2.	What should I know before I take OLUMIANT? 
            
         
            
            Do not take OLUMIANT if you have ever had an allergic reaction to baricitinib or any
               of the ingredients listed at the end of the CMI. Talk to your doctor if you have any other medical conditions, take any other medicines,
                  or are pregnant or plan to become pregnant or are breastfeeding. 
               
            
            
             
         
            
            
3.	What if I am taking other medicines? 
            
         
         
            
            
4.	How do I take OLUMIANT? 
            
         
            
            Follow all directions given to you by your doctor or pharmacist carefully.
            
            The recommended dose will be either 2 mg or 4 mg once a day, depending on factors
               such as: what you are using OLUMIANT for, how your condition is being controlled,
               your age, and what other medical conditions you may have. 
            
            
             
         
            
            
5.	What should I know while taking OLUMIANT? 
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Things you should do
                            | Remind any doctor, dentist or pharmacist you visit that you are taking OLUMIANT. You should use an effective method of contraception to avoid becoming pregnant while
                           taking OLUMIANT and for at least one week after your final dose. | 
                  
                     | 
                           Things you should not do
                            | Do not take OLUMIANT to treat any other conditions unless your doctor tells you to. Do not give your medicine to anyone else, even if they have the same condition as
                           you. Do not stop taking your medicine, or change the dosage, without checking with your
                           doctor. | 
                  
                     | 
                           Driving or using machines
                            | Be careful before you drive or use any machines or tools until you know how OLUMIANT
                           affects you. | 
                  
                     | 
                           Looking after your medicine
                            | Keep your tablets in the original pack until it is time to take them. Store in a cool dry place where the temperature stays below 30°C and keep out of reach
                           of children. | 
               
            
            
            
             
         
            
            
6.	Are there any side effects? 
            
         
            
            Potential side effects include a cold, sore throat, runny or blocked nose; cough;
               nausea, abdominal pain; cold sore blisters; acne; rash; headache. Serious potential
               side effects include signs of more serious infection; signs of blood clots in the blood vessels of the legs (deep vein thrombosis) or lungs (pulmonary embolism)
               such as painful swollen legs, chest pain or shortness of breath; signs of diverticulitis
               (inflammation in parts of the large intestine) such as stomach ache, change in bowel
               habits, nausea or vomiting, fever; signs of an allergic reaction such as shortness
               of breath, wheezing or difficulty breathing, swelling of the face, lips, tongue or
               other parts of the body, severe rash, itching or hives.
            
            
            
            
            
            This medicine is subject to additional monitoring. This will allow quick identification
                  of new safety information. You can help by reporting any side effects you may get.
                  You can report side effects to your doctor, or directly at www.tga.gov.au/reporting-problems . 
            
            
            
            
               
                  
               
               
                  
                     
                     | 
                           WARNING:
                            
                           If you: 
                            
                           have a history of heart disease or stroke, or other cardiovascular risk factors such
                              as being a current or past long-term smoker; or
                            
                           have cancer or have a history of cancer; or
                            
                           are 65 years of age and older
                            
                           OLUMIANT should only be used if no suitable treatment alternatives are available.
                            | 
               
            
             
         
            
            
            
         
            
            
               Active ingredient:
               baricitinib
               
            
            
            
            
            
            Consumer Medicine Information (CMI) 
            
            This leaflet provides important information about taking OLUMIANT. You should also speak to your doctor or pharmacist if you would like further information
                  or if you have any concerns or questions about using OLUMIANT.
               
            
            
               Where to find information in this leaflet:
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I taking OLUMIANT? 
            
         
            
            
               OLUMIANT contains the active ingredient baricitinib. It belongs to a group of medicines called Janus Kinase (JAK) inhibitors. It works
               by reducing the activity of the enzyme Janus Kinase, which is involved in inflammation.
            
            
               OLUMIANT is used in adults as a treatment for moderate to severe:
               
            
            
            
               rheumatoid arthritis
               
            
            
               atopic dermatitis, also known as atopic eczema.
               
            
            
            
               OLUMIANT is used in adults as a treatment for severe:
               
            
            
            
               alopecia areata.
               
