Can I Take Rinvoq® ER 15 mg Every Few Days for Cost Savings? - Dermatology

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Rinvoq® Extended Release Tablets (15 mg)


Rinvoq® ER 15 mg can I take it every two to three days due to financial constraints? (I have been self-paying for a month and my condition is very good) Thank you!

Liao Xiansheng, 60~69 year old female. Ask Date: 2024/03/06

Dr. Wu Yuxin reply Dermatology


I am not aware of the severity of your condition, so please discuss the appropriate medication dosage with your attending physician.

Reply Date: 2024/03/06

More Info


When considering the use of Rinvoq® ER (upadacitinib) 15 mg every few days instead of the prescribed daily dosage, it is crucial to consult with your healthcare provider. Rinvoq is a Janus kinase (JAK) inhibitor primarily used for treating moderate to severe rheumatoid arthritis, atopic dermatitis, and other inflammatory conditions. The medication is designed to be taken daily to maintain its therapeutic effect, and altering the dosage without medical guidance can lead to suboptimal treatment outcomes.

Taking Rinvoq less frequently than prescribed may not provide the consistent therapeutic levels needed to manage your condition effectively. While you may feel well after a month of treatment, the underlying disease process may still be active, and reducing the frequency of medication could lead to a flare-up or worsening of symptoms. Additionally, the pharmacokinetics of the drug—how it is absorbed, distributed, metabolized, and excreted—are based on daily dosing. Skipping doses or extending the time between doses could disrupt this balance and potentially lead to adverse effects or reduced efficacy.

From a medical standpoint, it is essential to understand that medications like Rinvoq are often part of a comprehensive treatment plan that includes lifestyle modifications, physical therapy, and regular monitoring by healthcare professionals. If cost is a concern, discussing this openly with your doctor can lead to alternative solutions, such as patient assistance programs, generic options, or other medications that may be more affordable while still effectively managing your condition.

Moreover, it is important to consider the potential risks associated with altering your medication regimen. JAK inhibitors, including Rinvoq, can have side effects such as increased risk of infections, blood clots, and changes in blood lipid levels. Regular monitoring of blood counts and liver function tests is often recommended for patients on these medications. By not adhering to the prescribed dosage, you may inadvertently increase your risk of these side effects or complications.

In summary, while it may seem financially prudent to take Rinvoq less frequently, it is vital to prioritize your health and treatment efficacy. Please consult your healthcare provider to discuss your concerns about medication costs and explore safe and effective alternatives. They can help you navigate your treatment plan while considering your financial situation, ensuring that you receive the best possible care without compromising your health.

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