Caffox Tablet 10s (strip)

Caffox Tablet is a prescription-only antimigraine medicine that combines two active pharmaceutical ingredients — Ergotamine Tartrate (1mg) and Caffeine (100mg) — from two distinct drug classes: Ergotamine belongs to the ergot alkaloid class, a group of vasoconstrictive agents derived from the ergot fungus that have been used in migraine management for many decades, while Caffeine in this formulation acts as a xanthine adjuvant that enhances the absorption and bioavailability of Ergotamine. The product is manufactured by T.O. Pharma Co. Ltd. in Thailand, registered in Malaysia under IMEKS Pharma Sdn. Bhd. with NPRA registration number MAL20000292AZ, and is a well-established combination formulation that has been available in the Malaysian pharmaceutical market for many years.

Like all medicines containing Ergotamine, Caffox can cause side effects, and the ones most important to be aware of include nausea and vomiting, tingling or numbness in the fingers and toes (paraesthesia), cold extremities or poor circulation to the limbs, and dizziness — some of which are direct consequences of Ergotamine's vasoconstrictive activity. Before purchasing or taking this tablet, there are several important things you should know: Caffox is strictly for use in adults and children aged 12 and above, carries important restrictions regarding frequency of use to prevent a condition called ergotism (toxicity from overuse of ergot medicines), must never be taken during pregnancy, and should not be combined with certain antibiotics or beta-blockers without explicit medical guidance — so a conversation with your doctor or pharmacist before starting is not just advisable, it is essential.

How to Take Caffox Tablet

Caffox Tablet is taken orally — swallow the tablet whole or it can be halved along the score line if directed by your doctor, with a glass of water, and it may be taken with or without food as food does not significantly affect its absorption. The tablet should be taken at the very first sign of a migraine attack — timing is critical with Ergotamine-containing medicines, as they are significantly more effective when taken early in the attack rather than after the headache has become fully established. Do not crush or chew the tablet, and always follow the exact dosing schedule prescribed by your doctor — never exceed the stated daily or weekly maximum dose limits, as overuse of Ergotamine carries a specific and serious risk of ergotism and analgesic or medication-overuse headache.

Dosage of Caffox Tablet

For adults and children aged 12 years and above, the recommended dose is 1 to 2 tablets taken at the first sign of a migraine attack, followed by 1 to 2 tablets every 30 to 60 minutes if symptoms persist — however, the total dose must not exceed 4 tablets in any single day or 8 tablets in any single week, as exceeding these limits significantly increases the risk of Ergotamine toxicity (ergotism) and medication-overuse headache. This medicine is not intended for daily preventive use and should not be taken to prevent a migraine from occurring — it is an acute, on-demand treatment only, used when a migraine attack has already begun.

Shelf Life of Caffox Tablet

• Shelf Life: As printed on the outer carton and individual blister strip — do not use after the stated expiry date
• Pack Format: Yellow colour biplane scored tablet, dispensed in blister strips of 10 tablets per strip
• MAL Number: MAL20000292AZ (verifiable at npra.gov.my)

The expiry date for Caffox Tablet is printed on both the outer carton and the individual blister foil — always check this before taking any tablet. Do not use the medicine after the expiry date has passed, as the chemical stability of Ergotamine Tartrate and Caffeine may deteriorate over time, potentially affecting both the safety and the effectiveness of the formulation. Any expired or unused tablets should be returned to a licensed pharmacy for safe pharmaceutical disposal — do not dispose of them in household rubbish or flush into water drainage systems.

How to Store Caffox Tablet

• Store in a cool, dry place below 30°C — avoid any environment where heat or humidity may fluctuate
• Store in the original packaging to protect the tablets from light, heat, and moisture — the blister foil provides a protective barrier that should remain intact until use
• Keep away from direct sunlight and artificial heat sources such as stovetops, radiators, and sun-facing windowsills
• Do not refrigerate or freeze unless explicitly instructed on the product label
• Do not store in a bathroom cabinet or near a kitchen sink — steam and humidity in these areas can compromise tablet integrity
• Retain the outer carton throughout use to preserve all product labelling, including the MAL number, batch number, and expiry date for easy reference and verification
• Keep out of the reach and sight of children at all times — Ergotamine Tartrate is a potent vasoactive compound that can cause serious harm if accidentally consumed by a child
• Do not transfer tablets into an unlabelled secondary container — Ergotamine-containing tablets must remain identifiable at all times to prevent dangerous accidental misuse
• If travelling, keep Caffox in your carry-on luggage to avoid exposure to extreme temperatures in checked baggage holds

