Drug interactions
Rozanolixizumab + Upadacitinib
Severity: Major
Rozanolixizumab and Upadacitinib: major interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Upadacitinib is a JAK inhibitor that suppresses immune signaling, while rozanolixizumab lowers circulating IgG by blocking the neonatal Fc receptor. Used together, the reduced IgG and impaired cellular immunity may raise the risk of serious infections.
What this interaction means in plain words
Rozanolixizumab and Upadacitinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Rozanolixizumab belongs to Miscellaneous; Upadacitinib belongs to Musculoskeletal.
Why it happens
Additive immunosuppression through JAK inhibition and FcRn-mediated IgG reduction.
What to do
Avoid combining where possible; if both are necessary, screen for active infection beforehand and monitor closely for signs of infection. Interrupt therapy if a serious infection develops.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Upadacitinib
- Abrocitinib + Upadacitinib Contraindicated
- Adenovirus types 4 and 7 live + Upadacitinib Contraindicated
- Baricitinib + Upadacitinib Contraindicated
- Bcg vaccine live + Upadacitinib Contraindicated
- Cyclosporine + Upadacitinib Contraindicated
- Dengue vaccine + Upadacitinib Contraindicated
Other interactions of Rozanolixizumab
- Abatacept + Rozanolixizumab Moderate
- Adalimumab + Rozanolixizumab Moderate
- Ado-trastuzumab + Rozanolixizumab Moderate
- Basiliximab + Rozanolixizumab Moderate
- Bevacizumab + Rozanolixizumab Moderate
- Denosumab + Rozanolixizumab Moderate
Frequently asked questions
Can I take Rozanolixizumab with Upadacitinib?
MediHelp rates the interaction as major. Rozanolixizumab and Upadacitinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Upadacitinib is a JAK inhibitor that suppresses immune signaling, while rozanolixizumab lowers circulating IgG by blocking the neonatal Fc receptor. Used together, the reduced IgG and impaired cellular immunity may raise the risk of serious infections.
How serious is the interaction between Rozanolixizumab and Upadacitinib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible; if both are necessary, screen for active infection beforehand and monitor closely for signs of infection. Interrupt therapy if a serious infection develops.
What other medicines interact with Upadacitinib?
MediHelp also lists interactions of Upadacitinib with, for example, Abrocitinib, Adenovirus types 4 and 7 live, Baricitinib. The full list is on the Upadacitinib page.
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