Arcalion 200mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Arcalion 200mg Tablet is an oral tablet manufactured by Servier, containing Sulbutiamine 200mg as its single active ingredient per tablet. Sulbutiamine is a synthetic derivative of thiamine (Vitamin B1) with greater lipid solubility than thiamine itself, which allows it to cross into the central nervous system more readily than ordinary thiamine. It is supplied in Malaysia in a coated-tablet form, typically packed 30 tablets to a box.

This product is a single-active-ingredient synthetic vitamin-derivative tablet, distinct from plain thiamine (Vitamin B1) supplements and from multivitamin B-complex products, because sulbutiamine is a modified molecule rather than unmodified thiamine. It is currently available for purchase through a number of major Malaysian retail pharmacy chains. Customers should be aware that its prescription-versus-OTC status can differ between countries, and should check the printed product label and any accompanying package insert for the specific guidance that applies in Malaysia.

Arcalion 200mg Tablet is sold in Malaysia in a 30-tablet pack. As with any product containing a vitamin-derivative active ingredient taken at a defined daily dose, customers are encouraged to read the full product label and speak with a DoctorOnCall pharmacist before starting use, particularly given the regulatory nuance described above.

Directions for Use

Swallow the tablet whole with a glass of water; do not crush or chew it. Arcalion 200mg Tablet is generally taken earlier in the day (morning or early afternoon) rather than in the evening, as some users report difficulty sleeping if it is taken too close to bedtime. It may be taken with or without food, as directed on the product label or by a pharmacist or doctor.

Dosage

The typical adult dose referenced on the product label is one tablet taken one to three times a day (200mg to 600mg of Sulbutiamine daily), for a limited course rather than continuous long-term use, as directed by the package insert or a healthcare professional. Do not exceed the stated maximum daily dose. If a dose is missed, take it when remembered unless it is close to the time of the next dose, in which case the missed dose should be skipped – do not double up. This product is not intended for children. If symptoms being self-managed do not improve within the period suggested on the label, stop self-treating and consult a doctor or pharmacist.

Storage Instructions

Store below 30 degrees Celsius in a cool, dry place away from direct sunlight and moisture. Keep the tablets in their original blister packaging until just before use, and keep out of the reach and sight of children.

Side Effects

  • Common: mild stomach discomfort, nausea, or indigestion.
  • Common: nervousness, restlessness, or difficulty falling asleep, particularly if the tablet is taken later in the day.
  • Common: mild headache.
  • Serious: signs of an allergic skin reaction, such as a rash, hives, or swelling of the face or throat, which require immediate medical attention.
  • Serious: unusual agitation, palpitations, or a fast heartbeat, which should be reported to a doctor promptly.

Contraindications

  • Known hypersensitivity to Sulbutiamine, thiamine, or any other ingredient in the tablet.
  • Children, unless specifically directed by a doctor, as this product is formulated and dosed for adult use.
  • Use with caution in people with a history of seizures, as stimulant-type vitamin derivatives may lower seizure threshold at higher doses in susceptible individuals.
  • Pregnancy and breastfeeding, where safety data for Sulbutiamine specifically is limited – a doctor should be consulted before use.

Drug / Food Interactions

  • Taking Arcalion 200mg Tablet together with caffeine, energy drinks, or other stimulant substances may increase the risk of overstimulation, nervousness, or difficulty sleeping.
  • Inform your doctor or pharmacist if you are taking other central nervous system stimulant medicines, as combined use has not been extensively studied and may increase the chance of restlessness or insomnia.
  • No clinically significant food interactions have been established; the tablet may generally be taken with or without meals as directed on the label.
  • If you are taking any other vitamin B-complex supplement, mention this to your pharmacist to avoid unnecessary duplication of thiamine-derivative intake.

Quick Tips

  • Take the tablet earlier in the day rather than at night if you notice it affects your sleep.
  • Swallow the tablet whole with water rather than crushing or chewing it.
  • Keep track of how many tablets you have taken in a day to avoid exceeding the stated maximum dose.
  • Store the strip in its original carton so the batch number and expiry date stay visible.
  • Check with a pharmacist before combining this tablet with other stimulant-containing supplements or drinks.
  • Keep a short course rather than continuous long-term use unless a doctor advises otherwise.

Ingredients / Active Ingredients

  • Active ingredient: each tablet contains Sulbutiamine 200mg, a synthetic derivative of thiamine (Vitamin B1).
  • Supplied as a coated oral tablet, manufactured by Servier.
  • Packed in blister strips, typically 30 tablets per carton for the Malaysian market.
  • A full list of inactive/excipient ingredients is provided on the approved package insert supplied with the product; please refer to it or ask a DoctorOnCall pharmacist for details.

Relevant Information

Precautions: Arcalion 200mg Tablet should be used with caution by people with a history of seizures, and by pregnant or breastfeeding women, who should check with a doctor before use due to limited safety data on Sulbutiamine specifically in these groups. It is not intended for children. Take it earlier in the day if you notice it interferes with sleep, and avoid combining it with large amounts of caffeine or other stimulants.

When to See a Doctor or Pharmacist: Stop taking Arcalion 200mg Tablet and seek medical attention if you develop a skin rash, swelling of the face or throat, difficulty breathing, palpitations, or any other sign of a serious reaction. Speak with a doctor or pharmacist if you are unsure whether this product is appropriate for you, especially if you have a seizure disorder, are pregnant or breastfeeding, or are already taking other stimulant-type supplements or medicines.

Frequently Asked Questions

Product Specifications

BrandZuellig Pharma
ClassificationNon-prescription
Pack Size30s
Shelf LifeUse before the expiry date printed on the blister strip and outer carton. Do not use beyond this date. Discard any tablets that appear discoloured, crumbling, or otherwise different from their normal appearance.

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