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Generic Olumiant Information
Introduction
Olumiant (generic name Baricitinib) is an oral Janus kinase (JAK) inhibitor approved for the treatment of inflammatory disorders and, more recently, for certain patients with COVID‑19‑related pneumonia. Manufactured by Eli Lilly and Co., Olumiant belongs to the anti‑inflammatory medication group and is listed under Hong Kong’s Medicines Registry for prescription use. Its dual relevance—to manage autoimmune disease and to reduce severe outcomes in viral infection—makes it a noteworthy therapeutic option in the local health landscape.
What is Olumiant?
Olumiant is a small‑molecule, selective inhibitor of JAK 1 and JAK 2 enzymes. First approved by the U.S. Food and Drug Administration (FDA) in 2018 for moderate‑to‑severe rheumatoid arthritis, it has since gained additional indications worldwide, including the treatment of alopecia areata and, under emergency‑use provisions, hospitalised patients with COVID‑19 who require supplemental oxygen. In Hong Kong, the Drug Office classifies Olumiant as a prescription‑only medication, reflecting its potency and the need for professional monitoring.
How Olumiant Works
The JAK family (JAK 1, JAK 2, JAK 3, and TYK2) transmits signals from cytokine receptors to the cell nucleus, driving the transcription of inflammatory genes. By binding reversibly to the ATP‑binding pocket of JAK 1 and JAK 2, Baricitinib blocks phosphorylation of signal transducer and activator of transcription (STAT) proteins. This interruption reduces the production of pro‑inflammatory cytokines such as interleukin‑6 (IL‑6), interferon‑γ, and tumor necrosis factor‑α (TNF‑α).
In autoimmune disease, the dampened cytokine cascade lowers joint inflammation, swelling, and pain. In the context of COVID‑19, the same mechanism attenuates the “cytokine storm” that can lead to acute respiratory distress syndrome (ARDS). Pharmacokinetic studies indicate an oral absorption of ≈79 % with a peak plasma concentration reached within 1–2 hours. The drug’s elimination half‑life averages 12–14 hours, supporting once‑daily dosing. Metabolism occurs primarily via CYP3A4, with renal excretion accounting for ≈75 % of clearance; therefore, renal function influences dosing adjustments.
Conditions Treated with Olumiant
- Rheumatoid Arthritis (RA) – Olumiant is indicated for adults with moderate‑to‑severe RA who have responded inadequately to conventional disease‑modifying antirheumatic drugs (DMARDs). Clinical trials (e.g., RA‑BEACON) demonstrated a ≥20 % improvement in the American College of Rheumatology criteria (ACR20) within 12 weeks.
- COVID‑19 Pneumonia – For hospitalised patients requiring oxygen or mechanical ventilation, Baricitinib combined with remdesivir reduced time to recovery by 1‑2 days in the ACTT‑2 trial, with a mortality benefit observed in a prespecified subgroup analysis. Hong Kong’s Hospital Authority includes Olumiant in the treatment algorithm for severe COVID‑19 under specialist supervision.
- Alopecia Areata – In 2022, the FDA expanded the label to cover severe alopecia areata. A phase 3 trial (BRAVE‑AA) reported ≥50 % hair regrowth in 45 % of participants after 36 weeks.
- Other Emerging Indications – Ongoing studies assess Baricitinib for systemic lupus erythematosus, psoriatic arthritis, and atopic dermatitis. While not yet approved for these uses in Hong Kong, the drug’s JAK‑targeted profile provides a mechanistic rationale.
Epidemiologically, the prevalence of rheumatoid arthritis in Hong Kong is estimated at .4 % of the adult population, translating to roughly 300 000 individuals who may qualify for advanced therapy. The continued circulation of SARS‑CoV‑2 variants sustains a clinical need for adjunctive anti‑inflammatory agents such as Olumiant, especially for patients with comorbidities that predispose to severe disease.
Suitable Candidates for Olumiant Treatment
- Adults with Moderate‑to‑Severe RA who have failed at least one conventional DMARD (e.g., methotrexate) and require a biologic or targeted synthetic DMARD.
- Hospitalised COVID‑19 Patients who are ≥18 years old, require supplemental oxygen, and have no contraindication to immunomodulation.
- Individuals with Severe Alopecia Areata (≥50 % scalp involvement) who have not responded to topical or intralesional therapies.
- Patients with Preserved Renal Function (eGFR ≥ 30 mL/min/1.73 m²) for standard dosing; those with moderate renal impairment may need dose reduction.
