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Olumiant® Tablets for Rheumatoid Arthritis and Alopecia Areata
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$2,030.99
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Olumiant is a prescription JAK inhibitor used for autoimmune conditions. It helps reduce overactive immune signaling that drives symptoms. This page explains what it is, who it’s for, how to use it safely, and how to access it through our service.
What Olumiant Is and How It Works
Olumiant® contains baricitinib, a Janus kinase inhibitor that reduces inflammatory signaling. It is used in adults for moderate to severe rheumatoid arthritis and for severe alopecia areata. We offer US delivery from Canada so you can access licensed supply with transparent information on the Olumiant price without insurance. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This treatment decreases activity of JAK1/JAK2 pathways involved in cytokine signaling. By moderating these pathways, it can help improve joint symptoms in rheumatoid arthritis. It can also support scalp hair regrowth in alopecia areata. For some hospitalized adults, prescribers may use it as part of care for COVID-19, according to labeling.
Who It’s For
This medicine is indicated for adults with moderate to severe rheumatoid arthritis who have had an inadequate response to one or more tumor necrosis factor (TNF) blockers. It is also indicated for adults with severe alopecia areata. Some hospitalized adults with COVID-19 may receive it based on clinical judgment and label guidance.
People with active serious infections should not start therapy. Those with latent tuberculosis should be treated before starting. It may not be appropriate if you have severe kidney problems, severe liver impairment, very low blood counts, or a history of certain blood clots. Discuss pregnancy planning and effective contraception with your clinician. A sample regimen for some patients is Olumiant 2 mg once daily, but your exact plan should follow the official prescribing information and your prescriber’s direction.
Dosage and Usage
Follow your clinician’s instructions and the FDA-approved label. For rheumatoid arthritis, many adults take a once-daily dose. For alopecia areata, prescribers may choose a once-daily dose based on severity and response. In hospitalized adults with COVID-19, dosing and duration are determined by clinical status and kidney function per label. Do not use with other JAK inhibitors, biologic immunomodulators, or potent immunosuppressants. Do not start during an active serious infection.
Take tablets once daily with or without food. Swallow whole with water. If stomach upset occurs, taking it with food may help. Do not crush or split unless your prescriber specifically instructs otherwise. Olumiant tablets are for long-term use when appropriate; your clinician will review response and safety labs at intervals.
Before starting and during therapy, clinicians often monitor complete blood counts, liver enzymes, and lipids. If you develop fever, cough, painful skin lesions, shingles, shortness of breath, chest pain, leg swelling, or unusual bruising, contact your clinician promptly. Vaccinations should be up to date; live vaccines are generally avoided during treatment.
Strengths and Forms
Baricitinib is supplied as oral tablets in commonly available strengths such as 1 mg, 2 mg, and 4 mg. Availability can vary by market and manufacturer packaging. Your prescriber selects the strength and quantity that match your condition and lab profile.
Missed Dose and Timing
If you miss a dose, take it as soon as 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 to make up for a missed dose. Keeping a daily reminder or using a pill organizer can help maintain consistent dosing.
If you plan to get Olumiant online, set reminders so your refill aligns with your treatment schedule. Consistent daily timing supports steady exposure. If you have frequent missed doses, talk with your clinician about practical strategies.
Storage and Travel Basics
Store the tablets at room temperature in the original bottle, protected from moisture. Keep the container closed tightly and out of reach of children and pets. Avoid storing in hot cars or in bathrooms with high humidity. If traveling, carry the labeled bottle in your hand luggage along with a copy of your prescription. For longer trips, bring extra doses to cover possible delays, and keep your clinician’s contact details accessible.
Benefits
This treatment can reduce signs and symptoms of rheumatoid arthritis, including joint pain, stiffness, and swelling. It may help improve physical function as part of a comprehensive care plan. For alopecia areata, it can support scalp hair regrowth in adults with severe disease. Once-daily dosing and a tablet form can be convenient for many patients.
Side Effects and Safety
Common side effects can include upper respiratory tract infections, nausea, headache, increased cholesterol, acne, and elevated liver enzymes. Some people experience shingles, cold sores, or urinary tract infections. Lab changes can include shifts in blood counts or lipids.
- Common colds or sore throat
- Nausea or stomach discomfort
- Headache or dizziness
- Acne or skin irritation
- Increased cholesterol on labs
- Elevated liver enzymes
Serious risks can occur. These include serious infections, tuberculosis, malignancies, major adverse cardiovascular events, blood clots in the veins or lungs, gastrointestinal perforation, and severe hypersensitivity. Stop the medicine and seek urgent care for symptoms like chest pain, sudden shortness of breath, leg swelling, severe abdominal pain, or signs of severe infection. Your clinician will evaluate the risks and benefits for your individual situation, especially if you have cardiovascular risk factors, a prior clot, or a history of cancer.
Drug Interactions and Cautions
Avoid combining with other biologic immunomodulators, JAK inhibitors, or strong immunosuppressants such as cyclosporine. Live vaccines should generally be avoided during therapy. Probenecid and other strong OAT3 inhibitors can increase baricitinib exposure; your prescriber may adjust dosing if needed based on the label. Tell your clinician about all medicines, supplements, and herbal products you use, including over-the-counter pain relievers and blood thinners. Alcohol can aggravate liver issues, so discuss intake with your clinician.
People with chronic infections, a history of blood clots, or risk factors for cardiovascular disease need careful evaluation before starting. Report any previous shingles, hepatitis, or tuberculosis exposure. If pregnancy is possible, use effective contraception during treatment and discuss family planning before starting.
