JAK inhibitors

Drug Safety Update

April 2023: Janus kinase (JAK) inhibitors: new measures to reduce risks of major cardiovascular events, malignancy, venous thromboembolism, serious infections and increased mortality

October 2021: Tofacitinib (Xeljanz▼): new measures to minimise risk of major adverse cardiovascular events and malignancies

August 2020: Baricitinib (Olumiant▼): increased risk of diverticulitis, particularly in patients with risk factors

 March 2020: Baricitinib (Olumiant▼): risk of venous thromboembolism

 March 2020: Tofacitinib (Xeljanz▼): new measures to minimise risk of venous thromboembolism and of serious and fatal infections

NICE Guidance (See also drug specific guidance below)

NG100: Rheumatoid arthritis in adults: management, July 2018 (updated October 2020)

Local Guidance

See here for local IBD HCD (Adults) pathway, for use of JAK inhibitors in IBD

  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary