Baricitinib (Olumiant) for Severe Alopecia Areata Treatment Recommendations

October 2024 in “ Canadian Journal of Health Technologies ”

CDA-AMC

baricitinib Olumiant alopecia areata JAK inhibitors biologic immunomodulators systemic immunosuppressants

TLDR Olumiant should be covered for severe alopecia areata if certain conditions are met.

CADTH recommends that Olumiant be reimbursed by public drug plans for adults with severe alopecia areata (AA) under specific conditions. It should be covered for those with at least 50% scalp hair loss, with the AA episode lasting more than 6 months but less than 8 years. Prescription should be by a dermatologist experienced in severe AA, and the cost should be reduced. Olumiant should not be combined with other JAK inhibitors, biologic immunomodulators, or systemic immunosuppressants. Initial reimbursement is for 36 weeks, with potential extensions every 12 months if improvements continue.

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community What else is good. Besides the big 3.

in Chat 36 upvotes 1 month ago

Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

community I am a dermatologist with a clinical interest in alopecia. AMA

in Will treatment work for me? 2 years ago

In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

community Olumiant active ingredient Baricitinib

in Research/Science 1 upvotes 1 year ago

The conversation is about someone inquiring if anyone has tried Olumiant or its active ingredient, Baricitinib, for hair loss, mentioning the cost and that they have ordered Baricitinib.

community Serious question, is there nothing that can be done if Dutasteride doesn’t help to stop my hair loss?

in Finasteride/Dutasteride 61 upvotes 2 years ago

A 25 year old male who has been using finasteride and dutasteride for two years to treat his hair loss, with no success. Other treatments such as oral minoxidil, topical anti-androgens, RU58841, latanoprost, topical estrogen, CB 03 01, microneedling, keto 2% shampoo, vitamin D, Omega 3, B vitamins and probiotics were discussed.

community What are the odds baricitinib will get a topical otc version for androgenic alopecia?

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Baricitinib, approved for alopecia areata, might be considered for treating receding hairlines. The discussion is about the possibility of an over-the-counter topical version for androgenic alopecia.

community Anyone heard of or have experience using baricitinib?

in Research/Science 1 upvotes 1 year ago

The conversation is about baricitinib, a medicine that can help with hair loss, and why it isn't more popular or widely discussed. No specific experiences with the treatment were shared.

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