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Xeljanz

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Product Details

What is Xeljanz?

What is Xeljanz?

Xeljanz is a prescription medication containing tofacitinib, a medicine that helps control overactive immune responses. It belongs to a class of drugs known as Janus kinase (JAK) inhibitors. The medication is used to treat autoimmune and inflammatory conditions such as rheumatoid arthritis, psoriatic arthritis, ulcerative colitis, and ankylosing spondylitis. Xeljanz is available in 5 mg and 10 mg strengths at Polar Bear Meds in Canada. A valid prescription is required.

Quick Facts About Xeljanz

Quick Facts About Xeljanz

Product NameXeljanz
Active IngredientTofacitinib
Drug ClassJanus kinase (JAK) inhibitors
Available FormsOral Tablets
Strengths Available5 mg and 10 mg
Routes of AdministrationTaken by mouth
Xeljanz UsesTreats:
Rheumatoid arthritis

Psoriatic arthritis

Ulcerative colitis

Active ankylosing spondylitis
Xeljanz StorageStore in a cool, dry place (below 30°C)
Pregnancy and BreastfeedingConsult a doctor
Legal StatusRx only
FDA Black Box WarningSerious infections, major adverse cardiovascular events (heart attack and stroke), cancer, blood clots, and death.

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What Is Xeljanz Used For?

What Is Xeljanz Used For?

Xeljanz is typically prescribed for patients who have had an inadequate response or intolerance to one or more TNF blockers, depending on the condition:

  • Active psoriatic arthritis
  • Moderate to severe rheumatoid arthritis
  • Moderate to severe ulcerative colitis
  • Ankylosing spondylitis

Xeljanz is also approved to treat polyarticular juvenile idiopathic arthritis in children 2 years or older who have had an intolerance to one or more TNF blockers.

Taking Xeljanz tablets along with other medicines that suppress the immune system can increase the risk of serious side effects. Inform your healthcare provider or pharmacist about all the medications you take.

How Does Xeljanz Work?

How Does Xeljanz Work?

Xeljanz (tofacitinib) inhibits Janus kinases (JAKs) in immune cells. In autoimmune diseases such as ulcerative colitis and rheumatoid arthritis, inflammatory proteins (cytokines) activate the JAK-STAT signaling pathway, which, in turn, activates pathways that increase inflammation. Xeljanz primarily blocks JAK1 and JAK3, thereby reducing this signaling pathway and decreasing the production of inflammatory mediators. By blocking these signals, Xeljanz helps calm the immune system and reduce inflammation.

Serious Side Effects and Black Box Warning for Xeljanz

Serious Side Effects and Black Box Warning for Xeljanz

Like all prescription medicines, Xeljanz may cause side effects, ranging from mild to serious:

Xeljanz Common Side Effects

  • Increased blood pressure
  • Skin rash, shingles, or acne
  • Diarrhea
  • Upper respiratory tract infection or cold symptoms, such as a sore throat, a stuffy nose, and sneezing
  • High cholesterol levels
  • Headache
  • Fever
  • Abnormal blood tests

Xeljanz Serious Side Effects

  • Tuberculosis (TB)
  • Infections caused by fungi, bacteria, or viruses (life-threatening diseases)
  • Major adverse cardiovascular events (stroke or heart attack)
  • Yellowing of the eyes or skin
  • Dark urine
  • Loss of appetite
  • Shortness of breath
  • Vomiting
Xeljanz Box Warning

Xeljanz Box Warning

FDA Boxed Warning: Xeljanz tablets have an increased risk of:

  • Blood clots (if taken 10 mg twice daily) for patients with ulcerative colitis.
  • Increased risk of serious heart-related events (heart attack and stroke), malignancies, and thrombosis, particularly in patients aged 50 years and older with cardiovascular risk factors.
  • Xeljanz (tofacitinib) decreases immune system activity, making it less effective at combating diseases.

Important safety information: Always tell your doctor the exact dose you are taking. Do not stop taking Xeljanz without medical advice, as symptoms may worsen.

What Are the Precautions of Xeljanz?

What Are the Precautions of Xeljanz?

Keep the following Xeljanz precautions in mind before you consider taking it for the treatment of autoimmune conditions such as rheumatoid arthritis, psoriatic arthritis, and others.

  • Risk of serious infections
    • Bacterial
    • Fungal
    • Viral
    • Shingles
  • Cardiovascular events
    • Stroke
    • Heart attack
  • Risk of cancer
    • Lung cancer
    • Lymphoma
    • Non-melanoma skin cancer
  • Fluctuation of laboratory test results
    • Decreased hemoglobin
    • Lower levels of lymphocytes
    • Decreased neutrophils
  • Blood clots
    • Arterial thrombosis
    • Deep vein thrombosis
    • Pulmonary embolism
  • Patients aged 65 years and older may have
    • A higher risk of cardiovascular events
    • High risk of infections
  • Pregnant or breastfeeding women should always consult a doctor before taking Xeljanz
Who Should Not Take Xeljanz?

Who Should Not Take Xeljanz?

Xeljanz should not be used in patients with severe active infections. Treatment should be avoided in patients with significantly low hemoglobin, lymphocytes, or neutrophil counts. Use Xeljanz (tofacitinib) with caution in patients with:

  • Severe liver impairment or active serious infection
  • Tuberculosis
  • HIV
  • Shingles
  • Chronic lung disease
  • Diabetes
  • Weak immune system
  • Any cancer
  • Blood clots in the arteries or veins of the lungs, arms, or legs
  • Cardiac arrest or stroke
  • Kidney or liver problems
  • Ulcers in the stomach or abdominal pain
  • High cholesterol

You must be under medical supervision before taking Xeljanz tablets. Xeljanz should only be used in children when specifically prescribed by a specialist. Please consult your doctor for the potential risks.

