{"id":628860,"date":"2024-07-08T13:27:59","date_gmt":"2024-07-08T17:27:59","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628860"},"modified":"2024-10-25T09:52:00","modified_gmt":"2024-10-25T13:52:00","slug":"does-rinvoq-cause-weight-gain","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-rinvoq-cause-weight-gain\/","title":{"rendered":"Does Rinvoq cause weight gain?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Inflammation is a double-edged sword. It&rsquo;s part of the immune system&rsquo;s defense mechanism, but it can cause serious issues&mdash;like rheumatoid arthritis and psoriatic arthritis&mdash;if it gets too severe. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rinvoq\/what-is\"><span style=\"font-weight: 400;\">Rinvoq<\/span><\/a><span style=\"font-weight: 400;\"> (upadacitinib) is a prescription medication that can treat these conditions, along with moderate to severe atopic dermatitis, ankylosing spondylitis, Crohn&#8217;s disease, and ulcerative colitis. And while it&rsquo;s a powerful anti-inflammatory drug, Rinvoq may cause weight gain in some people. Exactly how, why, and when may vary, but we&rsquo;ve got all the details below.&nbsp;<\/span><\/p>\n<h2 id=\"why-does-rinvoq-cause-weight-gain\"><span style=\"font-weight: 400;\">Why does Rinvoq cause weight gain?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The Food and Drug Administration (FDA) <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2023\/211675s017lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">prescribing information for Rinvoq<\/span><\/a><span style=\"font-weight: 400;\"> states that, during <\/span><span style=\"font-weight: 400;\">clinical trials, <\/span><span style=\"font-weight: 400;\">Rinvoq only caused weight gain in around 2% of patients. This could simply stem from its drug type. Rinvoq is a Janus kinase (JAK) inhibitor, which means it blocks certain enzymes that cause the immune system to create inflammation.<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6851362\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">One study from 2019<\/span><\/a><span style=\"font-weight: 400;\"> demonstrated that 84% of patients taking JAK inhibitors saw increased body weight. However, the FDA only lists increased weight as a side effect when it&rsquo;s used for atopic dermatitis&mdash;a type of eczema&mdash;not arthritis or other conditions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Determining the cause of this weight increase when taking Rinvoq for atopic dermatitis is a little more complicated. &ldquo;The mechanism behind this weight gain is not entirely clear,&rdquo; explains Dr. John Lowe, MD, of <\/span><a href=\"https:\/\/www.restorecare.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Restore Care Wellness Clinic<\/span><\/a><span style=\"font-weight: 400;\">. &ldquo;But, it may be related to changes in appetite or metabolic effects.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, weight gain might not stem from Rinvoq itself, but from supplemental medications. Some atopic dermatitis patients take corticosteroids like prednisone as well, <\/span><a href=\"https:\/\/www.hopkinsvasculitis.org\/vasculitis-treatments\/prednisone\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">which may cause weight gain<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/nsaids\"><span style=\"font-weight: 400;\">Nonsteroidal anti-inflammatory drugs (NSAIDs)<\/span><\/a><span style=\"font-weight: 400;\"> are another common companion, and although they don&rsquo;t cause weight gain, they might cause fluid retention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even though JAK inhibitors and certain <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/biologics-for-psoriasis\/\"><span style=\"font-weight: 400;\">biologic drugs<\/span><\/a><span style=\"font-weight: 400;\"> prescribed for inflammatory diseases may affect a patient&rsquo;s weight, remember that everyone reacts to medications differently, so it depends entirely on the person.<\/span><\/p>\n<h2 id=\"other-rinvoq-side-effects\"><span style=\"font-weight: 400;\">Other Rinvoq side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to Rinvoq&rsquo;s manufacturer, <\/span><a href=\"https:\/\/www.rinvoq.com\/side-effects\"><span style=\"font-weight: 400;\">AbbVie<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">other common side effects of Rinvoq include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upper respiratory tract infections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shingles (herpes zoster)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cold sores<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acne<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inflamed hair follicles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased white blood cells<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High cholesterol levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased liver enzyme levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pneumonia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low red blood cell count (anemia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastroenteritis<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dr. Lowe recommends that doctors monitor Rinvoq patients closely for any signs of weight gain, changes in body composition, or other side effects.&nbsp;<\/span><\/p>\n<h3 id=\"warnings-and-precautions\"><span style=\"font-weight: 400;\">Warnings and precautions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The<\/span> <a href=\"https:\/\/www.fda.gov\/drugs\/fda-drug-safety-podcasts\/fda-requires-warnings-about-increased-risk-serious-heart-related-events-cancer-blood-clots-and-death\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA has also included a boxed warning<\/span><\/a> <span style=\"font-weight: 400;\">on the Rinvoq extended-release tablet label for certain serious side effects. They include an increased risk of serious infections, blood clots, life-threatening cardiovascular events (e.g., heart attack and stroke), thrombosis, and higher rates of skin cancer, lymphoma, liver problems, and pulmonary embolisms. If you experience any symptoms of these conditions, including chest pain and trouble breathing, seek medical help immediately.