Liver problems after Oclacitinib (Apoquel) in dogs

The FDA has received 2,601 reports of liver problems in dogs after Oclacitinib. That is 9.0% of all reports for this medicine, compared with 4.6% across reports for all dog medicines, so it is reported unusually often with this medicine.

2,601Reports
36%Marked serious
5.4%Recovered
9.8%Died or euthanised
57 daysTypical onset
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How soon it started

Same day
156 9.2%
1–2 days
91 5.4%
3–7 days
79 4.7%
1–4 weeks
328 19%
Over a month
1,038 61%

How the animals did

Recovered
138 5.3%
Recovered with lasting effects
2 0.1%
Still unwell when reported
1,921 74%
Died
70 2.7%
Euthanised
186 7.2%
Not known
284 11%

Problems reported at the same time

Age of the animals

Under 1 year
11
1–3 years
225
4–7 years
756
8–11 years
1,059
12+ years
471

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 liver problems in dogs?
2,601 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 57 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).

Liver problems with similar medicines

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