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Rinvoq vs. Enbrel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Rinvoq (upadacitinib) and Enbrel (etanercept) are both medications used to treat autoimmune conditions like rheumatoid arthritis (RA) and psoriatic arthritis (PsA). However, they belong to different medication classes. Rinvoq is a Janus kinase (JAK) inhibitor, while Enbrel is a biologic disease-modifying antirheumatic drug (DMARD) that works as a monoclonal antibody. Rinvoq is taken orally, either as an extended-release tablet or an oral solution, and is typically dosed once daily. In contrast, Enbrel is administered as a subcutaneous injection, usually once a week. Both are available only as brand name products. Common side effects of Rinvoq include a higher risk of infections, acne, and nausea, whereas Enbrel may cause injection site reactions and infections. Both medications can increase the risk of serious infections and certain cancers, but Enbrel also has potential nervous system effects and can worsen heart failure. Additionally, Rinvoq should not be taken with grapefruit, while Enbrel requires proper training for injection.

Rinvoq

(upadacitinib)

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Enbrel

(etanercept)

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Summary for Rinvoq

Prescription only

Rinvoq (upadacitinib) is a Janus kinase (JAK) inhibitor. It treats many inflammatory conditions. This includes rheumatoid arthritis (RA), ulcerative colitis (UC), Crohn's disease (CD), and eczema (atopic dermatitis). It's often used when other treatments haven't worked well. Rinvoq (upadacitinib) is taken by mouth, usually once a day. It comes as an extended-release pill (Rinvoq) and an oral solution (Rinvoq LQ). These formulations aren't the same and can't be swapped easily. Side effects include nausea and a higher risk of infection.

Indications for Rinvoq

Pros and Cons for Rinvoq

Pros

  • Can treat many different inflammatory conditions
  • Available as a tablet and a liquid
  • Tablets are taken once a day

Cons

  • Can raise your risk of infections
  • Can interact with grapefruit
  • Not the best option for people with severe liver or kidney problems

Common Side Effects for Rinvoq

Warnings for Rinvoq

  • Serious infections
  • Possible higher risk of heart attack, stroke, or heart-related death in certain older adults with RA
  • Risk of cancer
  • Risk of blood clots
  • Allergic reactions
  • Stomach damage
  • Abnormal lab results (e.g., blood counts, cholesterol)
  • Harm to an unborn baby
  • Medication in stool

Summary for Enbrel

Prescription only

Enbrel (etanercept) is a weekly injection used for many autoimmune conditions. Currently, it's only available as a brand-name product and can be expensive.

Indications for Enbrel

  • Rheumatoid arthritis (RA)
  • Plaque psoriasis (PsO) and psoriatic arthritis (PsA)
  • Ankylosing spondylitis (AS)
  • Childhood arthritis (polyarticular juvenile idiopathic arthritis, JIA)

Pros and Cons for Enbrel

Pros

  • Available in a prefilled syringe or autoinjector for easy-at-home injections
  • Can be used in children age 2 and older for certain indications (JIA)
  • Can be kept at room temperature for up to 14 days
  • Manufacturer offers copay card for people with commercial insurance
  • Not many side effects other than infection and redness and irritation at the injection site

Cons

  • Raises risk of serious infections
  • Can cause the hepatitis B virus to reappear if you have a history of infection
  • Lymphoma and other cancers have been reported in people taking Enbrel (etanercept)
  • Available only as a brand medication so it can be expensive and isn't always covered by insurance
  • Needs to be given every week, unlike Humira (adalimumab), which is given every other week

Common Side Effects for Enbrel

  • Infection (including common cold/flu) (50%)
  • Injection site reaction (37%)
  • Diarrhea (8%)

Warnings for Enbrel

  • Serious infections
  • Cancers
  • Nervous system effects
  • Heart failure
  • Bleeding and infections

Prices with our coupons for Rinvoq vs. Enbrel

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Rinvoq30 tablets / 15mg
$6,244.67-
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Enbrel1 carton / 4 sureclicks of 50mg
$3,353.53$10,463.30
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