Olumiant (Baricitinib) Tablet
Olumiant from Eli Lilly contains Baricitinib 4 mg, a selective inhibitor of Janus kinase 1 and 2. JAK enzymes relay the signals of inflammatory cytokines from the cell surface into the nucleus; blocking them interrupts that message and dampens the immune over-activity that drives conditions such as rheumatoid arthritis and alopecia areata. Because it suppresses part of the immune system, it is a specialist-initiated medicine that requires screening before you start and blood monitoring throughout. Pack of 7 film-coated tablets.
Important Safety Warning
- Serious infections. Baricitinib raises the risk of serious bacterial, fungal and viral infections, including tuberculosis and herpes zoster (shingles). You must be screened for TB before starting.
- Blood clots. Deep vein thrombosis and pulmonary embolism have been reported. Seek urgent care for leg swelling or pain, chest pain or sudden breathlessness.
- Heart events and cancer. In older patients with cardiovascular risk factors, JAK inhibitors have been linked to a higher rate of heart attack, stroke, certain cancers and death compared with TNF blockers.
- Discuss these risks with your rheumatologist before starting and at every review.
Key Features
- Selective JAK1/JAK2 inhibitor – a targeted oral alternative to injectable biologics.
- Baricitinib 4 mg film-coated tablet, taken once daily.
- Can be taken alone or alongside methotrexate.
- Oral tablet – no injections or infusions required.
- From Eli Lilly; pack of 7 film-coated tablets.
Composition / Key Ingredients
- Baricitinib – 4 mg per film-coated tablet
- Intragranular – Mannitol, Microcrystalline Cellulose, Croscarmellose Sodium, Magnesium Stearate
- Extragranular – Microcrystalline Cellulose, Croscarmellose Sodium, Magnesium Stearate
- Colours – Titanium Dioxide, Ferric Oxide, Red Ferric Oxide
Please refer to the pack label for the complete list of ingredients.
Uses & Benefits
- Moderate to severe active rheumatoid arthritis where DMARDs have not worked well enough.
- Severe alopecia areata in adults.
- Helps reduce joint pain, swelling, stiffness and tenderness.
- Can slow the structural joint damage of rheumatoid arthritis.
- Supports better day-to-day physical function and mobility.
- Oral dosing suits patients who cannot manage injectable therapies.
Directions for Use
- Take one tablet once daily, or exactly as your specialist prescribes.
- Swallow whole with water; may be taken with or without food.
- Take at roughly the same time each day.
- Do not stop, pause or change the dose without medical advice.
- Attend all scheduled blood tests – blood counts, liver function and lipids are monitored during treatment.
Precautions
- Prescription only. The pack states it is to be sold on the prescription of a rheumatologist or a specialist in internal medicine.
- Tell your doctor immediately about any sign of infection – fever, persistent cough, night sweats, weight loss, burning on urination or a painful rash.
- Do not receive live vaccines while on treatment. Bring vaccinations up to date beforehand.
- Not recommended in pregnancy; use effective contraception during treatment and for at least one week after the last dose. Do not breastfeed while taking it.
- Tell your doctor about kidney or liver disease, past blood clots, diverticulitis, hepatitis B or C, or any current or past cancer.
- Common side effects include upper respiratory infections, raised cholesterol, nausea and headache. Report anything persistent or severe.
Storage
- Store below 30°C.
- Keep the tablets in their original pack, protected from moisture.
- Keep out of the sight and reach of children.
Disclaimer: Olumiant is a specialist-initiated prescription medicine dispensed against a valid prescription. This information is for education only and is not a substitute for professional medical advice, diagnosis or treatment. Do not start, stop or alter this medicine except on your specialist’s instruction.















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