Active Ingredients of Caffox Tablet

• Active Ingredient 1: Ergotamine Tartrate 1mg per tablet
• Active Ingredient 2: Caffeine 100mg per tablet
• Drug Class: Antimigraine — Ergot Alkaloid + Xanthine (CNS Stimulant) Combination
• ATC Code: N02CA52 (Ergotamine, combinations)
• Tablet Description: Yellow, biplane (flat-faced), scored tablet — the score line allows the tablet to be halved
• Inactive Excipients: Microcrystalline cellulose, Talcum, Magnesium stearate, Tartaric acid, Corn starch, Iron oxide yellow
• Manufacturer: T.O. Pharma Co. Ltd., 101 Soi Ladprao 124 (Sawatdikan), Ladprao Road, Phlapphla, Wangthonglang, Bangkok 10310, Thailand
• Registration Holder (Malaysia): IMEKS Pharma Sdn. Bhd., No. 5 & 9, Jalan Udang Harimau 2, Medan Niaga Kepong, 51200 Kuala Lumpur, Malaysia
• NPRA MAL Number: MAL20000292AZ
• RiMUP Revision Date: 13 March 2023 (Serial No. NPRA(R2/1)230313/1027)

Side Effects of Caffox Tablet

Common Side Effects:

• Nausea and vomiting
• Tingling and numbness in fingers and toes (peripheral paraesthesia)
• Headache
• Abdominal pain or gastrointestinal discomfort
• Dizziness or lightheadedness
• Cold skin temperature and cold extremities
• Weakness or pain in the limbs
• Insomnia or sleep disturbance
• Palpitations or awareness of heartbeat

Less Common Side Effects:

• Weak or diminished peripheral pulses
• Poor blood circulation to the limbs (peripheral ischaemia)
• Chest pain or tightness
• Shortness of breath, dry cough, or pain in the chest or rib area
• Sudden intestinal swelling or obstruction
• Difficulty or pain in passing urine
• Muscle or limb pain and weakness

Serious Reactions — Seek Immediate Medical Attention:

• Ergotism
• Severe chest pain, new or worsening angina, or signs of a myocardial infarction
• Signs of a stroke or TIA
• Severe allergic reaction

Contraindications of Caffox Tablet

Caffox Tablet must not be used in the following circumstances — all sourced from the NPRA-approved RiMUP and standard ergotamine prescribing guidance:

• Known hypersensitivity or allergic reaction to Ergotamine Tartrate, Caffeine, or any of the inactive excipients
• Peripheral vascular disease
• Coronary heart disease, ischaemic heart disease, or a history of myocardial infarction
• Uncontrolled hypertension
• Severe sepsis
• Hepatic (liver) impairment
• Renal (kidney) impairment
• Peptic ulcer disease
• Glaucoma
• Porphyria
• Malnutrition
• Pregnancy
• Breastfeeding
• Children under 12 years of age

Drug & Food Interaction of Caffox Tablet

Drug Interactions — Contraindicated or Strongly Avoid:

• Strong CYP3A4 inhibitors
• Azole antifungals
• HIV protease inhibitors
• Triptans
• Other vasoconstrictive agents

Drug Interactions — Use with Caution:

• Beta-blockers
• Sympathomimetic agents
• Other serotonergic medicines
• Dopamine antagonists
• Anticoagulants and antiplatelet agents
• Nicotine

Food & Beverage Interactions:

• Food
• Alcohol
• Caffeine-containing foods and beverages
• Grapefruit juice

Quick Tips for Caffox Tablet

• Take Caffox at the very first sign of a migraine attack
• Never exceed 4 tablets in a single day or 8 tablets in a single week
• Do not use Caffox every day or as a preventive treatment
• Tell your doctor if you are taking certain antibiotics or beta-blockers
• Do not combine Caffox with a triptan
• Monitor for cold, pale, or painful fingers and toes, unusual tingling, or chest pain
• Avoid additional high-caffeine drinks
• Avoid alcohol on the days you take Caffox
• Avoid grapefruit juice around the time of taking Caffox
• Do not take Caffox if pregnant or breastfeeding
• Store below 30°C in the original blister packaging
• Check expiry date before each use
• Return unused or expired tablets to a licensed pharmacy
• This is a prescription-only medicine — never share it with others

FAQs of Caffox Tablet

Q: Can I buy Caffox Tablet online in Malaysia?
Yes, Caffox Tablet is available to purchase through our licensed online pharmacy in Malaysia. We are a registered pharmacy operating in full compliance with the Ministry of Health (MOH) Malaysia and the National Pharmaceutical Regulatory Agency (NPRA). Caffox Tablet (MAL20000292AZ) is registered with the NPRA, and as it contains Ergotamine Tartrate — a Scheduled Poison under the Poisons Act 1952 — it is classified as a prescription-only medicine in Malaysia. A valid prescription from a Malaysian Medical Council (MMC) registered doctor is required before your order can be reviewed, dispensed, and dispatched.

Q: Is a prescription required to purchase Caffox Tablet in Malaysia?
Yes. Caffox Tablet contains Ergotamine Tartrate, which is a Scheduled Poison under Malaysian pharmaceutical regulations, making it a prescription-only medicine that cannot be legally dispensed without a valid prescription from a licensed medical practitioner. When placing your order through our platform, you will be prompted to upload a clear, legible photograph or scanned copy of your original prescription. Our in-house pharmacist team will verify and authenticate it before approving your order for dispensing. This is a non-negotiable legal and patient safety requirement.

