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Olumiant® Tablets for Rheumatoid Arthritis
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Olumiant is baricitinib, a Janus kinase inhibitor used for moderate to severe rheumatoid arthritis and severe alopecia areata. It may also be used in certain hospitalized adults with COVID-19, as directed by official labeling. You can get Olumiant® with US delivery from Canada, even without insurance. This page explains what it is, who it’s for, how to use it, and how to access it through YouDrugstore.
What Olumiant Is and How It Works
This medicine blocks parts of the JAK pathway that drive inflammation. By reducing overactive immune signaling, it can ease swollen, painful joints in rheumatoid arthritis and help scalp hair regrowth in severe alopecia areata. In some hospitalized adults with COVID-19, this therapy may be used with standard care to help improve clinical outcomes as described by regulators.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
Olumiant tablets are taken by mouth and work systemically. Baricitinib is mainly removed by the kidneys, and your prescriber may order lab tests before and during treatment. Do not start if you have signs of a serious infection. Avoid live vaccines during therapy.
Who It’s For
This treatment is approved for adults with moderate to severe rheumatoid arthritis who have had an inadequate response to one or more disease-modifying therapies. It is also approved for adults with severe alopecia areata. In some regions, it may be used for hospitalized adults with COVID-19 who require oxygen or more intensive respiratory support under labeled guidance.
People with active serious infections, untreated tuberculosis, or very low blood counts should not start until cleared by a clinician. Those with a history of blood clots, cardiovascular risk factors, or certain cancers should discuss risks and benefits carefully.
Learn about related conditions: Rheumatoid Arthritis, Alopecia Areata, and Covid 19. You can also browse our Immunology category.
Dosage and Usage
Follow the exact directions on your prescription label. For rheumatoid arthritis and alopecia areata, the usual dose is once daily. Prescribers often start at 2 mg once daily and may adjust based on response and tolerability. For hospitalized adults with COVID-19, a once-daily regimen is used for a limited duration per label.
Swallow tablets whole with water. Take at the same time each day, with or without food. If you also take other medicines, your prescriber may advise spacing certain agents. Do not combine with other potent immunosuppressants unless specifically directed by your healthcare professional.
If questions arise about timing or administration, consult the official Patient Information or your prescriber. Never change your dose on your own.
Strengths and Forms
This medicine is available as oral tablets. Commonly published strengths include 1 mg, 2 mg, and 4 mg. Availability may vary by market and stock. Packaging sizes are typically monthly quantities, though prescribers may authorize different amounts.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is almost time for the next dose, skip the missed dose and resume your regular schedule. Do not take two doses at once. Consistency helps your clinician evaluate how well the treatment works.
Storage and Travel Basics
Store tablets at room temperature in the original container. Keep dry, away from excess heat and light, and out of reach of children and pets. For travel, carry the labeled bottle in your hand luggage with a copy of your prescription. Bring a current medicines list and allow extra time for security screening. Close the cap tightly after each use.
Benefits
This therapy can reduce joint pain, swelling, and morning stiffness in rheumatoid arthritis, helping daily function over time. In severe alopecia areata, it may increase scalp hair coverage when continued as prescribed. In eligible hospitalized adults with COVID-19, it may help improve outcomes when used alongside standard treatments. Individual responses vary, and ongoing monitoring is important.
Side Effects and Safety
- Upper respiratory symptoms
- Nausea or abdominal discomfort
- Headache or fatigue
- Acne or rash
- Shingles (herpes zoster)
- Increased cholesterol on labs
Serious risks can include severe infections, tuberculosis reactivation, blood clots, heart-related events, certain cancers, gastrointestinal perforation, and significant changes in blood counts or liver tests. Seek urgent care for chest pain, shortness of breath, leg swelling, fever, or persistent cough. Your clinician may perform baseline and periodic bloodwork and screen for TB and hepatitis per guidelines.
Drug Interactions and Cautions
Avoid use with other JAK inhibitors, biologic DMARDs, or potent immunosuppressants unless your specialist directs otherwise. Live vaccines should not be given during therapy; discuss vaccine plans before starting. Probenecid and other strong OAT3 inhibitors can raise baricitinib exposure. Tell your healthcare professional about all prescription, OTC, and herbal products, including anticoagulants, to review overall bleeding or clotting risks. Alcohol should be used cautiously if you have liver disease.
What to Expect Over Time
Symptoms may ease gradually with steady daily use. Your clinician will track changes in pain, stiffness, function, and, for alopecia areata, hair coverage. Lab tests help ensure safe continuation. If benefits do not outweigh risks, your prescriber may adjust the plan. Do not stop suddenly without medical advice; discuss any concerns during follow-up.