What to Expect Over Time
Clinicians often evaluate response over weeks to months, checking symptoms and labs. Some people notice improvement progressively, while others may require more time or a different approach. Sticking to regular dosing and scheduled monitoring helps assess how well it is working for you. If your prescriber changes the plan, follow those instructions and keep follow-up appointments.
Because autoimmune conditions can fluctuate, your experience may vary. If side effects occur, your clinician may address them or adjust therapy according to the label. Do not stop or change the dose on your own. Keep a simple symptom journal to discuss patterns at your visits.
Compare With Alternatives
Other JAK inhibitors and biologic therapies are also used for rheumatoid arthritis or alopecia areata under clinician supervision. Options can include tofacitinib or upadacitinib for certain patients with RA, as well as biologic agents such as TNF or IL inhibitors when appropriate. Your prescriber will consider past treatments, lab results, and risk factors to choose the right option.
Pricing and Access
We provide transparent access to Canadian pharmacy partners for US patients. Your prescription is required and verified before dispensing. For current options and potential savings, review our product page details and talk with your clinician about your plan. This channel supports Ships from Canada to US with clear information on availability. If you use cash pay, your clinician can still send a prescription to match our partner pharmacy requirements. For coupons or seasonal offers, visit our promotions page.
We do not post specific dollar amounts here, because pricing can change due to manufacturer supply and fulfillment factors. Check back for updates and submit your prescription when ready so our team can verify and proceed. If you have questions about the Olumiant tablet price or packaging, our support team can help explain current options without making treatment recommendations. We use encrypted checkout to protect your information.
Availability and Substitutions
Supply can vary by strength or pack size. If a requested strength is unavailable, a prescriber may recommend an alternative that fits your diagnosis and lab profile. Ask your clinician before accepting any substitution. For budget planning, you may also review baricitinib price discussions with your prescriber to compare options within the same class when clinically appropriate.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults with moderate to severe rheumatoid arthritis who have not responded well to other treatments, and adults with severe alopecia areata. It may be less suitable for people with a history of serious or recurrent infections, certain cancers, blood clots, uncontrolled cardiovascular risk factors, or severe kidney or liver impairment. Your prescriber will weigh benefits and risks using the official label as the guide.
To manage costs, consider multi-month supplies if your prescriber supports stable use and monitoring. Setting calendar reminders or using automatic refill alerts can prevent gaps. If your plan involves a high deductible or cash pay, ask your clinician about the Olumiant cash price and discuss whether multi-month fills or synchronized lab timing might reduce extra visits. Keep vaccinations current as advised; avoiding preventable infections may reduce interruptions that could otherwise lead to wasted medication.
Questions to Ask Your Clinician
- Suitability: Is this treatment appropriate for my diagnosis and risk factors?
- Dose plan: Which strength and schedule will we start with?
- Monitoring: What labs will you check and how often?
- Safety: How should I watch for infection, clots, or heart-related concerns?
- Vaccines: Which vaccines should I receive before starting?
- Interactions: Are there medicines or supplements I should stop or avoid?
- Travel: How should I store tablets when traveling or during hot weather?
- Alternatives: If this does not work well for me, what are my options?
Authoritative Sources
US Prescribing Information – Eli Lilly
DailyMed – Olumiant (baricitinib)
Health Canada – Drug Product Database
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What conditions does Olumiant treat?
Olumiant is approved for adults with moderate to severe rheumatoid arthritis who have had an inadequate response to one or more TNF blockers. It is also approved for adults with severe alopecia areata. In certain hospitalized adults, clinicians may use baricitinib for COVID-19 according to the FDA label. Your prescriber will determine if this medicine fits your diagnosis and risk profile based on current guidelines and the official prescribing information.
How long before I may notice improvement?
Response varies by person and condition. Clinicians typically reassess symptoms and labs over time to gauge benefit. Some people may observe changes as their treatment plan stabilizes, while others may need more time or an alternative option. It’s important to take doses consistently, complete lab monitoring as scheduled, and discuss any concerns with your clinician before making changes.
What lab monitoring is recommended?
Before and during treatment, clinicians often check complete blood counts, liver enzymes, kidney function, and lipids. Screening for tuberculosis is done before starting therapy. Your prescriber may adjust the monitoring schedule based on your health status, risk factors, and any intercurrent infections or procedures. Follow the official label and your clinician’s plan for testing intervals and thresholds.
Can I take vaccines while on treatment?
In general, vaccinations should be current before starting therapy, and live vaccines are usually avoided during treatment. Inactivated vaccines may be given as advised by your clinician. Timing can matter, so discuss upcoming vaccinations, travel plans, and any exposure risks. Your prescriber can coordinate scheduling to minimize interruptions and maintain protection.
Are there medicines I should avoid with this therapy?
Avoid combining with other JAK inhibitors, biologic immunomodulators, or strong immunosuppressants unless a prescriber specifically directs otherwise. Probenecid and other strong OAT3 inhibitors can increase baricitinib exposure. Always tell your clinician about all prescription medicines, over-the-counter products, and supplements, including herbal remedies, so they can assess interaction risks based on your full regimen.
What should I do if I miss a dose?
If you miss a dose, take it when you remember the same day. If it’s close to your next dose, skip the missed one and resume the regular schedule. Do not double doses. Setting reminders or using a pill organizer can help keep daily timing consistent. If you often miss doses, talk with your clinician about practical strategies that suit your routine.
How should I store the tablets at home and while traveling?
Store tablets at room temperature in the original, tightly closed bottle, away from moisture. Keep out of reach of children and pets. For travel, carry the labeled container in hand luggage along with your prescription. Avoid high heat or humidity. Bring extra doses for unexpected delays, and keep your clinician’s contact details handy in case questions arise.
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