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Generic Olumiant Information
Introduction
Olumiant (generic name Baricitinib) is a small‑molecule Janus kinase (JAK) inhibitor approved for use in the United Kingdom. It belongs to the anti‑inflammatory drug group and has gained prominence as an adjunctive treatment for COVID‑19‑related pneumonia, as well as for chronic inflammatory diseases such as rheumatoid arthritis. The medication is manufactured by Eli Lilly and marketed under the brand name Olumiant. In the UK it is prescribed when conventional disease‑modifying therapies are insufficient or when an accelerated anti‑inflammatory response is required in severe viral infection.
What is Olumiant?
Olumiant is a oral, selective inhibitor of the JAK 1 and JAK 2 enzymes. It was developed by Eli Lilly and received marketing authorisation from the UK Medicines and Healthcare products Regulatory Agency (MHRA) for rheumatoid arthritis in 2017, with a later extension for COVID‑19 in 2021. The product contains the active compound Baricitinib, 2 mg or 4 mg film‑coated tablets, together with standard inactive excipients such as lactose monohydrate, microcrystalline cellulose and magnesium stearate.
How Olumiant Works
Baricitinib blocks intracellular signalling mediated by JAK 1 and JAK 2, enzymes that transmit cytokine signals from the cell surface to the nucleus. By inhibiting these pathways, the drug reduces the production of pro‑inflammatory cytokines (e.g., interleukin‑6, interferon‑γ) that drive joint damage in rheumatoid arthritis and the hyper‑inflammatory state seen in severe COVID‑19. The pharmacokinetic profile shows rapid oral absorption (peak plasma concentration ≈ 1 hour), a half‑life of ≈ 12 hours, and primarily renal elimination. These properties allow once‑daily dosing and predictable steady‑state concentrations after 2–3 days of therapy.
Conditions Treated with Olumiant
-
Rheumatoid arthritis (RA).
The UK NICE guideline NG100 recommends Baricitinib for adults with moderate‑to‑severe RA who have not responded adequately to conventional synthetic disease‑modifying antirheumatic drugs (csDMARDs). Clinical trials (e.g., RA‑BEACON) demonstrated significant improvements in joint counts and patient‑reported outcomes within 12 weeks. -
COVID‑19 pneumonia requiring supplemental oxygen.
Evidence from the ACT‑ACT and COV‑BARRIER phase III trials showed that adding Baricitinib to standard care reduced mortality, accelerated hospital discharge, and lowered the need for mechanical ventilation. The MHRA authorises its use in adults with confirmed SARS‑CoV‑2 infection, radiographic pneumonia, and oxygen saturation ≤ 94 % on room air. -
Other inflammatory indications (off‑label).
While not formally approved in the UK, Baricitinib is investigated for conditions such as atopic dermatitis, systemic lupus erythematosus, and alopecia areata, reflecting its broad cytokine‑modulating capacity.
Who is Olumiant For?
- Adults with active rheumatoid arthritis who have failed at least one csDMARD, especially when rapid disease control is required.
- Hospitalised COVID‑19 patients with radiographically proven pneumonia and hypoxaemia who are receiving standard supportive care (including dexamethasone).
- Patients with renal function (creatinine clearance ≥ 30 mL/min) who can safely receive the standard 4 mg dose; dose reduction to 2 mg is advised for clearance 30‑60 mL/min.
Contra‑indications include pregnancy, breastfeeding, severe hepatic impairment (Child‑Pugh C), and active serious infections (e.g., tuberculosis). Caution is advised in individuals with a history of venous thromboembolism, malignancy, or immunosuppression.
Risks, Side Effects, and Interactions
Common
- Upper respiratory tract infection
- Nausea, diarrhoea
- Headache
- Elevated liver enzymes (ALT/AST)
Rare
- Lipid abnormalities (↑ cholesterol, triglycerides)
- Herpes zoster reactivation
- Anemia or neutropenia
Serious
- Thromboembolic events (deep‑vein thrombosis, pulmonary embolism).
- Severe infections (bacterial sepsis, opportunistic fungal infections).
- Hepatotoxicity (marked ALT/AST elevation, jaundice).
- Malignancies (theoretical risk; long‑term data are limited).
Drug–Drug Interactions
- Strong CYP3A4 inducers (e.g., rifampicin) may reduce Baricitinib exposure; dose adjustment or alternative therapy is recommended.
- Concurrent anticoagulants (warfarin, DOACs) increase the risk of bleeding when combined with Baricitinib‑related thrombosis risk.
- Live vaccines should be avoided during treatment due to impaired immune response.
Patients must inform their prescriber about all concomitant medicines, especially immunosuppressants, antifungal agents, and nephrotoxic drugs.
Practical Use: Dosing, Missed Dose, Overdose
- Approved dosing for rheumatoid arthritis: 4 mg orally once daily, taken with or without food. Reduce to 2 mg if creatinine clearance is 30‑60 mL/min.
