Faecal incontinence after Oclacitinib (Apoquel) in dogs

The FDA has received 53 reports of faecal incontinence in dogs after Oclacitinib. That is 0.2% of all reports for this medicine, compared with 0.1% across reports for all dog medicines.

53Reports
55%Marked serious
23%Recovered
25%Died or euthanised
42 daysTypical onset
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How soon it started

Same day
3 6.0%
1–2 days
3 6.0%
3–7 days
6 12%
1–4 weeks
10 20%
Over a month
28 56%

How the animals did

Recovered
12 23%
Still unwell when reported
20 38%
Died
3 5.7%
Euthanised
10 19%
Not known
8 15%

Problems reported at the same time

Age of the animals

Under 1 year
1
1–3 years
5
4–7 years
13
8–11 years
21
12+ years
10

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 faecal incontinence in dogs?
53 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 42 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).

Faecal incontinence with similar medicines

All reported side effects of Oclacitinib in dogs · Medicines most reported with faecal incontinence