Corneal ulcer after Oclacitinib (Apoquel) in dogs

The FDA has received 137 reports of corneal ulcer in dogs after Oclacitinib. That is 0.5% of all reports for this medicine, compared with 0.1% across reports for all dog medicines, so it is reported unusually often with this medicine.

137Reports
45%Marked serious
18%Recovered
3.6%Died or euthanised
48 daysTypical onset
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How soon it started

Same day
10 9.7%
1–2 days
14 14%
3–7 days
3 2.9%
1–4 weeks
18 17%
Over a month
58 56%

How the animals did

Recovered
23 17%
Recovered with lasting effects
2 1.5%
Still unwell when reported
90 66%
Euthanised
5 3.6%
Not known
17 12%

Problems reported at the same time

Age of the animals

Under 1 year
1
1–3 years
18
4–7 years
47
8–11 years
50
12+ years
15

About this medicine

Oclacitinib controls itching from allergies (tablet, a JAK inhibitor).

Products with this ingredient include Apoquel. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Oclacitinib cause corneal ulcer in dogs?
137 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 48 days of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Corneal ulcer with similar medicines

All reported side effects of Oclacitinib in dogs · Medicines most reported with corneal ulcer