Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Litfulo
Ritlecitinib
Prescription only
Litfulo assessed online(Ritlecitinib)
Litfulo is a daily capsule for severe alopecia areata. A Canadian-licensed medical professional first checks if online care is suitable for you. Some people need in-person care or specialist monitoring.
Start my assessmentAt a glance
- Oral capsule (ritlecitinib)
- For severe alopecia areata
- Screening and blood tests first
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Used forHair loss
Litfulo carries a serious warning about infections, blood clots, heart problems and cancer. Get urgent care for chest pain, trouble breathing, leg swelling or severe infection signs. Your clinician first checks if online care is suitable.
Choosing the right plan for you
Your clinician decides the dose and how long you take Litfulo. The plan depends on your hair loss, your age, your test results and your health. Your clinician reviews your results at regular visits.
Considerations include
- Extent of hair loss and how long it has lasted
- Treatments you already tried
- Age and overall health
- Screening and blood test results
- Pregnancy plans and contraception
How Litfulo works
Litfulo calms the immune attack on hair follicles
Litfulo blocks Janus kinase signals inside immune cells. These signals drive the attack on hair follicles in alopecia areata. With less attack, follicles can start to grow hair again.
Regrowth takes months. Hair can fall out again if you stop, so your clinician plans the long term with you.
Modern Dermatology
Litfulo
Ritlecitinib
Prescription only
Recommended for
- Severe alopecia areata
- Patchy hair loss that is spreading
- Loss of scalp, eyebrow or eyelash hair
- Hair loss not helped by topical or injected treatment
- People who can follow screening and blood test plans
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Blocks JAK signals
Quiets immune cells
Reduces follicle attack
Follicles are protected
Allows hair regrowth
New hair over months
Works from the inside
A daily capsule
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, when it is appropriate for you. You complete an assessment, and a Canadian-licensed medical professional reviews it and decides if Litfulo suits you. Your clinician first checks if online care is suitable for you. Some people need in-person care or specialist monitoring instead.
Litfulo blocks Janus kinase signals that drive the immune attack on hair follicles. With less attack, follicles can recover. Hair may start to regrow.
Hair regrowth takes months. Some people see early changes within a few months. Your clinician reviews your hair growth and decides if you continue.
Some people regrow a large share of their hair, and others have a partial response. Results vary from person to person. Hair loss often returns if you stop. Your clinician reviews your results regularly.
Headache, diarrhea, acne, rash, hives and colds are common. Shingles and other infections can occur. Serious effects are rare. Tell your Care Team about any new symptom, and get urgent care for chest pain or leg swelling.
People with an active serious infection, such as tuberculosis, should not take it. It is also not for people who are pregnant or breastfeeding. Some people need in-person care or specialist monitoring. Your clinician decides if it is safe.
Your clinician may discuss baricitinib, another oral medicine for alopecia areata. For patches, strong steroid products such as clobetasol or fluocinonide are options. Your clinician picks what fits your hair loss and health.
Often your clinician keeps a topical treatment going. Do not combine Litfulo with other strong immune medicines unless your clinician says so. Tell your Care Team about every medicine and supplement you take.
No. Do not take Litfulo if you are pregnant or breastfeeding. Use reliable contraception if you could become pregnant. Tell your clinician right away if you think you are pregnant.
Hair loss often returns after you stop. Your clinician plans the length of treatment with you. Do not stop without asking your Care Team.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
Litfulo is the only product listed in Canada for ritlecitinib. There is no generic yet. Your clinician writes the prescription.
Your clinician decides how long you use Litfulo and when to renew it. Your Care Team follows up with you, and you can message them with questions. Renewals depend on your hair growth, your blood tests and your clinician's review.
Carefully monitored, every step
Screening before you start
Your clinician screens for tuberculosis, hepatitis and other infections.
Blood tests
Your clinician checks blood counts, liver tests and cholesterol before and during treatment.
Infection and clot watch
Tell your Care Team about fever, shingles, chest pain or leg swelling right away.
Pregnancy and vaccines
Your clinician reviews contraception and vaccines before you start.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
Related treatments
Your clinician can suggest another option when this one is not the right fit.