Before Using

المعلومات عن الأدوية مقدَّمة من: IBM Micromedex

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Appropriate studies have not been performed on the relationship of age to the effects of tofacitinib extended-release tablet in the pediatric population. Safety and efficacy have not been established.

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of tofacitinib tablet and oral liquid in children 2 to 17 years of age with pcJIA. Safety and efficacy have been established.


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tofacitinib in the elderly. However, elderly patients are more likely to have serious infections, which may require caution in patients receiving tofacitinib.


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abatacept
  • Abciximab
  • Adalimumab
  • Adenovirus Vaccine
  • Alefacept
  • Alemtuzumab
  • Anakinra
  • Anifrolumab-fnia
  • Antithymocyte Globulin Equine
  • Antithymocyte Globulin Rabbit
  • Apremilast
  • Azathioprine
  • Bacillus of Calmette and Guerin Vaccine, Live
  • Baricitinib
  • Basiliximab
  • Belatacept
  • Belimumab
  • Bevacizumab
  • Brentuximab Vedotin
  • Brodalumab
  • Canakinumab
  • Carbamazepine
  • Catumaxomab
  • Certolizumab Pegol
  • Cetuximab
  • Cholera Vaccine, Live
  • Cyclosporine
  • Daclizumab
  • Dengue Tetravalent Vaccine, Live
  • Denosumab
  • Eculizumab
  • Efalizumab
  • Elotuzumab
  • Enzalutamide
  • Etanercept
  • Everolimus
  • Evolocumab
  • Fingolimod
  • Fosphenytoin
  • Gemtuzumab Ozogamicin
  • Glatiramer
  • Golimumab
  • Guselkumab
  • Ibritumomab Tiuxetan
  • Infliximab
  • Influenza Virus Vaccine, Live
  • Ipilimumab
  • Ixekizumab
  • Lumacaftor
  • Measles Virus Vaccine, Live
  • Mitotane
  • Mumps Virus Vaccine, Live
  • Muromonab-CD3
  • Mycophenolate Mofetil
  • Mycophenolate Sodium
  • Mycophenolic Acid
  • Natalizumab
  • Nivolumab
  • Ofatumumab
  • Omalizumab
  • Panitumumab
  • Pembrolizumab
  • Pertuzumab
  • Phenytoin
  • Pimecrolimus
  • Poliovirus Vaccine, Live
  • Ramucirumab
  • Ranibizumab
  • Rifampin
  • Rilonacept
  • Rituximab
  • Rotavirus Vaccine, Live
  • Rubella Virus Vaccine, Live
  • Ruxolitinib
  • Secukinumab
  • Siltuximab
  • Sirolimus
  • Smallpox Vaccine
  • St John's Wort
  • Tacrolimus
  • Temsirolimus
  • Tocilizumab
  • Trastuzumab
  • Typhoid Vaccine, Live
  • Ustekinumab
  • Varicella Virus Vaccine, Live
  • Vedolizumab
  • Yellow Fever Vaccine
  • Zoster Vaccine, Live

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Fluconazole

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Anemia (blood disease) or
  • Hyperlipidemia (high cholesterol in the blood) or
  • Infection, history of or
  • Neutropenia (blood disease) or
  • Stomach or bowel problems (eg, blockage, diverticulitis, perforation, ulcers), history of—Use with caution. May make these conditions worse.
  • Diabetes or
  • Lung disease (eg, interstitial lung disease), or history of or
  • Lymphopenia (blood disease)—Use with caution. May increase risk of developing infections.
  • Heart or blood vessel disease or
  • Hepatitis B, history of or
  • Hepatitis C, history of or
  • Herpes zoster infection or
  • Tuberculosis, active or history of or
  • Weakened immune system—May cause side effects to become worse.
  • Infection, active or
  • Liver disease, severe—Use is not recommended in patients with these conditions.
  • Kidney disease (eg, patients on dialysis), moderate or severe or
  • Liver disease, moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
  • Smoker, current or past—May increase risk for serious side effects.