WELL-STUDIED
SAFETY
PROFILE

Approved for ages 2+ for pJIA and JPsA. *JPsA=juvenile psoriatic arthritis pediatric patients aged 2 to less than 18 years.

INDICATIONS1

RINVOQ is indicated for the treatment of:

  • Moderately to severely active rheumatoid arthritis (RA) in adults who have had an inadequate response or intolerance to one or more tumor necrosis factor (TNF) blockers.
  • Active ankylosing spondylitis (AS) in adults who have had an inadequate response or intolerance to one or more TNF blockers.
  • Active non-radiographic axial spondyloarthritis (nr-axSpA) with objective signs of inflammation in adults who have had an inadequate response or intolerance to TNF blocker therapy.

Limitations of Use: RINVOQ is not recommended for use in combination with other Janus kinase (JAK) inhibitors, biologic disease-modifying antirheumatic drugs (bDMARDs), or with potent immunosuppressants such as azathioprine and cyclosporine.

RINVOQ/RINVOQ LQ is indicated for the treatment of:

  • Active psoriatic arthritis (PsA) in adults and pediatric patients 2 years of age and older who have had an inadequate response or intolerance to one or more TNF blockers.
  • Active polyarticular juvenile idiopathic arthritis (pJIA) in patients 2 years of age and older who have had an inadequate response or intolerance to one or more TNF blockers.

Limitations of Use: RINVOQ is not recommended for use in combination with other Janus kinase (JAK) inhibitors, biologic disease-modifying antirheumatic drugs (bDMARDs), or with potent immunosuppressants such as azathioprine and cyclosporine.

11 YEARS of clinical experience* & approved in 8 different indications RA, PsA, AS, nr-axSpA, AD, UC, CD & pJIA1,2

>13,000 patients in 26 global clinical trials
across US-approved indications, including pediatric patients 2+ years in pJIA and 12+ years in AD1,3

>37,800
patient years of exposure in
clinical trials3

>7.5 YEARS
maximum exposure in RA (~4.2 years median) to RINVOQ 15 mg as of 8/15/234†

*Clinical experience encompasses the time from first RINVOQ patient dosed in RA clinical trial to present.

In PsA: ~5.7 years maximum exposure (~3.7 years median) to RINVOQ 15 mg as of 08/2023. In AS: ~3.8 years maximum exposure (~1.7 years median) to RINVOQ 15 mg as of 08/2023. In nr‑axSpA: ~3.4 years maximum exposure (~1.1 years median) to RINVOQ 15 mg as of 08/2023.4

AD=atopic dermatitis; AS=ankylosing spondylitis; CD=Crohn’s disease; IR=intolerance or inadequate response; nr-axSpA=non-radiographic axial spondyloarthritis; pJIA=polyarticular juvenile idiopathic arthritis; PsA=psoriatic arthritis; RA=rheumatoid arthritis; TNFi=tumor necrosis factor inhibitor; UC=ulcerative colitis.

 

Please see Important Safety Information, including BOXED WARNING on Serious Infections, Mortality, Malignancies, Major Adverse Cardiovascular Events, and Thrombosis, below.

Well-Studied Safety Profile With Up to 12 Months of Data

Adverse Events of Special Interest at Weeks 12/14 and Week 52 in RA1,5

<<Swipe table to see more

  Week 12/14   Week 12/14   Week 52
  Placebo-controlled trials
NEXT, COMPARE, and BEYOND
  MTX-controlled trials
EARLY and MONOTHERAPY
  Pooled 12-month data
EARLY, MONOTHERAPY,
NEXT, and BEYOND
TEAEs of Special Interest*
n/100 PYsa (n/PYs)
Placebo
+ csDMARDs

