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Is a history of Zoster ophthalmicus a contraindication to starting upadacitinib?

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Rheumatology · Legacy Devers Eye Institute
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A history of HZO (herpes zoster ophthalmicus) or herpes zoster in any dermatome is a relative contraindication to the use of upadacitinib or any JAK inhibitor. HZO is often a very unpleasant disease with pain, ocular discomfort, and vision loss, so the chance of reactivation should be minimized.

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