DermRx.
← All drugs

upadacitinib

Rinvoq

Modality
small molecule (oral)
Mechanism
JAK1-selective inhibitor
Targets
JAK1
Storage
room temperature
Approved
atopic dermatitis — FDA 2022
In trial
alopecia areata, hidradenitis suppurativa, vitiligo
Black-box warnings
serious infections; mortality; malignancy; MACE; thrombosis
Pregnancy
avoid
Monitoring
TB, HBV/HCV/HIV, CBC, lipids, LFTs, lymphocytes
Sources
Last verified
2026-04-14

Mechanism of action

Rinvoq label (FDA, 2024)
drugtargetsignalingeffectorcellularphenotype⊣ red bar = blocked/reduced by drug

Monitoring & workup

Baseline workup

  • TB IGRA (or PPD)
  • HBV sAg + core Ab; HCV Ab
  • CBC with differential
  • CMP (creatinine, LFTs)
  • Fasting lipid panel
  • HCG if female of childbearing potential
  • Update age-appropriate vaccines (no live vaccines once started)

Ongoing monitoring

  • CBC + LFT at 4 weeks, then every 3 months
  • Lipid panel at week 12 then annually
  • Watch for herpes zoster, VTE, serious infection, MACE (class BBW)