n=1042
RINVOQ 15 mg QD
+ csDMARDs

n=1035
  MTX

n=530
RINVOQ 15 mg QD

n=534
  RINVOQ 15 mg QD

n=1213
INFECTIONS              
Serious infections 2.3 (6/256.6) 4.6 (12/258.3)   1.6 (2/121.6) 2.4 (3/126.4)   3.5 (38/1081.6)
Active tuberculosis (TB) 0 0   0 0   0.18 (2/1089.2)
Opportunistic infection (excluding TB) 1.2 (3/256.8) 1.9 (5/258.5)   0.8 (1/121.5) 0   0.6 (7/1088.9)
Herpes zoster 1.2 (3/256.4) 2.7 (7/258.7)   1.6 (2/121.4) 4.8 (6/126.0)   3.8 (41/1073)
MALIGNANCY              
Malignancy (excluding NMSC) 0.4 (1/256.8) 0.4 (1/259.3)   0.8 (1/121.6) 2.4 (3/126.8)   1.2 (13/1090.2)
Lymphoma 0 0   0 0.8 (1/126.8)   <0.1 (1/1091.6)
NMSC 0.4 (1/256.7) 0   0.8 (1/121.7) 0   0.4 (4/1090.4)
CARDIOVASCULAR EVENTS              
Adjudicated VTEb 0.4 (1/256.8) 0.8 (2/259.2)   0 0.8 (1/126.7)   0.5 (5/1090.8)
Adjudicated MACEc 1.2 (3/256.8) 0.4 (1/259.3)   0.8 (1/121.7) 1.6 (2/126.8)   0.8 (9/1090.1)
GASTROENTEROLOGICAL EVENTS              
Adjudicated GI perforations 0 0   0 0   <0.1 (1/1091.4)

Data from 5 robust phase 3 clinical trials in RA1

Patients could advance or switch to RINVOQ from placebo, or be rescued to RINVOQ from active comparator or placebo as early as Week 12, depending on the study design.1

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

 

*TEAE=treatment-emergent adverse event is defined as any adverse event with an onset date on or after the first dose of study drug and no more than 30 days after the last dose of study drug if subject discontinued study drug prematurely.5

Adverse Events of Special Interest at Week 24 in PsA10,*

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  SELECT-PsA 210 (bDMARD-IR)   SELECT-PsA 1 & SELECT-PsA 2 POOLED10 (non-bDMARD-IR & bDMARD-IR)
TEAEs of Special Interest
n/100 PYs (n/PYs)
Placebo
n=212
  RINVOQ
15 mg QD

n=211
  Placebo
n=635
  RINVOQ
15 mg QD

n=640
INFECTIONS            
Serious infections 1.2 (1/85.1)   1.1 (1/91.9)   1.9 (5/268.0)   2.1 (6/281.2)
Active tuberculosis (TB) 0   0   0   0
Opportunistic infection
(excluding TB and herpes zoster)
0   0   0   0.4 (1/281.7)
Herpes zoster 2.4 (2/84.8)   3.3 (3/91.1)   1.9 (5/267.9)   2.5 (7/280.5)
MALIGNANCY              
Malignancy (excluding NMSC) 0   2.2 (2/91.8)   0   1.1 (3/281.8)
Lymphoma 0   1.1 (1/91.5)a   0   0.4 (1/281.5)a
NMSC 0   1.1 (1/91.8)   0.4 (1/268.4)   0.4 (1/281.8)
CARDIOVASCULAR EVENTS              
Adjudicated VTEb 0   1.1 (1/91.9)   0.4 (1/268.6)   0.4 (1/281.9)
Adjudicated MACEc 0   1.1 (1/91.5)   0.4 (1/268.6)   0.4 (1/281.5)
GASTROENTEROLOGICAL EVENTS              
Adjudicated GI perforations 0   0   0   0

