Oroxine 50mcg Tablet

Oroxine 50mcg Tablet contains Levothyroxine Sodium, equivalent to 50mcg levothyroxine and is presented as a tablet. It is supplied in a pack size of 100s.

It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.

You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.

Take Oroxine on an empty stomach, generally 30 to 60 minutes before breakfast, with a full glass of water, unless your doctor advises a different timing. Take it consistently at the same time each day and avoid taking it at the same time as calcium or iron supplements, antacids, or certain other medicines, as these can reduce absorption; space these by at least 4 hours. Do not change your dose or stop the medicine without your doctor’s advice, even if you feel well, as hypothyroidism requires ongoing treatment.

The dose is individualised by your doctor based on your age, weight, the severity of hypothyroidism, and periodic thyroid function blood test results, and this 50mcg strength is often used as a starting or maintenance dose depending on your specific situation. Doses are usually adjusted gradually, and it typically takes several weeks for a dose change to be reflected in blood tests and symptoms, so do not adjust your dose yourself between reviews.

Use Oroxine tablets before the expiry date printed on the blister strip or carton. Do not use the tablets after this date, and dispose of any unused or expired tablets appropriately rather than keeping them for future use.

Store below 25 degrees Celsius, in a cool, dry place away from direct sunlight and moisture, in the original packaging until ready to use. Keep out of reach and sight of children.

• Untreated adrenal insufficiency or untreated overactive pituitary/adrenal conditions
• Untreated thyrotoxicosis (an overactive thyroid)
• Acute, untreated heart attack (myocardial infarction)
• Known hypersensitivity to levothyroxine or any tablet ingredient
• Should be used with caution and close monitoring in people with heart disease, diabetes, or osteoporosis, and in older adults

• Calcium supplements, iron supplements, and antacids containing aluminium or magnesium can reduce levothyroxine absorption; space these apart from your dose by at least 4 hours
• Certain foods and supplements, such as high-fibre meals, soy products, and coffee taken close to dosing, can reduce absorption
• May increase the effect of blood-thinning medicines such as warfarin, requiring closer monitoring
• Can alter blood sugar control in people with diabetes, sometimes requiring adjustment of diabetes medicines
• Certain seizure medicines and rifampicin can affect levothyroxine levels; inform your doctor of all medicines you take

• Take Oroxine at the same time each day, ideally on an empty stomach before breakfast, for consistent absorption
• Keep at least a 4-hour gap between this medicine and calcium, iron, or antacid products
• Attend all scheduled blood tests so your doctor can monitor and adjust your dose appropriately
• Do not stop treatment on your own, even if you feel well, as hypothyroidism symptoms can return
• Report new palpitations, chest pain, tremor or unusual sweating to your doctor promptly
• Let your doctor know if you become pregnant, as thyroid hormone needs often change during pregnancy

Hypothyroidism is a long-term condition that usually requires lifelong hormone replacement, and getting the levothyroxine dose right is important because both under-treatment and over-treatment can cause noticeable symptoms and, over time, affect the heart and bones. Regular thyroid function blood tests, particularly after any dose change, are an essential part of safe, effective treatment, which is why this medicine is only available on prescription. Customers in Malaysia and Singapore should use DoctorOnCall’s online consultation service to obtain and renew their levothyroxine prescription and should keep up with periodic blood test monitoring as advised by their doctor.