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rinvoq may also cause gastrointestinal perforations, which are small holes in the stomach, small intestine, or large intestine. These are rare, but they&rsquo;re serious issues that require immediate treatment. Healthcare providers will monitor patients with diverticulitis or risk factors for perforations more closely while taking Rinvoq.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beyond that, in rare instances, Rinvoq may cause allergic reactions. Anyone who experiences hives, shortness of breath, dizziness, faintness, or swelling of the lips, tongue, or throat should seek immediate medical attention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, Rinvoq animal studies showed excretion of its active ingredient, upadacitinib, in breast milk and potential fetal malformations in early pregnancy. There are no current studies on human lactation or fetal development, but<\/span> <a href=\"https:\/\/news.abbvie.com\/2021-12-03-AbbVie-Provides-Update-on-RINVOQ-R-upadacitinib-for-the-Treatment-of-Rheumatoid-Arthritis-in-the-U-S\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">AbbVie advises against taking Rinvoq while pregnant or breastfeeding<\/span><\/a><span style=\"font-weight: 400;\">. It also recommends taking birth control to avoid pregnancy during treatment and four weeks after the last dose of Rinvoq since it may harm an unborn baby.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;When thinking about using Rinvoq as a treatment, it&#8217;s important to weigh the possible benefits against the risks and discuss other treatment options with patients,&rdquo; Dr. Lowe says. &ldquo;Depending on the patient&#8217;s condition and medical history, other options like different disease-modifying anti-rheumatic drugs (DMARDs), biologic agents, or nonpharmacological treatments may be considered.&rdquo;<\/span><\/p>\n<h2 id=\"how-to-manage-rinvoq-side-effects\"><span style=\"font-weight: 400;\">How to manage Rinvoq side effects<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Weight gain from Rinvoq isn&rsquo;t necessarily the result of any particular lifestyle choice. However, exercising regularly and sticking to a well-balanced diet may <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medications-that-cause-weight-gain\/\"><span style=\"font-weight: 400;\">help manage it<\/span><\/a><span style=\"font-weight: 400;\">. &ldquo;I recommend the Mediterranean diet to all my patients because it contains foods that are anti-inflammatory,&rdquo; says rheumatologist<\/span><a href=\"https:\/\/www.txrheum.com\/\"> <span style=\"font-weight: 400;\">Stella Bard, MD<\/span><\/a><span style=\"font-weight: 400;\">, a board-certified rheumatologist at a private practice in McKinney, Texas. &ldquo;Conditions like spondyloarthritis are linked to obesity, and fat cells actually produce inflammatory cytokines. I often tell patients that shedding and ridding themselves of the troublemakers is half the battle.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For pointed recommendations based on your specific condition, it&rsquo;s best to speak with your healthcare provider. They can provide medical advice based on their knowledge of your specific situation. They might alter the dosage, present alternatives, or suggest seeing a dietitian or a different type of healthcare provider.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some of the other possible side effects may simply subside as your body adjusts to the treatment. For mild side effects like respiratory infections, headache, nausea, and acne, over-the-counter medications can work well&mdash;just consult your healthcare provider beforehand. And, if you experience the symptoms of any serious side effects or allergic reactions, see a healthcare professional as soon as possible.<\/span><\/p>\n<h2 id=\"rinvoq-alternatives\"><span style=\"font-weight: 400;\">Rinvoq alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dr. Bard says some of the most common Rinvoq alternatives are &ldquo;other JAK inhibitors, such as Sotyktu (approved for psoriasis), Xeljanz, and Olumiant.&rdquo; Other substitutes may include tumor necrosis factor (TNF) inhibitors like Humira, Enbrel, and Remicade&mdash;biologic medications prescribed for the same range of diseases. Unfortunately, these don&rsquo;t solve the weight gain problem since<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7174757\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">they can also cause it<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">NSAIDs like naproxen and ibuprofen can help treat the symptoms of arthritis and other inflammatory diseases. They&rsquo;re less expensive and available over the counter, making them an attractive option. But, while they can help with pain and inflammation, they<\/span> <a href=\"https:\/\/www.hopkinsarthritis.org\/arthritis-info\/rheumatoid-arthritis\/ra-treatment\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">won&rsquo;t slow down the disease<\/span><\/a><span style=\"font-weight: 400;\"> in the way DMARDs like azathioprine can.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Corticosteroids like prednisone are another popular treatment option, both on their own and alongside other drugs. However, they&rsquo;re typically used for fast, temporary relief, and they<\/span> <a href=\"https:\/\/www.arthritis.org\/drug-guide\/corticosteroids\/corticosteroids\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may also cause weight gain<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Inflammation is a double-edged sword. It&rsquo;s part of the immune system&rsquo;s defense mechanism, but it can cause serious issues&mdash;like rheumatoid arthritis and psoriatic arthritis&mdash;if it gets too severe. Rinvoq (upadacitinib) is a prescription medication that can treat these conditions, along with moderate to severe atopic dermatitis, ankylosing spondylitis, Crohn&#8217;s disease, and ulcerative colitis. And while [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":628862,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[12752],"coauthors":[8861],"class_list":["post-628860","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-medication-side-effects","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Rinvoq cause weight gain?<\/title>\n<meta name=\"description\" content=\"There\u2019s not a lot of research proving the connection between Rinvoq and weight gain, but there is evidence that it can occur due to the type of drug it is.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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