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

Adverse Events of Special Interest at Week 14 and Week 52 in AS17-20

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  Week 14   Week 52
  SELECT-AXIS 2 Study 1 (Phase 3; bDMARD-IR)   SELECT-AXIS 1 (Phase 2/3; bDMARD-naïve)   SELECT-AXIS 2 Study 1 (Phase 3; bDMARD-IR)
TEAEs of Special Interest* Placebo n=209
n (%)
RINVOQ 15 mg QD n=211 n (%)   Placebo n=94
n (%)
RINVOQ 15 mg QD n=93 n (%)   Any RINVOQ 15 mg QD n=414 PYs=534.4 E (E/100 PYs)
INFECTIONS              
Serious infections 0 (0.0) 5 (2)a   0 (0.0) 0 (0.0)   24 (4.5)
Active TB 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   0 (0.0)
Opportunistic infection (excluding TB and herpes zoster) 0 (0.0) 0 (0.0)   0 (0.0) 1 (1)b   0 (0.0)
Herpes zoster 0 (0.0) 2 (1)c   0 (0.0) 0 (0.0)   19 (3.6)
MALIGNANCY              
Malignancy (excluding NMSC) 1 (1)d 0 (0.0)   0 (0.0) 0 (0.0)   1 (0.2)
Lymphoma 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   1 (0.2)
NMSC 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   (0.4)
CARDIOVASCULAR EVENTS              
Adjudicated VTEe 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   2 (0.4)
Adjudicated MACEf 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   1 (0.2)
GASTROENTEROLOGICAL EVENTS              
Adjudicated Gl perforations 0 (0.0) 0 (0.0)   0 (0.0) 0 (0.0)   0 (0.0)
Inflammatory bowel diseaseg 0 (0.0) 1 (0.5)h   1 (1.1) 0(0.0)   1 (0.2)

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

Adverse Events of Special Interest at Week 14 and Week 52 in nr-axSpA22,23

<<Swipe table to see more

  Week 14   Week 52
  SELECT-AXIS 2 Study 2 (Phase 3; mixed*)   SELECT-AXIS 2 Study 2 (Phase 3; mixed*)
TEAEs of Special Interest Placebo
n=157
n (%)
  RINVOQ
15 mg QD

n=156 n (%)
  Placebo
n=157 PYs=140.2 E (E/100 PYs)
  RINVOQ
15 mg QD

n=156 PYs=137.4 E (E/100 PYs)
INFECTIONS              
Serious infections 1 (1)a   2 (1)b   1 (0.7)   2 (1.5)
Active (TB) 0 (0.0)   0 (0.0)   0 (0.0)   0 (0.0)
Opportunistic infection (excluding TB and herpes zoster) 0 (0.0)   0 (0.0)   0 (0.0)   0 (0.0)
Herpes zoster 1 (1)   2 (1)c   1 (0.7)   5 (3.6)
MALIGNANCY              
Malignancy (excluding NMSC) 0 (0.0)   0 (0.0)   0 (0.0)   0 (0.0)
Lymphoma 0 (0.0)   0 (0.0)   0 (0.0)   1 (0.7)
NMSC 1 (1)d   0 (0.0)   1 (0.7)   0 (0.0)
CARDIOVASCULAR EVENTS              
Adjudicated VTEe 0 (0.0)   0 (0.0)   2 (1.4)   0 (0.0)
Adjudicated MACEf 0 (0.0)   0 (0.0)   0 (0.0)   0 (0.0)
GASTROINTESTINAL EVENTS              
Adjudicated GI perforations 0 (0.0)   0 (0.0)   0 (0.0)   (0.0)
Inflammatory bowel diseaseg 0 (0.0)   0 (0.0)   0 (0.0)   0 (0.0)

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

Safety Considerations

Consider the Benefits and Risks for the Individual Patient Prior to Initiating Therapy with RINVOQ

