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Overview
Cefasily Film Coated Tablet’s active ingredient is Silymarin, a standardised extract derived from the fruit (seeds) of Silybum marianum, commonly known as milk thistle. Despite the ‘Cefa-‘ prefix in its brand name, which may resemble the naming convention of cephalosporin antibiotics, it does not contain any antibiotic or antibacterial ingredient — its formulation is a milk thistle extract supplement tablet.
Each film-coated tablet is commonly available at a standardised strength of around 140mg of Silymarin, supplied in a pack of 60 tablets. Silymarin is a flavonolignan complex extracted from milk thistle seeds and is a well-established ingredient in liver-health supplement products sold across pharmacies in Malaysia and other markets. The film coating is designed to make the tablet easier to swallow and to mask the taste of the underlying extract.
Cefasily Film Coated Tablet is sold as an OTC (Over-the-Counter) liver-health supplement in Malaysia, available from community and online pharmacies without a doctor’s prescription. Customers taking other regular prescription medicines, or with an existing liver condition, are encouraged to check with a pharmacist before starting this supplement, and to always confirm the exact strength and full ingredient list against the current product packaging.
Directions for Use
Take one Cefasily Film Coated Tablet orally, swallowed whole with a glass of water, generally once or twice daily or as stated on the product packaging or advised by a pharmacist. It may be taken with or without food; taking it with food may help reduce stomach discomfort in sensitive individuals. Do not crush or chew the tablet unless instructed otherwise.
Dosage
The typical adult intake for standardised 140mg silymarin film-coated tablets is one tablet once or twice daily, though the exact frequency and maximum daily amount should follow the instructions printed on the product packaging, as recommended intake can vary by manufacturer and formulation strength. Do not exceed the stated daily amount. If a dose is missed, take it as soon as remembered unless it is close to the next scheduled dose, in which case the missed dose should be skipped rather than doubled up. This is a supplement rather than a treatment for a diagnosed medical condition; anyone with an existing liver condition or taking other medicines regularly should check with a doctor or pharmacist before use, and should consult a doctor if persistent symptoms occur.
Shelf Life
Use before the expiry date printed on the packaging. Do not use the tablets if the expiry date has passed or if the blister or bottle seal is damaged.
Storage Instructions
Store Cefasily Film Coated Tablet below 30°C in a cool, dry place away from direct sunlight and moisture, and keep it out of reach of children.
Side Effects
- Mild gastrointestinal issues such as bloating or upset stomach
- Headache
- Allergic reactions (rare), especially in those allergic to plants in the daisy family
- Skin rash or itching (less common)
Contraindications
- Known hypersensitivity or allergy to silymarin, milk thistle, or other plants in the Asteraceae/Compositae (daisy) family.
- Use in children has not been established; consult a doctor or pharmacist before use.
Drug / Food Interactions
- Silymarin may interact with certain prescription medicines that are processed by the liver, including some cholesterol-lowering, anti-diabetic, and hormone-based medicines — check with a doctor or pharmacist before combining Cefasily Film Coated Tablet with other regular medication.
- No specific food interactions are established, though it is generally advisable to take supplements at a consistent time relative to meals as stated on the packaging.
Quick Tips
- Take the tablet at the same time each day to build a consistent routine.
- Swallow the tablet whole with plenty of water.
- Keep track of how long you have been taking it and review use periodically with a pharmacist.
- Store away from heat and humidity to protect the film coating.
- Inform your doctor that you are taking this supplement before starting any new prescription medicine.
- Keep the product in its original packaging until use, to retain the printed expiry date.
Frequently Asked Questions
What is the active ingredient in Cefasily Film Coated Tablet?
Cefasily Film Coated Tablet’s active ingredient is Silymarin, a standardised extract of milk thistle (Silybum marianum) fruit, commonly supplied at around 140mg per tablet. It is a supplement ingredient rather than a conventional pharmaceutical drug.
Is Cefasily Film Coated Tablet an antibiotic?