Compare With Alternatives
Other approved options for rheumatoid arthritis include targeted synthetic or biologic agents. Once-daily tofacitinib XR, available as Xeljanz® XR, is another JAK pathway therapy. Injectable tumor necrosis factor inhibitors like Humira® are also widely used. Your prescriber will match therapy to your disease activity, history, and safety profile.
Pricing and Access
We offer transparent listings and current availability. You can review Olumiant Canadian pricing on this page and compare options. Many patients pay cash; cash pricing for Olumiant varies by strength and quantity.
Our team can help you understand coverage documents your plan may request. If paying out of pocket, you can also explore the cost of baricitinib under your prescriber’s guidance. For coupons and seasonal offers, see our Promotions page.
Olumiant price without insurance differs by supply size; we display the latest figures before checkout. Orders placed here are fulfilled by our Canadian pharmacy and Ships from Canada to US to your address after prescription review.
Availability and Substitutions
Stock can vary by strength and pack size. If a selected option is unavailable, your prescriber may recommend an alternative in the same class or a different category. We cannot guarantee restock dates, but we update product pages as inventory changes.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults with active rheumatoid arthritis who have not responded to other DMARDs, adults with severe alopecia areata, and certain hospitalized adults with COVID-19 per label. It may not be appropriate if you have active serious infections, severe uncontrolled liver disease, or profoundly low blood counts. Tell your clinician about clot history or cancer risk.
For budgeting, consider longer supplies if your prescriber agrees, which can reduce per-tablet costs. Set refill reminders so you do not miss doses. If you’re comparing options, discuss the Cost of Olumiant versus other therapies and whether monitoring expenses apply. We use encrypted checkout to protect your information.
Questions to Ask Your Clinician
- Treatment goals: What symptoms should improve first?
- Dose plan: How will you monitor efficacy and safety?
- Labs and screening: Which tests and how often?
- Vaccines: Which should I receive before starting?
- Infections: What warning signs require urgent care?
- Risks: How do clot and cancer risks apply to me?
- Alternatives: What options exist if response is limited?
Authoritative Sources
Manufacturer Prescribing Information
Health Canada Drug Product Database
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Can I take this medicine with food or coffee?
You can take baricitinib with or without food. Many people choose a consistent time each day that fits their routine. Coffee or tea is generally fine, but avoid taking tablets with alcohol if you have liver problems or if your clinician has advised limiting alcohol. Swallow tablets whole with water and do not crush or split them unless your prescriber specifically instructs otherwise.
How is this treatment used for alopecia areata?
For severe alopecia areata, clinicians often prescribe a once-daily dose and monitor hair coverage, scalp health, and safety labs over time. If response is limited, a prescriber may adjust the regimen per the official label and your clinical picture. Progress typically requires steady adherence and periodic follow-up to balance benefits and risks.
What interactions should I be aware of?
Avoid combining with other JAK inhibitors, biologic DMARDs, or strong immunosuppressants unless directed by a specialist. Live vaccines are not recommended during therapy; complete needed vaccines beforehand when possible. Probenecid and other strong OAT3 inhibitors can increase baricitinib levels, so your clinician may avoid or adjust. Always share a full list of medicines and supplements.
Do I need routine blood tests while on therapy?
Your healthcare professional will usually order baseline tests for blood counts, liver function, kidney function, and lipids, then repeat them periodically. Testing helps confirm that the treatment remains safe for you. Screening for tuberculosis and hepatitis may be done before starting. Follow your prescriber’s timing; do not change or stop therapy without professional guidance.
What are warning signs to stop and call a clinician?
Seek urgent care for chest pain, sudden shortness of breath, swelling or pain in a leg, fever or chills that do not improve, or persistent cough. Also watch for severe abdominal pain, jaundice, unusual bruising, or shingles rash. These can signal serious problems that need prompt evaluation. Keep emergency contact details available when starting any new immunomodulator.
Is it safe during pregnancy or breastfeeding?
Data are limited. Your prescriber will weigh potential benefits and risks before starting or continuing during pregnancy. Discuss family planning and contraception before treatment. Breastfeeding considerations are individualized; you may be advised to avoid nursing or to choose a different therapy. Always consult your clinician and review the official label for the most current recommendations.
How long before I may notice improvement?
Some people feel gradual symptom relief over weeks in arthritis care. Hair regrowth in alopecia areata can take time and may be uneven at first. Results vary by person and condition. Consistent daily dosing and scheduled follow-up visits help your clinician assess whether the current plan is working or needs adjustment.