Consistent Safety Profile of AEs Observed in Long-Term Analysis

RA Phase 3 Program AEs4,6-8,*
Any RINVOQ 15 mg QD

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Data as of August 15, 20234
TEAEs of Special Interest (E/100 PYs unless otherwise stated) 2.8 yrs. max.
exposure
(1.4 yrs. median)
Data as of November 14, 2018
n=2630, PYs=3446.2
~6.5 yrs. max.
exposure
(~4 yrs. median)
Data as of August 15, 2022
n=3209, PYs=10782.7
~7.5 yrs. max.
exposure
(-4.2 yrs. median)
n=3209, PYs=11661.5
INFECTIONS      
Serious infections 3.5 3.6 3.6
Active tuberculosis (TB) 0.1 <0.1 <0.1
Opportunistic infection (excluding TB, herpes zoster, and oral candidiasis) 0.3 0.3 0.3
Herpes zoster 3.5 3.2 3.2
MALIGNANCYa      
Malignancy (excluding NMSC) 0.8 0.7 0.7
Lymphoma <0.1 <0.1 <0.1
NMSC 0.3 0.4 0.4
CARDIOVASCULAR EVENTSa      
Adjudicated VTEb 0.6 0.4 0.4
Adjudicated MACEc 0.6 0.3 0.3
GASTROENTEROLOGICAL EVENTSa      
Adjudicated GI perforations 0.1 <0.1 <0.1

Adverse reaction rates observed in clinical trials and LTE studies may not predict the rates observed in clinical practice.

ADVERSE REACTIONS: The most common adverse reactions in RA RINVOQ clinical trials (≥1%) were upper respiratory tract infections, nausea, cough, pyrexia. Other adverse reactions reported in less than 1% of patients in the RINVOQ 15 mg group and at a higher rate than in the placebo group through Week 12 included pneumonia, herpes zoster, herpes simplex (includes oral herpes), and oral candidiasis.

PsA Phase 3 Program AEs4,11-15
Any RINVOQ 15 mg QD*

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Data as of August 15, 20234
TEAE of Special Interest (E/100 PYs unless otherwise stated) ~3 yrs. max.
exposure
(-1.3 yrs. median)
Data as of June 30, 2020
n=907, PYs=1247.2
~4 yrs. max.
exposure
(-2.3 yrs. median)
Data as of June 30, 2021
n=907, PYs=1872.3
~5.7 yrs. max.
exposure
(-3.7 yrs. median)
n=907, PYs=2823.7
INFECTIONS      
Serious infection 2.3 3.9 3.3
Active tuberculosis (TB) 0 0 0
Opportunistic infection (excluding TB, herpes zoster, and oral candidiasis)  0.4 0.5 0.4
Herpes zoster 3.8 3.6 3.1
MALIGNANCYa      
Malignancy (excluding NMSC) 0.7 0.6 0.7
Lymphomab 0.2 0.1 0.1
NMSC 0.7 0.6 0.7
CARDIOVASCULAR EVENTSa      
Adjudicated VTEc 0.3 0.2 0.2
Adjudicated MACEd 0.3 0.3 0.4
GASTROENTEROLOGICAL EVENTSa      
Adjudicated Gl perforations <0.1 0.1 <0.1

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

No Warnings or Precautions for IBD
with RINVOQ in the FDA-approved label.1†

BOXED WARNING on Serious Infections, Mortality, Malignancies, Major Adverse Cardiovascular Events, and Thrombosis with additional Warnings and Precautions including Hypersensitivity reactions, Gastrointestinal perforations, Lab abnormalities, Embryo-fetal toxicity, Vaccinations, and Medication residue in stool.

Does not preclude events from occurring in RINVOQ-treated patients.

AS Phase 2/3 & 3 Program AEs4
Any RINVOQ 15 mg QD

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Data as of August 15, 20234
TEAEs of Special Interest* (E/100 PYs unless otherwise stated) ~3.8 years max. exposure (-1.7 years median)
n=596, PYs=1022.2
INFECTIONSa  
Serious infections 2.4
Active tuberculosis (TB) 0
Opportunistic infection (excluding TB, herpes zoster, and oral candidiasis) 0.2
Herpes zoster 3.1
MALIGNANCYa  
Malignancy (excluding NMSC) 0.2
Lymphoma <0.1
NMSC 0.3
CARDIOVASCULAR EVENTSa  
Adjudicated VTEb 0.3
Adjudicated MACEc 0.2
GASTROENTEROLOGICAL EVENTSa  
Adjudicated GI perforations 0
IBDd 0.2

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

No Warnings or Precautions for IBD
with RINVOQ in the FDA-approved label.1†

BOXED WARNING on Serious Infections, Mortality, Malignancies, Major Adverse Cardiovascular Events, and Thrombosis with additional Warnings and Precautions including Hypersensitivity reactions, Gastrointestinal perforations, Lab abnormalities, Embryo-fetal toxicity, Vaccinations, and Medication residue in stool.

