Hypoproteinaemia after Oclacitinib (Apoquel) in dogs

203 reports to the FDA describe hypoproteinaemia in dogs given Oclacitinib. That is 0.7% of all reports for this medicine, compared with 0.3% across reports for all dog medicines, so it is reported unusually often with this medicine.

203Reports
43%Marked serious
6.9%Recovered
14%Died or euthanised
87 daysTypical onset
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How soon it started

Same day
14 10%
1–2 days
5 3.6%
3–7 days
3 2.1%
1–4 weeks
17 12%
Over a month
101 72%

How the animals did

Recovered
14 6.9%
Still unwell when reported
146 72%
Died
7 3.4%
Euthanised
22 11%
Not known
14 6.9%

Problems reported at the same time

Age of the animals

Under 1 year
1
1–3 years
31
4–7 years
78
8–11 years
77
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 hypoproteinaemia in dogs?
203 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 87 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).

Hypoproteinaemia with similar medicines

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