Do I need a prescription to buy Brexin 20mg Tablet?

No. Brexin 20mg Tablet is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Brexin 20mg Tablet contain?

Brexin 20mg Tablet is a tablet containing Piroxicam Beta-cyclodextrin 20mg (equivalent to Piroxicam). The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Brexin 20mg Tablet come in?

It is supplied in pack sizes of 10s and 20s. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Brexin 20mg Tablet is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Brexin 20mg Tablet?

Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Brexin 20mg Tablet before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

What should I do if I notice side effects after using Brexin 20mg Tablet?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day. Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay. FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Brexin 20mg Tablet be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee. Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Brexin 20mg Tablet registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number. An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre. For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Brexin 20mg Tablet | piroxicam | arthritis pain inflammation tablet | DoctorOnCall Malaysia

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Brexin 20mg Tablet

Brand Chiesi

Manufacturer Chiesi

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Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester

Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated: October 31, 2026

Overview

Brexin 20mg Tablet is supplied as a tablet, with Piroxicam Beta-cyclodextrin 20mg (equivalent to Piroxicam). It is supplied in pack sizes of 10s and 20s.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Brexin 20mg Tablet should only be taken exactly as prescribed by your doctor, typically once daily, swallowed whole with a full glass of water, preferably with or after food to reduce stomach upset. Do not increase the dose or take it for longer than prescribed, as piroxicam is associated with increased risk of serious gastrointestinal complications with prolonged use.

Dosage

The usual prescribed dose is one 20mg tablet once daily; some patients may be prescribed a lower dose depending on their condition, age, and other risk factors. Your doctor will determine the lowest effective dose for the shortest duration necessary and may review your treatment periodically. Do not adjust your dose without medical advice.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and moisture. Keep the tablets in their original packaging until ready for use, and keep out of reach of children.

Side Effects

Upset stomach or indigestion
Headache or dizziness
Diarrhea or constipation
Swelling in hands or feet
Skin rash or itching
Increased blood pressure
Heartburn or nausea

Contraindications

Known hypersensitivity to piroxicam, other NSAIDs, or aspirin
Active or history of peptic ulcer disease or gastrointestinal bleeding
Severe heart failure, active cardiovascular disease, or recent heart surgery
Severe renal or hepatic impairment
Third trimester of pregnancy
History of asthma, urticaria, or allergic reactions triggered by NSAIDs

Drug / Food Interactions

Other NSAIDs or aspirin — increased risk of gastrointestinal bleeding
Anticoagulants such as warfarin — increased bleeding risk
ACE inhibitors or angiotensin receptor blockers — reduced antihypertensive effect and risk of kidney impairment
Diuretics — reduced effectiveness and increased risk of kidney problems
Lithium or methotrexate — increased blood levels and toxicity risk
Corticosteroids — increased risk of gastrointestinal ulceration

Quick Tips

Only take Brexin 20mg Tablet if prescribed by your doctor following an online consultation
Take with food to reduce the chance of stomach irritation
Do not exceed the prescribed dose or duration
Report any signs of stomach pain, black stools, or unusual bruising to your doctor immediately
Attend follow-up reviews as advised, especially with long-term use
Avoid alcohol, which can increase the risk of stomach irritation

Ingredients / Active Ingredients

Piroxicam

Piroxicam Beta-cyclodextrin 20mg (equivalent to Piroxicam)
Microcrystalline cellulose
Lactose
Magnesium stearate
Colloidal silicon dioxide

Safety Advice

Pregnancy

Not Advisable

Use during pregnancy is generally not recommended unless absolutely necessary.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

As a long-acting NSAID, piroxicam is generally reserved for chronic conditions requiring sustained anti-inflammatory control and is usually not a first-line choice given its comparatively higher risk of gastrointestinal and skin-related adverse effects. Patients on long-term therapy should be monitored periodically by their doctor for kidney function, blood pressure, and gastrointestinal symptoms. Older adults and those with pre-existing cardiovascular or renal conditions require closer monitoring.

Frequently Asked Questions

Product Specifications

Brand	Chiesi
Manufacturer	Chiesi
Classification	Non-prescription
Ingredients / Active Ingredients	Piroxicam
Pack Size	10s, 20s
Shelf Life	Brexin 20mg Tablet is typically stable for up to 36 months from the date of manufacture when unopened and stored correctly. Always check the expiry date printed on the packaging and do not use the product past this date.