- COVID‑19 dosing: 4 mg once daily for up to 14 days, alongside standard hospital therapy.
- Missed dose: Take the forgotten dose as soon as remembered unless the next scheduled dose is within 12 hours; in that case, skip the missed dose and resume the regular schedule. Do not double‑dose.
- Overdose: Symptoms may include nausea, vomiting, and severe hypotension. Immediate medical attention is required; gastric decontamination is not routinely recommended after 1 hour. Supportive care and monitoring of renal function are essential.
- Precautions: Avoid excessive alcohol, as it may increase liver enzyme elevation. Monitor complete blood count, liver function, and creatinine at baseline and periodically during therapy.
Buying Olumiant from Our Online Pharmacy
Patients in the United Kingdom can obtain Olumiant directly from our online pharmacy. Our service offers:
- Competitive pricing that approaches manufacturer cost, providing a cost‑effective alternative to traditional retail pharmacies.
- Verified quality through partnerships with licensed overseas suppliers adhering to Good Manufacturing Practice (GMP) standards.
- Secure and discreet delivery: Express shipping typically arrives within 7 days; standard airmail takes approximately 3 weeks, both packaged in tamper‑evident material.
- Pharmacy broker model: We act as an intermediary, sourcing the medication from established international pharmacies while ensuring compliance with UK import regulations. This model enhances privacy and expands access for patients who may face supply constraints locally.
Our platform prioritises patient confidentiality, offering a simple, encrypted ordering interface and a dedicated support line for any queries about product authenticity or shipping status.
FAQ
-
Is Olumiant available in both brand‑name and generic forms in the UK?
Yes. The original brand‑name product is marketed as Olumiant by Eli Lilly, while generic Baricitinib tablets contain the same active ingredient and are approved by the MHRA. Generic versions are typically lower in price. -
What storage conditions are recommended for Baricitinib tablets?
Store at controlled room temperature (15‑30 °C). Keep the tablets in the original blister pack, away from moisture, direct sunlight, and heat sources. Do not refrigerate. -
Does the tablet formulation differ between regions such as the EU, US, and Asia?
Minor differences in inactive excipients may exist to meet local regulatory specifications, but the 2 mg and 4 mg strengths contain the identical active compound Baricitinib. Bioequivalence studies confirm comparable absorption across regions. -
Can Olumiant be taken with food or must it be taken on an empty stomach?
Baricitinib may be taken with or without food. Food does not significantly affect its bioavailability, allowing flexibility for patients concerning meals. -
How long can a patient remain on Baricitinib therapy for rheumatoid arthritis?
Long‑term use is permitted when clinical benefit persists and safety monitoring (blood counts, liver enzymes, lipid profile) remains within acceptable limits. Regular review by a rheumatology specialist is advised. -
Are there any special considerations for patients travelling abroad with Olumiant?
Carry the medication in its original packaging with the prescription label (if applicable) and a copy of the medication information leaflet. Check the destination country’s import rules for prescription medicines; most EU nations accept UK‑approved drugs for personal use. -
What inactive ingredients are present in the 4 mg tablet?
The tablet contains lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, magnesium stearate, and titanium dioxide as a colourant. Patients with severe lactose intolerance should discuss alternatives with their clinician. -
Does Barib affect routine laboratory testing, such as cholesterol panels?
Yes. The drug can raise total cholesterol and LDL levels, so lipid panels should be monitored before initiation and periodically during treatment. Adjustments to lipid‑lowering therapy may be necessary. -
Is there a risk of positive drug testing for occupational screenings while taking Olumiant?
Baricitinib is not a controlled substance and does not appear on standard occupational drug screens. It should not cause a positive result for common illicit‑drug panels. -
What is the historical background of Baricitinib’s development?
Baricitinib was discovered through a structure‑based design programme targeting JAK kinases at Eli Lilly. Early-phase trials in rheumatoid arthritis demonstrated rapid symptom relief, leading to phase III registration studies and eventual regulatory approval in 2017. Its anti‑viral immunomodulatory potential was identified during the COVID‑19 pandemic, resulting in an expanded indication in 2021.
Glossary
- Janus kinase (JAK)
- A family of intracellular enzymes (JAK 1, JAK 2, JAK 3, TYK2) that transmit signals from cytokine receptors to the cell nucleus, influencing immune and inflammatory responses.
- Creatinine clearance
- An estimate of kidney filtration capability, measured in mL/min, used to adjust dosing of renally excreted drugs such as Baricitinib.
- Hepatotoxicity
- Liver injury caused by a drug, manifested by elevated liver enzymes (ALT, AST) or clinical signs like jaundice.
⚠️ Disclaimer
The information provided about Olumiant is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about health. Our online pharmacy offers access to Olumiant for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.