E-Zyme B6 Troche Tablet

E-Zyme B6 Troche Tablet is an OTC oral troche (a slow-dissolving lozenge-type tablet) containing Lysozyme Hydrochloride 80mg and Pyridoxine Hydrochloride (Vitamin B6) 40mg per troche. Unlike an ordinary tablet, a troche is designed to dissolve slowly in the mouth rather than being chewed or swallowed whole. It is sold in Malaysia as an over-the-counter product, available from pharmacies and licensed online pharmacies such as DoctorOnCall without needing a doctor’s prescription.

Lysozyme is an enzyme that, in pharmaceutical products, is commonly manufactured from hen egg white — a fact worth noting for anyone with an egg allergy. Pyridoxine (Vitamin B6) is a water-soluble vitamin included alongside the enzyme in this combination troche. The product is packaged in strips of 10 troches, with some regional listings showing larger multi-strip packs.

As a troche rather than a syrup or standard swallowed tablet, E-Zyme B6 is formulated specifically for slow local dissolution in the mouth. Pack sizes and exact labelling should be checked against the product packaging at the time of purchase.

• Allow one troche to dissolve slowly in the mouth; do not chew or swallow it whole.
• Take 1 to 2 troches daily, or as directed on the packaging or by a pharmacist.
• Use under adult supervision when given to children, due to the risk of choking on a slow-dissolving troche.
• Avoid eating or drinking immediately while the troche is still dissolving.

The typical adult dose is 1 to 2 troches daily, allowed to dissolve slowly in the mouth. Because independent, product-specific dosing information (maximum daily dose and an exact pediatric age cutoff) could not be fully verified beyond general product-category norms in this research pass, always follow the dose stated on the actual product packaging or a pharmacist’s instructions, particularly for children. If symptoms do not improve within a few days of use, stop self-treating and consult a doctor or pharmacist.

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

• Known hypersensitivity or allergy to lysozyme, pyridoxine, or any other ingredient in the troche.
• Known egg or egg-white protein allergy, since lysozyme used in pharmaceutical troches is typically derived from hen egg white.
• Not recommended for very young children who cannot safely allow a troche to dissolve without risk of choking.

• High cumulative doses of Vitamin B6 (pyridoxine) may reduce the effectiveness of levodopa-containing medicines used for Parkinson’s disease; consult a doctor before combining them.
• No clinically significant food interactions are known for this troche when used as directed.
• Avoid taking this troche together with other Vitamin B6-containing supplements without medical advice, to avoid unintentionally exceeding a safe cumulative daily intake.

• Let the troche dissolve slowly in the mouth rather than chewing or swallowing it whole.
• Supervise children closely when giving this troche, due to the choking risk with slow-dissolving lozenges.
• Check the ingredient list carefully if you or your child has a known egg allergy.
• Store the strip below 30°C, away from moisture and direct sunlight.
• Keep the strip out of reach of young children.
• Consult a pharmacist if symptoms persist beyond a few days of use.

Precautions: Individuals with a known egg or egg-white allergy should exercise caution, as lysozyme in this troche is typically egg-derived. Pregnant or breastfeeding women, and anyone on levodopa-containing medication, should consult a doctor or pharmacist before use. Supervise young children closely to prevent choking, since the troche is meant to dissolve slowly rather than be chewed.

When to See a Doctor or Pharmacist: Seek medical or pharmacist advice if symptoms persist beyond 3-5 days of use, if a high fever develops, or if any signs of an allergic reaction (rash, swelling, difficulty breathing) occur.