            
            
            
               Rheumatoid arthritis is an autoimmune disease which means the body's immune system mistakenly attacks
               its own tissues. Symptoms include joint pain, tenderness, swelling and stiffness.
            
            
               Atopic dermatitis is a chronic skin condition marked by intense itching, inflammation and dryness of
               the skin. OLUMIANT helps improve the condition of your skin inflammation and reduce
               associated itching.
            
            
               Alopecia areata is an autoimmune disorder that results in hair loss, most often affecting the scalp
               but can occur on any hair-bearing skin. OLUMIANT helps regrowth of hair on the scalp,
               eyebrows and eyelashes.
            
            OLUMIANT can be used alone or with other medicines used to treat rheumatoid arthritis
               or with eczema medicines that you apply to the skin.
             
         
            
            
2.	What should I know before I take OLUMIANT? 
            
         
            
            
Warnings 
            
         
            
            Do not take OLUMIANT if: 
            
            
            you are allergic to baricitinib, or any of the ingredients listed at the end of this
               leaflet. Always check the ingredients to make sure you can use this medicine
            
            you are taking any biological (injectable) treatment for your condition.
            
             
         
            
            Tell your doctor if you: 
            
            
            have allergies to any other medicines, foods, preservatives or dyes
            
            are 65 years of age and older
            
            are a current or past long-term smoker
            
            have recently undergone, or will soon undergo, major surgery
            
            are restricted in movement due to an injury
            
            have a family history of blood clotting disorders
            
            have or ever had any other medical conditions such as:
               
               
infection: if you are being treated for an infection, have a lot of infections or
                  have infections that keep coming back
               
               tuberculosis or have been in contact with someone who has tuberculosis
               
               diabetes
               
               hepatitis B or C
               
               shingles
               
               low white or red blood cells
               
               kidney problems
               
               high cholesterol
               
               liver problems
               
               cancer 
               
               blood clots in the blood vessels of your legs (deep vein thrombosis), arms or lungs
                  (pulmonary embolism) or clots in the arteries in the past
               
               chest pain or any heart problem
               
               diverticulitis (inflammation in parts of the large intestine).
               
               recently been vaccinated or plan to get vaccinated
            
            take oral contraceptives ('the pill') or hormone replacement therapy
            
            take any medicines for any other condition.
            
            
            An increased risk of death has been seen in patients with rheumatoid arthritis patients
               who took a similar medicine to OLUMIANT. These patients were 50 years of age with
               risk factors for heart disease.
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects?
 
         
            
            Pregnancy and breastfeeding 
            
            Tell your doctor if you are pregnant or intend to become pregnant.
            
            
            It is not known if OLUMIANT will harm your unborn baby.
            
            You should use an effective method of contraception to avoid becoming pregnant while
               taking OLUMIANT and for at least one week after your final dose. Your doctor can discuss
               the risks and benefits involved.
            
            
            Talk to your doctor if you are breastfeeding or intend to breastfeed.
            
            
            It is not known if OLUMIANT passes into your breastmilk. You should not breastfeed
               if you are taking OLUMIANT.
            
             
         
            
            Use in children 
            
            
            OLUMIANT is not intended for use by children under the age of 18 years.
            
             
         
            
            Use in the elderly 
            
            An increased risk of getting certain side effects, including heart attacks, stroke,
               cancer, and infections (some of which may be serious), has been seen in patients with
               rheumatoid arthritis patients who took a similar medicine to OLUMIANT. These side
               effects were more common in patients 65 years of age and older. 
             
         
            
            Shingles (herpes zoster virus) 
            
            Tell your doctor if you have ever had shingles. OLUMIANT can reactivate shingles in
               people who have had shingles in the past.
             
         
            
            Hepatitis B virus (HBV) or hepatitis C virus (HCV) 
            
            Tell your doctor if you are a carrier of the hepatitis B virus (HBV) or hepatitis
               C virus (HCV), or if you have hepatitis B or hepatitis C infection. If you have HBV
               or HCV in your blood, it may become active while you are taking OLUMIANT. This effect
               has been reported with other medicines used to treat rheumatoid arthritis.
             