- Patients Not Taking Strong CYP3A4 Inducers (e.g., rifampin, carbamazepine) that could lower Baricitinib exposure.
Contraindications include active serious infections (e.g., tuberculosis, opportunistic fungal disease), known hypersensitivity to Baricitinib, and pregnancy or lactation, where the risk–benefit profile is unfavorable.
Risks, Side Effects, and Interactions
Common
- Upper Respiratory Tract Infections – nasopharyngitis, mild sinusitis.
- Headache – typically transient and dose‑independent.
- Nausea and Diarrhoea – gastrointestinal upset resolves with continued therapy or supportive care.
- Elevated Liver Enzymes (ALT/AST) – often asymptomatic; monitor hepatic panels every 8–12 weeks.
- Portion of Patients Experience Mild Increases in Blood Lipids – total cholesterol and LDL may rise; lifestyle modification and periodic lipid panels are advised.
Rare
- Herpes Zoster Reactivation – reported in <2 % of treated patients, especially in those with prior varicella‑zoster exposure.
- Deep Vein Thrombosis (DVT) / Pulmonary Embolism (PE) – incidence approximates .2 % in clinical trials; risk heightened in patients with underlying hypercoagulable states.
- Elevated Serum Creatine Kinase (CK) – may indicate subclinical myopathy; assess CK if muscle pain emerges.
- Pancreatitis – rare; consider discontinuation if abdominal pain with elevated amylase/lipase occurs.
Serious
- Severe Infections – opportunistic infections (e.g., pneumocystis jirovecii pneumonia) and reactivation of latent tuberculosis. Baseline screening for TB, hepatitis B/C, and HIV is mandatory before initiating therapy.
- Serious Cardiovascular Events – rare cases of myocardial infarction or stroke have been observed, particularly in patients with existing cardiovascular disease.
- Bone Marrow Suppression – neutropenia, anemia, and thrombocytopenia may develop; complete blood counts should be performed at baseline and periodically (every 4–8 weeks).
- Potential for Malignancy – long‑term JAK inhibition may modestly increase risk of lymphoid malignancies; vigilance is required, especially in patients with a personal cancer history.
Drug–Drug Interactions
- Strong CYP3A4 Inducers (rifampin, carbamazepine, phenytoin) → reduce Baricitinib plasma levels; avoid co‑administration or adjust dose.
- Concurrent Anticoagulants (warfarin, direct oral anticoagulants) → increased risk of bleeding when combined with Baricitinib‑related thrombosis risk; monitor coagulation parameters.
- Live Vaccines – contraindicated during treatment; immunogenicity of inactivated vaccines may be reduced.
- Renal‑Excreted Drugs (e.g., metformin) – no clinically significant interaction, but monitor renal function when both are prescribed.
Practical Use: Dosing, Missed Dose, Overdose
- Standard Adult Dose for RA and Alopecia Areata – 2 mg once daily taken with or without food. Dose can be escalated to 4 mg daily for severe disease, provided renal function is adequate (eGFR ≥ 60 mL/min).
- COVID‑19 Indication – 4 mg once daily for up to 14 days, in combination with standard of care (e.g., remdesivir). The dose is not to exceed 4 mg regardless of disease severity.
- Renal Impairment Adjustments – eGFR 30–59 mL/min/1.73 m² → 2 mg once daily; eGFR < 30 mL/min/1.73 m² → contraindicated unless under specialist supervision.
Missed Dose – If a dose is forgotten and the scheduled time is ≥12 hours away, take the missed tablet as soon as remembered. Skip the dose if it is close to the next scheduled dose; do not double‑dose.
Overdose – Symptoms may include nausea, vomiting, dizziness, or severe hypotension. Immediate medical attention is required. Management is supportive; there is no specific antidote. Activated charcoal may be considered if presentation occurs within 1 hour of ingestion.
Practical Precautions –
- Avoid concomitant use with strong CYP3A4 inducers.
- Limit alcohol consumption, which can exacerbate liver enzyme elevations.
- Inform healthcare providers of all comorbidities, especially infections, cardiovascular disease, or a history of thrombosis.
Buying Olumiant from Our Online Pharmacy
Patients in Hong Kong seeking reliable access to Olumiant can obtain the medication through our online pharmacy. We specialise in supplying high‑quality generic Baricitinib and brand‑name Olumiant at prices close to the manufacturer’s cost, thereby reducing the financial burden for chronic‑disease management.
