💡 Uses & Benefits
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Rheumatoid arthritis (RA): Ideal for adult patients with moderate to severely active RA who haven't responded adequately to TNF antagonist therapies citeturn0search0turn0search1.
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Emergency COVID-19 use: Authorized (EUA/FDA) for hospitalized COVID-19 patients in need of oxygen, often used alongside Remdesivir citeturn0search0turn0search3.
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Selective JAK1/JAK2 inhibition: Reduces inflammation by preventing STAT phosphorylation, modulating immune and cytokine response citeturn0search0turn0search1.
📋 Product Specifications
| Feature | Details |
|---|---|
| Active Ingredient | Baricitinib 2 mg |
| Form | Oral tablet, film-coated |
| Manufacturer | Square Pharmaceuticals Ltd., Bangladesh citeturn0search1turn0search10 |
| Prescription Status | Rx only (requires doctor’s prescription) citeturn0search1turn0search8 |
| Recommended Dose | 2 mg once daily for RA (monotherapy or with DMARDs) citeturn0search0turn0search1 |
| Price (BD) | Approx. ৳25 per tablet; ৳250 per strip of 10 citeturn0search1turn0search2 |
⚠️ Safety & Precautions
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Infection risk: Monitor for serious infections (e.g. TB, herpes zoster); if infection occurs, interrupt treatment citeturn0search3turn0search8.
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Hematologic issues: Avoid in patients with low hemoglobin (< 8 g/dL), neutrophils (< 1000 cells/mm³), or lymphocytes (< 500 cells/mm³) citeturn0search0turn0search1.
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Thrombosis & GI risk: Use caution in patients with thrombotic risk or GI perforation history citeturn0search3turn0search8.
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Lab monitoring: Baseline and periodic checks—CBC, LFTs, lipids citeturn0search0turn0search3.
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Renal dosing: For eGFR 30–60 mL/min, reduce to 1 mg daily; not recommended for eGFR < 30 mL/min citeturn0search0turn0search3turn0search1.
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Pregnancy & breastfeeding: Contraindicated during pregnancy and likely not safe in breastfeeding citeturn0search5turn0search3.
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Drug interactions: Avoid strong OAT3 inhibitors (e.g. probenecid) and live vaccines citeturn0search1turn0search3.
📌 Quick Overview
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Therapeutic class: JAK1/JAK2 inhibitor for RA & COVID-19
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Convenience: Once-daily oral tablet
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Local brand: Manufactured in Bangladesh by Square Pharmaceuticals
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Ideal for: Rheumatoid arthritis patients who don't respond to TNF blockers; hospitalized COVID-19 patients under EUA
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Price: Affordable (~৳25/tablet), prescription required
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