         
            
            Vaccination 
            
            
            Make sure you are up to date with all vaccinations before starting OLUMIANT.
            
            Tell your doctor if you are scheduled for any vaccines or have recently been vaccinated.
               Some vaccines should not be given while you are taking OLUMIANT. Check with your doctor
               before receiving any vaccines.
            
             
         
            
            
3.	What if I am taking other medicines? 
            
         
            
            Tell your doctor or pharmacist if you are taking any other medicines, including any
               medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
               supermarket or health food shop.
            
            
               Some medicines may interfere with OLUMIANT and affect how it works.
               
            
            These include medications used to treat gout such as probenecid that may increase
               the levels of OLUMIANT in your blood.
            
            
               Some medicines, when taken with OLUMIANT, may make you more prone to experiencing
                  side effects. 
               
            
            These include oral contraceptives ('the pill') and hormone replacement therapy, which
               may increase your risk of developing blood clots. 
            
            
               Tell your doctor if you are taking medicines for diabetes. Your doctor may adjust the dose of your diabetic medication while you are taking
               OLUMIANT.
            
            
               Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
                  or supplements you are taking and if these affect OLUMIANT.
               
             
         
            
            
4.	How do I take OLUMIANT? 
            
         
            
            How much to take 
            
            Your doctor will tell you how much you need to take each day.
            
            OLUMIANT is supplied as 4 mg and 2 mg tablets.
            
            
            The recommended dose for rheumatoid arthritis is one 4 mg tablet taken once a day. Your doctor may reduce your dose once your condition
               is under control.
            
            The recommended dose for atopic dermatitis is 2 mg once a day. Your doctor may increase your dose to 4 mg once a day if you
               have not achieved sustained control of your condition with 2 mg and then may reduce
               to 2 mg once a day once you have achieved sustained control of your condition with
               4 mg once a day.
            
            The recommended dose for alopecia areata is one 4 mg tablet taken once a day. Your doctor may start your dose at one 2 mg
               tablet once a day especially if you are at a higher risk of heart disease, stroke,
               blood clots or cancer, are 65 years of age and older, or have a history of recurring
               infections. The doctor may adjust your dose depending on how your condition is being
               controlled. 
            
            
            Your doctor may also adjust your dose depending on your condition, for example if
               you have a kidney problem, or are taking medication to treat gout.
            
            Continue taking your medicine for as long as your doctor tells you. This medicine
               helps to control your condition. It is important to keep taking your medicine even
               if you feel well.
            
            Follow all directions given to you by your doctor or pharmacist carefully.
             
         
            
            When to take OLUMIANT 
            
            
            Take OLUMIANT tablets at about the same time every day. Taking it at the same time
               every day will help you remember when to take it.
            
            OLUMIANT can be taken with or without food.
            
             
         
            
            How to take OLUMIANT 
            
            
            Swallow the tablet whole with a glass of water.
            
             
         
            
            If you forget to take OLUMIANT 
            
            
               If it is almost time for your next dose, skip the dose you missed and take your next
                  dose when you are meant to.
               
            
            Otherwise, take it as soon as you remember, and then go back to taking your medicine
               as you would normally.
            
            
               Do not take a double dose to make up for the dose you missed.
               
             
         
            
            If you take too much OLUMIANT 
            
            If you think that you have taken too much OLUMIANT, you may need urgent medical attention.
            
            
               You should immediately:
               
            
            
            phone the Poisons Information Centre 
(by calling
               13 11 26), or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
             
         
            
            
5.	What should I know while taking OLUMIANT? 
            
         
            
            Things you should do 
            
            Tell your doctor if you experience signs and symptoms of infection such as:
            
            
            fever, sweating or chills
            
            muscle aches
            
            cough
            
            shortness of breath
            
            weight loss
            
            warm, red or painful skin or sores on your body
            
            burning when you urinate or urinating more often than normal
            
            feeling very tired.
            
            
            OLUMIANT may lower the ability of your body to fight infections, especially in patients
               65 years of age and older.
            
            Tell your doctor if you get a painful swollen leg, chest pain, or shortness of breath
               as these can be signs of blood clots. 
            