No. Despite its brand name beginning with ‘Cefa-‘, which resembles the naming pattern of cephalosporin antibiotics, Cefasily Film Coated Tablet does not contain any antibiotic or antibacterial ingredient — its active ingredient is Silymarin, a milk thistle extract. If you have been prescribed an antibiotic by a doctor, please use the specific product they advised rather than substituting it with this one.
Who should be cautious about taking Cefasily Film Coated Tablet?
People with a known allergy to milk thistle or other plants in the daisy (Asteraceae/Compositae) family, those with an existing liver condition, and anyone taking regular prescription medicine should check with a doctor or pharmacist before use.
How should Cefasily Film Coated Tablet be stored?
Store below 30°C in a cool, dry place away from direct sunlight and moisture, and keep it out of reach of children.
What pack size does Cefasily Film Coated Tablet come in?
Cefasily Film Coated Tablet is commonly supplied in a pack of 60 film-coated tablets. Please refer to this product page or the packaging for the exact pack size currently available.
Can I purchase Cefasily Film Coated Tablet online through DoctorOnCall in Malaysia or Singapore?
Yes, Cefasily Film Coated Tablet is available for purchase through DoctorOnCall as an online pharmacy serving customers in Malaysia and Singapore. As with any over-the-counter medicine, please read the product label and follow the recommended directions, and speak with our pharmacist team if you have any questions before ordering.
Is the medication supplied by DoctorOnCall genuine and safe to use?
Medicines supplied through DoctorOnCall are sourced and handled through the appropriate pharmacy supply process. As with any medicine, please use Cefasily Film Coated Tablet according to the product instructions and professional advice, and contact our pharmacist team if you have any concerns about your order.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay), so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Cefasily Film Coated Tablet?
DoctorOnCall provides an installment payment plan for eligible purchases where applicable. Available plans, eligibility, and terms can vary, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does it cost?
Delivery charges may depend on your delivery location and the applicable order and delivery terms. For the latest delivery fee information for Malaysia or Singapore, please contact DoctorOnCall Customer Service.
How long will it take for my order to arrive?
Orders to Malaysia are generally delivered within 3-5 working days, and orders to Singapore are generally delivered within 5-9 working days, although actual delivery time may vary depending on the delivery location, order processing, courier operations, weekends, and public holidays.
What is DoctorOnCall’s shipping, return, or cancellation policy for Cefasily Film Coated Tablet?
Shipping, return, and cancellation terms may vary depending on the product, your order details, and whether you are ordering from Malaysia or Singapore. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Active ingredient: Silymarin (standardised Silybum marianum / milk thistle fruit extract), commonly around 140mg per film-coated tablet.
- Silymarin is a flavonolignan complex derived from milk thistle seeds/fruit, an ingredient commonly used in liver-health supplement products.
- Supplied as a film-coated tablet, commonly in a pack of 60 tablets.
- Exact strength and full excipient list should be confirmed against the current product packaging.
Related Health Conditions
Safety Advice
Pregnancy
Limited information is available regarding use during pregnancy. Use only if clearly needed.
Breastfeeding
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
This medicine is generally safe and should not impair your driving ability.
Relevant Information
Precautions: People with a known allergy to plants in the Asteraceae/Compositae family (ragweed, marigold, daisy, chrysanthemum), pregnant or breastfeeding women, and individuals with an existing liver condition or taking other regular medication should consult a doctor or pharmacist before using Cefasily Film Coated Tablet. It is not intended to replace prescribed treatment for a diagnosed medical condition.
When to See a Doctor or Pharmacist: Speak to a doctor or pharmacist before starting this product if you take other regular medicines, have an existing liver condition, or are pregnant or breastfeeding. Stop use and seek medical attention if signs of an allergic reaction, persistent gastrointestinal upset, or other unusual symptoms develop.
Medical Review
Reviewed by:
Doctor of Medicine (MD), University of Mansoura - Manchester