Does not preclude events from occurring in RINVOQ-treated patients.

nr-axSpA Phase 3 Program AEs4

Data as of August 15, 20234
TEAEs of Special Interest* (E/100 PYs unless otherwise stated) RINVOQ 15 mg QD
~3.4 years max. exposure
(~1.1 years median)
n=286, PYs=388.4
INFECTIONS  
Serious infections 1.3
Active tuberculosis (TB) 0
Opportunistic infection (excluding TB, herpes zoster, and oral candidiasis) 0.3
Herpes zoster 2.6
MALIGNANCYa  
Malignancy (excluding NMSC) 0.3
Lymphoma 0.3
NMSC 0.3
CARDIOVASCULAR EVENTSa  
Adjudicated VTEb 0.8
Adjudicated MACEc 0.5
GASTROENTEROLOGICAL EVENTSa  
Adjudicated GI perforations 0
IBDd 0.3

Adverse reaction rates observed in clinical trials may not fully characterize the risks of RINVOQ. Certain adverse events may require longer observation periods and longer-term patient exposure to ascertain risk.

No Warnings or Precautions for IBD
with RINVOQ in the FDA-approved label.1†

BOXED WARNING on Serious Infections, Mortality, Malignancies, Major Adverse Cardiovascular Events, and Thrombosis with additional Warnings and Precautions including Hypersensitivity reactions, Gastrointestinal perforations, Lab abnormalities, Embryo-fetal toxicity, Vaccinations, and Medication residue in stool.

Does not preclude events from occurring in RINVOQ-treated patients.

Explore Long-Term Safety Data Across Indications

Well-Studied Safety Profile

Most Common Adverse Reactions From RINVOQ Clinical Trials

RHEUMATOID ARTHRITIS1
Most Common Adverse Reactions From SELECT-BEYOND, SELECT-NEXT, and SELECT-COMPARE (12 Weeks)1

Adverse reactions reported in ≥1% of moderate to severe rheumatoid arthritis patients treated with RINVOQ 15 mg pooled from the placebo‑controlled studies.

ADVERSE REACTION Placeboa n=1042 (%) RINVOQ 15 mg QDa n=1035 (%)
Upper respiratory tract infection (URTI)b 9.5 13.5
Nausea 2.2 3.5
Cough 1.0 2.2
Pyrexia 0 1.2

INFECTIONS

  • In the placebo‑controlled studies SELECT-BEYOND, SELECT-NEXT, and SELECT-COMPARE through 12/14 weeks, infections were reported in 20.9% of patients treated with placebo and 27.4% in patients treated with RINVOQ 15 mg9
  • In the 12-month exposure dataset, the incident rate of infection was 83.8 per 100 patient-years for patients treated with RINVOQ 15 mg9

ADVERSE REACTIONS: The most common adverse reactions in RINVOQ clinical trials were upper respiratory tract infections, herpes zoster, herpes simplex, bronchitis, nausea, cough, pyrexia, acne, headache, increased blood creatine phosphokinase, hypersensitivity, folliculitis, abdominal pain, increased weight, influenza, fatigue, neutropenia, myalgia, influenza-like illness, elevated liver enzymes, and rash.1

Inform patients that retinal detachment has been reported in clinical trials with RINVOQ. Advise patients to immediately inform their healthcare provider if they develop any sudden changes in vision while receiving RINVOQ.1

 

PSORIATIC ARTHRITIS10
Most Common Adverse Reactions From SELECT‑PsA 1 and SELECT‑PsA 2 (24 Weeks)

Adverse reactions reported in >1% of psoriatic arthritis patients treated with RINVOQ 15 mg pooled from the placebo‑controlled studies.