Key advantages of purchasing from our online pharmacy in Hong Kong include:
- Verified Quality – All batches are sourced from licensed international manufacturers that comply with Good Manufacturing Practice (GMP) standards and are inspected by independent third‑party laboratories.
- Affordable Pricing – By operating as a pharmacy broker service, we negotiate bulk procurement rates, passing savings directly to patients.
- Discrete, Reliable Delivery – Standard express shipping delivers within 7 days to most metropolitan districts; regular airmail typically arrives within 2–3 weeks. Packaging is plain‑boxed to protect privacy.
- Comprehensive Support – Our customer‑service team can answer product‑specific queries, provide documentation for customs clearance, and track shipments in real time.
Because Olumiant is a prescription‑only medication, our pharmacy works exclusively with patients who present a valid prescription from a licensed Hong Kong practitioner. This model ensures legal compliance while expanding access for individuals whose insurance or local pharmacy options are limited.
FAQ
-
Is Olumiant available in both brand‑name and generic forms in Hong Kong?
Yes. The brand‑name product is marketed as Olumiant, while generic formulations containing the same active ingredient, Baricitinib, are also approved. Generic versions are typically priced lower, offering a cost‑effective alternative for long‑term therapy. -
What should I do with Olumiant tablets if I travel abroad?
Keep the medication in its original container with the prescription label visible. Carry a copy of the prescribing document and a letter from your physician if possible, as some countries require proof of medical necessity for JAK inhibitors. -
Does temperature affect the stability of Olumiant?
Olumiant tablets are stable at room temperature (15 °C–30 °C). Avoid storing them in places with high humidity or direct sunlight, such as bathrooms or car trunks, as moisture can degrade the tablet coating over time. -
Are there any inactive ingredients that could cause allergies?
Common excipients include lactose monohydrate, magnesium stearate, and microcrystalline cellulose. Patients with known lactose intolerance or hypersensitivity to these substances should discuss alternatives with their prescriber. -
Can Olumiant be imported for personal use under Hong Kong regulations?
Personal importation of prescription medicines is permitted when the quantity does not exceed a 30‑day supply and a valid prescription is presented to customs. Importers must ensure the product originates from a licensed source to avoid counterfeit risk. -
How does Baricitinib differ from older JAK inhibitors like tofacitinib?
Baricitinib selectively inhibits JAK 1 and JAK 2, whereas tofacitinib has broader activity against JAK 1/3 and TYK2. This selectivity may translate into a distinct safety profile, particularly concerning lipid changes and infection risk, as observed in comparative clinical studies. -
What monitoring is recommended for patients on Olumiant?
Baseline and periodic labs are advised: complete blood count, liver function tests, serum creatinine, and lipid profile every 8–12 weeks. Screening for latent tuberculosis and hepatitis B/C should be completed before therapy initiation. -
Is it safe to receive an influenza vaccine while taking Olumiant?
Inactivated influenza vaccines are considered safe and are recommended for patients on JAK inhibitors. Live‑attenuated vaccines, however, are contraindicated because of the immunosuppressive effect of Baricitinib. -
Why might my cholesterol increase after starting Olumiant?
JAK inhibition can modestly raise total cholesterol and LDL levels, likely due to reduced cytokine‑mediated lipid metabolism. Lifestyle measures and, if needed, lipid‑lowering agents can mitigate this effect under medical supervision. -
Do the tablets have a distinctive shape or imprint that helps identify them?
Olumiant tablets are round, film‑coated, and typically bear the imprint “BAR 2 mg” or “BAR 4 mg” depending on strength. Generic versions may have a different imprint but will list Baricitinib as the active ingredient on the label.
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.
- Cytokine Storm
- An excessive, systemic release of pro‑inflammatory cytokines that can cause tissue damage, organ failure, and severe complications in infections such as COVID‑19.
- eGFR (Estimated Glomerular Filtration Rate)
- A calculated measure of kidney function that estimates how much blood the kidneys filter per minute; it guides dosing adjustments for renally excreted drugs.
- GMP (Good Manufacturing Practice)
- International quality standards that ensure pharmaceutical products are consistently produced and controlled according to strict criteria for safety and efficacy.
⚠️ 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 their 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.
Information about ordering Generic Olumiant in online pharmacy asia
Please note that this medicine is a generic version of Olumiant.One can buy Generic Olumiant online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to baricitinib and fully familiar with medication Olumiant;
- No paper instructions about side effect warnings or usage directions are sent with Generic Olumiant medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.