Hypoalbuminaemia after Oclacitinib (Apoquel) in dogs

424 reports to the FDA describe hypoalbuminaemia in dogs given Oclacitinib. That is 1.5% of all reports for this medicine, compared with 0.6% across reports for all dog medicines, so it is reported unusually often with this medicine.

424Reports
43%Marked serious
4.0%Recovered
15%Died or euthanised
82 daysTypical onset
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How soon it started

Same day
24 9.1%
1–2 days
12 4.5%
3–7 days
4 1.5%
1–4 weeks
46 17%
Over a month
178 67%

How the animals did

Recovered
17 4.0%
Still unwell when reported
310 73%
Died
16 3.8%
Euthanised
47 11%
Not known
34 8.0%

Problems reported at the same time

Age of the animals

Under 1 year
2
1–3 years
48
4–7 years
171
8–11 years
162
12+ years
37

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 hypoalbuminaemia in dogs?
424 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 82 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).

Hypoalbuminaemia with similar medicines

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