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What are the side effects of Deuruxolitinib?

Updated Sep 7, 20262 min readAnswer
On this pageShort answer Living with deuruxolitinib: what to watch for Common questions Related questions Sources
Short answer

The most common side effects of deuruxolitinib (brand name Leqselvi) are headache, acne, upper respiratory infections, folliculitis, fatigue, and changes in hair texture.

Most of these are mild and show up in the first weeks as your body adjusts. Because deuruxolitinib is a JAK inhibitor, it also carries a boxed warning for serious infections, blood clots, major heart events, cancer, and death, which is why your clinician screens you for tuberculosis and hepatitis and rechecks blood counts, lipids, and liver tests during treatment. Your genetics matter here too: people who are CYP2C9 poor metabolizers, and people taking strong CYP2C9 inhibitors such as fluconazole, should not take this drug because levels build up too high. Report fever, cough that will not quit, shingles-type rash, or leg swelling and chest pain right away rather than waiting for your next visit.

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Living with deuruxolitinib: what to watch for

1Get screened first:Confirm you have had tuberculosis and hepatitis B and C testing before your first dose.
2Know your genotype:Ask whether your CYP2C9 status was checked, since poor metabolizers should not take this drug.
3Check your drug list:Tell your clinician about fluconazole, amiodarone, and any other CYP2C9 inhibitor before starting.
4Keep lab appointments:Blood counts, lipids, and liver tests are rechecked on a schedule to catch problems early.
5Act on infection signs:Fever, chills, a burning rash, or a cough that lasts more than a few days needs a same-week call.
6Treat clot symptoms as urgent:Sudden leg swelling and pain, chest pain, or shortness of breath means emergency care now.

Common questions

What are the side effects of Deuruxolitinib?

The most common side effects of deuruxolitinib are headache, acne, upper respiratory infections, folliculitis, fatigue, and changes in hair texture. Some people also notice weight gain, higher creatine kinase on labs, cold sores, urinary tract infections, back pain, or trouble sleeping. Like other JAK inhibitors, it has a boxed warning for serious infections, blood clots, heart attack and stroke, cancer, and death, so you need TB and hepatitis screening first and periodic blood work after. It is not used in CYP2C9 poor metabolizers or with strong CYP2C9 inhibitors. Call your clinician for fever, persistent cough, a painful rash, or leg swelling with chest pain or shortness of breath.

About this page. Written and maintained by the Pymander Health team. Last updated September 7, 2026.

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