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Rinvoq vs. Simponi

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

Key takeaways

Rinvoq (upadacitinib) and Simponi (golimumab) are both used to treat inflammatory conditions, but they have some key differences. Rinvoq is a Janus kinase (JAK) inhibitor taken as a daily oral tablet, while Simponi is a monoclonal antibody given as a monthly injection. Rinvoq is used for a wider range of conditions, including various types of arthritis, eczema, ulcerative colitis, and Crohn's disease, whereas Simponi is used for different types of arthritis and ulcerative colitis. Both Rinvoq and Simponi are only available as a brand medication. Rinvoq comes as an oral tablet while Simponi comes in a prefilled syringe or autoinjector for easier use. Both medications can raise the risk of serious infections, but Rinvoq also has a risk of blood clots. Simponi, on the other hand, can cause heart failure and nervous system problems. Additionally, Rinvoq is not recommended during pregnancy, while the safety of Simponi during pregnancy is not well-studied.

Rinvoq

(upadacitinib)

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Simponi

(golimumab)

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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 Simponi

Prescription only

Simponi (golimumab) is a tumor necrosis factor (TNF) blocker (or inhibitor). It's used to treat many types of inflammatory conditions in adults, such as rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and ulcerative colitis (UC). Simponi (golimumab) is given as an injection under the skin, typically once per month. Side effects of this medication include upper respiratory tract infections, injection-site reactions, and high blood pressure.

Indications for Simponi

Pros and Cons for Simponi

Pros

  • Can be injected at home (after training from the prescriber)
  • Available in a prefilled syringe or autoinjector
  • Can be stored at room temperature for up to 30 days
  • Injected monthly for most conditions

Cons

  • Only approved for adults
  • Not available as a generic
  • Raises the risk of serious infections
  • Given as an injection

Common Side Effects for Simponi

Note: Side effects were reported by people who also took other medications (including methotrexate or corticosteroids) at the same time.

Warnings for Simponi

  • Serious infections
  • Risk of cancer
  • Heart failure
  • Nervous system problems
  • Lupus-like syndrome
  • Lower blood cell counts
  • Serious medication interactions
  • Allergic reactions

Prices with our coupons for Rinvoq vs. Simponi

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Rinvoq30 tablets / 15mg
$6,244.67-
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Simponi1 smartject / 0.5ml of 50mg/0.5ml
$5,943.50-
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