Q: How do I submit my prescription when ordering Caffox Tablet online?
Submitting your prescription is a simple, secure, and fully digital process. At the checkout stage, you will be prompted to upload a clear image or PDF of your original doctor's prescription. The document must be issued by an MMC-registered practitioner, must clearly state the medicine name and prescribed dosage, and must be current and unaltered. Our licensed pharmacists typically review uploaded prescriptions within a few hours on working days, and you will receive a notification once your order has been approved for processing. All prescription records are stored and handled strictly in accordance with Malaysian pharmacy legislation and patient data confidentiality requirements.

Q: How can I verify that the Caffox Tablet I receive is genuine and not counterfeit?
Authenticity is one of our most fundamental responsibilities to every customer. All Caffox Tablets dispensed through our pharmacy are sourced exclusively from authorised pharmaceutical distributors registered with the NPRA Malaysia, who work directly with the Malaysian registration holder, IMEKS Pharma Sdn. Bhd. Genuine Caffox Tablets are yellow, biplane (flat-faced), scored tablets — a clear and consistent physical identifier. Every authentic pack carries the NPRA registration number MAL20000292AZ on the outer carton and blister, which you can independently cross-reference on the NPRA's publicly accessible product register at npra.gov.my. If your product does not carry this registration number, or the tablets look physically different from the description above, do not use it and contact us immediately.

Q: Do you deliver Caffox Tablet to Singapore?
Our licensed online pharmacy currently delivers within Malaysia only. The cross-border shipment of prescription medicines to Singapore is governed by the Health Sciences Authority (HSA) of Singapore and is subject to strict import controls that restrict the postal or courier delivery of scheduled pharmaceutical products across national borders. Patients based in Singapore requiring Ergotamine Tartrate/Caffeine combination tablets are advised to consult a licensed Singaporean doctor or registered pharmacy to obtain the appropriate product through the local regulated supply chain, ensuring both legal compliance and access to proper clinical oversight for this medicine.

Q: How quickly will my Caffox Tablet order be processed and delivered?
Prescription verification by our pharmacist team typically takes a few hours on working days following upload. Once your prescription has been reviewed and approved, your order is promptly picked, packed, and dispatched — usually on the same working day for orders cleared before our daily dispatch cut-off time. Customers in Peninsular Malaysia can generally expect delivery within 1 to 2 working days. For customers in Sabah and Sarawak, delivery typically takes 3 to 5 working days. All available shipping options and estimated delivery timelines are shown clearly at checkout before you confirm your order.

Q: Will my Caffox Tablet order be delivered in discreet packaging?
Yes, absolutely. All orders are dispatched in plain, unmarked outer packaging with no visible indication of the product name, the nature of the medicine, or any health-related information on the exterior of the parcel. The sender label will display only our pharmacy name. We understand the importance of privacy for our customers, and this is a standard practice for all orders fulfilled through our platform. Your privacy is fully protected at every stage of the ordering and delivery process.

Q: What payment methods do you accept for online orders?
We offer a comprehensive range of secure, convenient payment options for Malaysian customers, including major credit and debit cards (Visa and Mastercard), online banking through FPX, and widely used Malaysian digital e-wallets including Touch 'n Go eWallet and GrabPay. All payment transactions are processed through fully encrypted, PCI-DSS compliant payment gateways to ensure the complete security of your personal and financial information at every point of the transaction.

Q: Can I return Caffox Tablet after my order has been dispatched?
Due to prescription medicine handling regulations and patient safety requirements in Malaysia, we are unable to accept returns on dispensed medicines once they have been dispatched from our pharmacy, except where the product received is found to be physically damaged, defective, or incorrect. If your order arrives damaged, with a compromised blister seal, or is not the correct product, please contact our customer care team within 24 hours of receipt with clear, dated photographs and your order reference number, and we will resolve the matter promptly and appropriately.

Q: How should I store a supply of Caffox Tablet at home?
Caffox Tablet should be stored below 30°C in a cool, dry place, in its original blister packaging and outer carton, away from direct sunlight, heat, and moisture. Do not store in a bathroom cabinet, near a kitchen sink, or in a vehicle. Because Caffox Tablets contain Ergotamine Tartrate — a potent vasoactive compound — it is especially important to store them safely and securely out of reach of children at all times. Check the expiry date printed on the blister strip and outer carton periodically if you have a supply stored at home, and return any expired tablets to a pharmacy for proper disposal.

Q: Can I track my order after it has been dispatched?
Yes. Once your order has been dispensed, packed, and collected by our logistics partner, you will receive a confirmation notification via email or SMS containing your unique parcel tracking reference number and a direct link to monitor your delivery in real time through the courier's tracking platform. You can follow your order's progress from our pharmacy to your door at any point after dispatch.

Q: What should I do if my package arrives damaged or appears to have been tampered with?
Do not open or use any product if the outer carton appears physically damaged or wet; if the blister foil has been punctured, previously opened, or improperly resealed; or if the tablets look visually abnormal in colour, shape, or texture compared to the genuine Caffox tablet description (yellow, biplane, scored). Contact our customer care team immediately with clear photographs of the packaging and product as received, along with your order reference number. We will initiate a prompt investigation and provide an appropriate resolution — your safety is our unconditional first priority.