ADVERSE REACTION Placeboa n=635 (%) RINVOQ 15 mg QDa n=640 (%)
Upper respiratory tract infection (URTI)b 6.9 8.9
Bronchitis 2.2 3.8
Cough 1.6 2.5
Nausea 2.4 2.0
Herpes simplexc 1.2 1.4
Acne 0.3 1.3
Herpes zoster 0.8 1.1

INFECTIONS

  • In the placebo-controlled studies SELECT-PsA 1 and SELECT-PsA 2 through 24 weeks, infections were reported in 33.5% of patients treated with placebo and 37.5% of patients treated with RINVOQ 15 mg16

ADVERSE REACTIONS: The most common adverse reactions in RINVOQ clinical trials were upper respiratory tract infections, herpes zoster, herpes simplex, bronchitis, nausea, cough, pyrexia, acne, headache, increased blood creatine phosphokinase, hypersensitivity, folliculitis, abdominal pain, increased weight, influenza, fatigue, neutropenia, myalgia, influenza-like illness, elevated liver enzymes, and rash.1

Inform patients that retinal detachment has been reported in clinical trials with RINVOQ. Advise patients to immediately inform their healthcare provider if they develop any sudden changes in vision while receiving RINVOQ.1

 

ANKYLOSING SPONDYLITIS21
Most Common Adverse Reactions From SELECT-AXIS 2 Study 1 (14 Weeks)

Adverse reactions reported in >2% of ankylosing spondylitis patients treated with RINVOQ 15 mg from the placebo-controlled study.21

ADVERSE REACTION Placeboa n=209 (%) RINVOQ 15 mg QDa n=211 (%)
COVID-19 1.9 3.3
Headache 1.4 3.3
Neutropenia 0.5 2.8
Hyperuricemia 0 2.4
Nasopharyngitis 1.4 2.4

INFECTIONS

  • In the placebo-controlled study SELECT-AXIS 2 Study 1 through 14 weeks, infections were reported in 13% of patients treated with placebo and 15% of patients treated with RINVOQ 15 mg17

ADVERSE REACTIONS: The most common adverse reactions in RINVOQ clinical trials were upper respiratory tract infections, herpes zoster, herpes simplex, bronchitis, nausea, cough, pyrexia, acne, headache, increased blood creatine phosphokinase, hypersensitivity, folliculitis, abdominal pain, increased weight, influenza, fatigue, neutropenia, myalgia, influenza-like illness, elevated liver enzymes, and rash.1

Inform patients that retinal detachment has been reported in clinical trials with RINVOQ. Advise patients to immediately inform their healthcare provider if they develop any sudden changes in vision while receiving RINVOQ.1

 

NON-RADIOGRAPHIC AXIAL SPONDYLOARTHRITIS24
Most Common Adverse Reactions From SELECT-AXIS 2 Study 2 (14 Weeks)

Adverse reactions reported in >2% of non-radiographic axial spondyloarthritis patients treated with RINVOQ 15 mg from the placebo-controlled study.24

ADVERSE REACTION Placeboa n=157 (%) RINVOQ 15 mg QDa n=156 (%)
Headache 2.5 5.8
Nausea 1.9 3.2
Abdominal pain 0.6 2.6
Diarrhea 1.9 2.6
Neutropenia 0 2.6

anr-axSpA patients could be on background NSAIDs.

INFECTIONS

  • In the placebo-controlled study SELECT-AXIS 2 Study 2 through 14 weeks, infections were reported in 23% of patients treated with placebo and 23% of patients treated with RINVOQ 15 mg22

ADVERSE REACTIONS: The most common adverse reactions in RINVOQ clinical trials were upper respiratory tract infections, herpes zoster, herpes simplex, bronchitis, nausea, cough, pyrexia, acne, headache, increased blood creatine phosphokinase, hypersensitivity, folliculitis, abdominal pain, increased weight, influenza, fatigue, neutropenia, myalgia, influenza-like illness, elevated liver enzymes, and rash.1

Inform patients that retinal detachment has been reported in clinical trials with RINVOQ. Advise patients to immediately inform their healthcare provider if they develop any sudden changes in vision while receiving RINVOQ.1

 

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