            Blood clots in the blood vessels of the legs (deep vein thrombosis) or lungs (pulmonary
               embolism) have been reported in patients taking OLUMIANT.
            
            Tell your doctor if you develop chest pain and sudden changes to your vision or speech.
               You may be at greater risk of heart attack or stroke while taking OLUMIANT. 
            
            You may be at greater risk of certain cancers, such as non-melanoma skin cancer, while
               taking OLUMIANT. 
            
            Schedule regular skin examinations with your doctor.  
            
            Keep all of your appointments with your doctors so that your progress can be checked.
            
            Your doctors will perform blood tests at regular intervals during your treatment to
               monitor your blood cells, liver enzymes and cholesterol.
             
         
            
            Call your doctor straight away if you: 
            
            
            become pregnant while taking this medicine.
            
            
            You should use an effective method of contraception to avoid becoming pregnant while
               taking OLUMIANT and for at least one week after your final dose.
            
            Remind any doctor, dentist or pharmacist you visit that you are taking OLUMIANT.
             
         
            
            Things you should not do 
            
            
            Do not take OLUMIANT to treat any other conditions unless your doctor tells you to.
            
            Do not give your medicine to anyone else, even if they have the same condition as
               you.
            
            Do not stop taking your medicine, or change the dosage, without checking with your
               doctor.
            
             
         
            
            Driving or using machines 
            
            
               Be careful before you drive or use any machines or tools until you know how OLUMIANT
                  affects you.
               
             
         
            
            Looking after your medicine 
            
            
            Keep your tablets in the original pack until it is time to take them.
            
            Store below 30°C.
            
            
            Store it in a cool dry place away from moisture, heat or sunlight; for example, do
               not store it:
            
            
            in the bathroom or near a sink, or
            
            in the car or on window sills.
            
            
            
               Keep it where young children cannot reach it.
               
             
         
            
            When to discard your medicine 
            
            Do not take this medicine if the packaging is torn or of the seals over the carton
               ends are missing or broken.
            
            If it is damaged, return it to your pharmacist for safe disposal.
             
         
            
            Getting rid of any unwanted medicine 
            
            If you no longer need to use this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not use this medicine after the expiry date.
             
         
            
            
6.	Are there any side effects? 
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
               
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions about side effects.
             
         
            
            
Less serious side effects 
            
            
            
         
            
            Serious side effects 
            
            
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Some side effects (for example changes in cholesterol, liver or other enzymes, and
               blood cells levels) can only be found when your doctor does tests from time to time
               to check your progress.
            
            Other side effects not listed here may occur in some people.
             
         
            
            Reporting side effects 
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this medicine.
               Always make sure you speak to your doctor or pharmacist before you decide to stop
                  taking any of your medicines.
               
             
         
            
            
7.	Product details 
            
         
            
            This medicine is only available with a doctor's prescription.
             
         
            
            What OLUMIANT contains 
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | baricitinib | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | croscarmellose sodium magnesium stearate mannitol microcrystalline cellulose iron oxide red lecithin macrogol 3350 polyvinyl alcohol purified talc titanium dioxide | 
               
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
            
            This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.
             
         
            
            What OLUMIANT looks like
            
            OLUMIANT 4 mg tablets are pink, round, film-coated tablets, marked with "Lilly" on
               one side and "4" on the other side (Aust R 277917).
            
            
                
               
            
            OLUMIANT 2 mg tablets are pale pink, oblong, film-coated tablets, marked with "Lilly"
               on one side and "2" on the other side (Aust R 277905).
            
            
                
               
            
            Both tablets contain a dent on each face of the tablet to help you with picking them
               up.
             
         
            
            Who distributes OLUMIANT 
            
            Eli Lilly Australia Pty Ltd
            
            Level 9, 60 Margaret Street
            
            Sydney, NSW 2000
            
            AUSTRALIA
            
            ®= Registered Trademark
            
            If you have any questions about OLUMIANT, contact Eli Lilly at 1800 454 559 (Australia)
               or your healthcare professional for assistance.
            
            
            
            This leaflet was prepared in March 2025
            
            VA6.0