Hyperphosphataemia after Oclacitinib (Apoquel) in dogs

155 reports to the FDA describe hyperphosphataemia in dogs given Oclacitinib. That is 0.5% of all reports for this medicine, compared with 0.6% across reports for all dog medicines.

155Reports
68%Marked serious
4.5%Recovered
33%Died or euthanised
66 daysTypical onset
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How soon it started

Same day
10 9.3%
1–2 days
5 4.6%
3–7 days
5 4.6%
1–4 weeks
19 18%
Over a month
69 64%

How the animals did

Recovered
6 3.9%
Recovered with lasting effects
1 0.6%
Still unwell when reported
80 52%
Died
12 7.7%
Euthanised
39 25%
Not known
17 11%

Problems reported at the same time

Age of the animals

Under 1 year
1
1–3 years
23
4–7 years
30
8–11 years
51
12+ years
50

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 hyperphosphataemia in dogs?
155 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 66 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).

Hyperphosphataemia with similar medicines

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