How to Take Xeljanz Tablets?

How to Take Xeljanz Tablets?

The dosage schedule for Xeljanz oral tablets is as follows:

  • Xeljanz for arthritis should be taken twice daily.
  • You can take Xeljanz tablets with or without food.
  • The medication should be taken in a gap of 12 hours.
  • Take the tablet as is, with water, without breaking or crushing.
What Happens If You Take Too Much Xeljanz?

What Happens If You Take Too Much Xeljanz?

An Xeljanz overdose may increase the risk of serious side effects. Seek immediate medical help if you have taken too much Xeljanz. Contact the Poison Control Center or a nearby hospital if symptoms are severe.

What to Do If You Miss Xeljanz Tablets?

What to Do If You Miss Xeljanz Tablets?

If you missed a dose of Xeljanz, take it as soon as possible. However, if it is time for your next scheduled dose, take the next scheduled dose at the regular time. Skip the missed dose and do not make up for it.

How to Store Xeljanz?

How to Store Xeljanz?

  • Keep Xeljanz at room temperature between 20°C and 25°C (68°F and 77°F).
  • Keep the tablets in their original form, away from direct light.
  • Keep Xeljanz away from children and pets.
  • Do not keep the medication in the bathroom to avoid moisture.
What Medications Interact with Xeljanz?

What Medications Interact with Xeljanz?

Inform your healthcare professional about all the medications that you are taking (prescription-based or over-the-counter) for arthritis or any other condition. The medicines that may interact with Xeljanz are:

  • etanercept (Enbrel)
  • infliximab (Remicade)
  • tocilizumab (Actemra)
  • adalimumab (Humira)
  • certolizumab (Cimzia)
  • ustekinumab (Stelara)
  • azathioprine
  • vedolizumab (Entyvio)
  • strong CYP3A4 inducers (rifampin)
  • moderate CYP3A4 inhibitors/strong CYP2C19 inhibitors (fluconazole)
  • strong CYP3A4 inhibitors (such as ketoconazole)
  • tacrolimus

Here, the Xeljanz interaction list is incomplete. Other medicines may interact with Xeljanz (tofacitinib). Consult your doctor before starting the medication.

What Are the Alternatives to Xeljanz?

What Are the Alternatives to Xeljanz?

Here are some common Xeljanz alternatives for treating autoimmune diseases such as rheumatoid arthritis and psoriatic arthritis.

  • JAK inhibitors (same active ingredient as Xeljanz)
    • Olumiant
    • Rinvoq
  • For Rheumatoid Arthritis
    • Enbrel
    • Humira
    • Actemra
    • Orencia
    • Kevzara
  • For Ulcerative Colitis
    • Humira (adalimumab) – TNF blocker
    • Entyvio (vedolizumab) – Integrin receptor antagonist
    • Omvoh (mirikizumab-mrkz) – IL-23 inhibitor
    • Skyrizi (risankizumab-rzaa) – IL-23 blocker (recent FDA approval)
    • Mesalamine agents (for mild/moderate UC)
  • For Psoriatic Arthritis
    • Humira (adalimumab) – TNF inhibitor
    • Tremfya – IL-23 inhibitor
    • Stelara – IL-12/23 inhibitor
    • Enbrel (etanercept) – TNF inhibitor
    • Skyrizi – IL-23 inhibitor

Consult your healthcare professional before switching to any of the above Xeljanz alternatives.

Why Buy Xeljanz Online from Polar Bear Meds?

Why Buy Xeljanz Online from Polar Bear Meds?

Xeljanz (tofacitinib) can be costly when purchased from local U.S. pharmacies, especially for patients who require long-term treatment for arthritis. At Polar Bear Meds, we help you access your prescribed medications at more affordable prices by sourcing them through fully licensed Canadian and international pharmacy partners.

When you choose to buy Xeljanz online from Polar Bear Meds, you may benefit from significantly lower pricing compared to many U.S. retail pharmacies — often saving a substantial percentage on your medication costs while maintaining standard pharmacy dispensing practices.

Here’s why patients trust Polar Bear Meds for their Xeljanz prescription:

  • Competitive pricing on genuine, pharmacy-dispensed Xeljanz
  • Exclusive savings opportunities, including an Xeljanz coupon code for additional discounts on your first order
  • Fast and secure shipping, with most orders delivered within 3–5 business days via reliable postal services (Xpress Post)

At Polar Bear Meds, your safety and satisfaction come first. Every order is processed through licensed pharmacy partners to ensure you receive authentic Xeljanz medicine as prescribed by your healthcare professional. If you are seeking a trusted, affordable way to buy Xeljanz online, Polar Bear Meds offers a secure and cost-effective solution tailored to your needs.

Important Disclaimer

Important Disclaimer

The information provided about Xeljanz is for informational and educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Xeljanz (tofacitinib) is a prescription-based medicine and should be used only under the supervision of a healthcare professional. Always consult your doctor before changing or stopping your Xeljanz dosage.

Xeljanz FAQs

Xeljanz FAQs

Dr. Jackson Miller

Medically Reviewed by Dr. Jackson Miller (M.D)

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.

Find Dr. Jackson Miller on:LinkedIn

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