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Rinvoq vs. Xeljanz

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

Key takeaways

Rinvoq (upadacitinib) and Xeljanz (tofacitinib) are both JAK inhibitors used to treat inflammatory conditions like rheumatoid arthritis and ulcerative colitis. However, they have some differences. Rinvoq is available as an extended-release tablet and an oral solution, while Xeljanz comes in immediate-release and extended-release tablets, as well as a liquid form. Rinvoq is typically taken once daily, whereas Xeljanz can be taken once or twice daily, depending on the formulation. Both medications are approved to treat additional inflammatory conditions; Rinvoq is approved for eczema and Crohn's disease, but Xeljanz is not. Common side effects of Rinvoq include acne and upper respiratory infections, while Xeljanz may cause diarrhea and headaches. Both medications can increase the risk of serious infections and blood clots. Rinvoq and Xeljanz both interact with many medications, including grapefruit juice. Both medications require careful monitoring and should not be used with live vaccines.

Rinvoq

(upadacitinib)

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Xeljanz

(tofacitinib)

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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 Xeljanz

Prescription only

Xeljanz (tofacitinib) is an oral medication that can treat different inflammatory problems. It can help adults with psoriatic arthritis, rheumatoid arthritis (RA), and ulcerative colitis, among other conditions. It's also helpful for children with a certain kind of arthritis. Xeljanz (tofacitinib) is a JAK inhibitor that lowers inflammation in the body. It comes as a tablet or liquid that's taken twice a day. There's also a longer-lasting once-daily tablet for adults. Xeljanz (tofacitinib) is a good option for people who've tried other medications first. But it can have side effects like headache, diarrhea, and a higher risk of infection. This medication is brand name only; there isn't a generic yet.

Indications for Xeljanz

Pros and Cons for Xeljanz

Pros

  • Liquid form available for the immediate-release version if you have trouble swallowing pills whole
  • Extended-release, once-daily tablets available for adults
  • Good option for people when other treatments haven't worked well

Cons

  • Has potentially serious risks (e.g., serious infections, blood clots)
  • Can raise cholesterol levels
  • Not clear if it's safe to take during pregnancy
  • Breastfeeding not recommended during treatment

Common Side Effects for Xeljanz

Arthritis:

Ulcerative colitis:

  • Nose and throat infection (10-14%)
  • High cholesterol (5-9%)
  • Headache (3-9%)
  • Upper respiratory tract infection (6-7%)
  • Lab results suggesting muscle damage (3-7%)
  • Rash (3-6%)
  • Diarrhea (2-5%)
  • Stomach infection (3-4%)
  • Anemia (2-4%)

Warnings for Xeljanz

  • Risk of serious infections
  • Possible higher risk of death for some older people with rheumatoid arthritis
  • Possible risk of cancer
  • Risk of blood clots, heart attack, or stroke
  • Stomach problems
  • Allergic reactions
  • Low blood cell counts
  • Liver damage

Prices with our coupons for Rinvoq vs. Xeljanz

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Rinvoq30 tablets / 15mg
$6,244.67-
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Xeljanz30 tablets / 5mg
$1,518.30-
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