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⚠ Black box warning — systemic JAK inhibitors
Upadacitinib, abrocitinib, baricitinib, tofacitinib, ritlecitinib, and deuruxolitinib carry an FDA black box warning for serious infections, malignancy, MACE, thrombosis, and death. Deucravacitinib (TYK2) and ruxolitinib cream (topical) do not carry this warning. This tool will surface BBW concerns based on patient risk factors.
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Condition
Select the primary diagnosis
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Patient profile
Demographics and baseline
Increases MACE risk with systemic JAK inhibitors
Increases MACE risk with JAK inhibitors
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Disease characteristics
Current disease burden
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Safety screening
Black box warning risk factors — check all that apply
Cardiovascular disease / prior MACE
Contraindicates systemic JAK inhibitors
Prior or active malignancy
BBW concern — avoid systemic JAK inhibitors
Prior DVT / PE / thrombosis
Strongest contraindication for JAK inhibitors
Pregnancy / planning pregnancy
Avoid all systemic JAK/TYK2 inhibitors
Recurrent serious infections
BBW concern for all systemic JAK inhibitors
Latent TB / TB exposure
Screen and treat before initiating
Hepatitis B (active or prior)
Reactivation risk — antiviral prophylaxis
Severe renal impairment (eGFR <30)
Dose adjustment or avoidance required
Immunocompromised
Contraindicates ruxolitinib cream (AD indication)
IBD (Crohn's or UC)
Upadacitinib and tofacitinib approved for IBD
Low platelets / thrombocytopenia
Abrocitinib-specific concern
Severe hepatic impairment
Avoid tofacitinib; caution with others
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Treatment history
Prior treatments for this condition
Add each agent tried and reason for stopping
Practical factors
Access and preference
Applicable options
Updates live as you complete the form
Complete the form above — applicable agents will appear here as you make selections.
Complete the form above to generate a personalized JAK/TYK2 recommendation with safety alerts.

Not a substitute for clinical judgment or institutional prescribing guidelines.