongs to the JAK Inhibitor drug class. It requires a prescription (Rx). Rinvoq can treat rheumatoid arthritis, psoriatic arthritis, atopic dermatitis (eczema), ulcerative colitis, Crohn’s disease, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis, and giant cell arteritis.
What pregnancy or breastfeeding source fields are listed for upadacitinib?
The FDA label for upadacitinib contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near upadacitinib - same-class peers and common alternatives.

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Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for upadacitinib: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

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What the FDA Data Shows for upadacitinib

The FDA label for upadacitinib (sold under brand names such as Rinvoq) classifies it as a prescription-only medication in the JAK Inhibitor class. Rinvoq can treat rheumatoid arthritis, psoriatic arthritis, atopic dermatitis (eczema), ulcerative colitis, Crohn’s disease, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis, and giant cell arteritis. Official labeling lists 12 commonly reported side effects, including Upper respiratory tract infections (like a cold), Acne, Herpes simplex (cold sores).

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 72,798 voluntary reports. The database also lists 4 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: October 10, 2025

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page