Dosing recommendations1
Upadacitinib is metabolized mainly by CYP3A4. Therefore, upadacitinib plasma exposures can be affected by medicinal products that strongly inhibit (e.g., ketoconazole, itraconazole, posaconazole, voriconazole, and clarithromycin) or induce (rifampin and phenytoin) CYP3A4. Consider alternatives to strong CYP3A4 inhibitors when used in the long term. Patients should be monitored for changes in disease activity if upadacitinib is co-administered with strong CYP3A4 inducers.
Discontinuation
Consideration should be given to discontinuing treatment in patients with ankylosing spondylitis who have shown no response after 16 weeks of treatment. Some patients with initial partial response may subsequently improve with continued treatment beyond 16 weeks.
Please consult the Summary of Product Characteristics for further details regarding monitoring requirements and contraindications prior to initiating RINVOQ.
- RINVOQ [Summary of Product Characteristics]. AbbVie Deutschland GmbH & Co. KG.