Strokan 250mg Tablet

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Prescription Required

Orders placed now will be queued. A doctor will contact you on the next working day for approval.

Overview

Strokan 250mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Ticlopidine 250mg (as ticlopidine hydrochloride) as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take Strokan 250mg Tablet with food to reduce stomach upset and improve absorption. Attend all scheduled blood tests during the first 3 months, as instructed by your doctor – do not skip these even if you feel well. Do not stop this medicine without medical advice, as this affects your clot-prevention protection.

Dosage

The usual dose of Strokan 250mg Tablet is 250mg taken twice daily with food, as prescribed by your doctor. Your doctor will require regular blood tests (full blood count) every 2 weeks for the first 3 months of treatment to monitor for rare but serious blood disorders, and will adjust or stop treatment based on these results.

Shelf Life

Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Nausea or upset stomach
  • Diarrhoea
  • Rash or itching
  • Dizziness
  • Headache
  • Increased bleeding or bruising
  • Unusual tiredness
  • Loss of appetite

Contraindications

  • Known hypersensitivity to ticlopidine
  • Blood disorders such as neutropenia, thrombocytopenia, or a history of thrombotic thrombocytopenic purpura
  • Active bleeding, such as a bleeding peptic ulcer or intracranial haemorrhage
  • Severe liver impairment
  • Conditions with an increased bleeding tendency

Drug / Food Interactions

  • Aspirin, NSAIDs, and other anticoagulants (e.g. warfarin) increase the risk of bleeding when combined with ticlopidine
  • Theophylline blood levels may rise significantly, requiring dose adjustment and monitoring
  • Antacids can reduce ticlopidine absorption – space doses apart if both are needed
  • Cimetidine may increase ticlopidine blood levels by slowing its breakdown

Quick Tips

  • Take with food, twice daily, exactly as prescribed
  • Never miss your scheduled blood tests during the first 3 months of treatment
  • Report fever, sore throat, unusual bruising, or bleeding to your doctor immediately
  • Inform any doctor or dentist that you are taking this medicine before any procedure
  • Do not start or stop other medicines, including over-the-counter painkillers, without checking with your doctor

Frequently Asked Questions

Is Strokan 250mg Tablet a prescription medicine?

Yes. Strokan 250mg Tablet is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.

What does Strokan 250mg Tablet contain?

Strokan 250mg Tablet is supplied as a tablet and contains Ticlopidine 250mg (as ticlopidine hydrochloride). The full composition is listed in the Composition section on this page and on the product packaging.

Why is there no information here about what Strokan 250mg Tablet is for?

Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.

How should I take Strokan 250mg Tablet?

Take it exactly as written on your prescription label. Do not increase, reduce or skip doses on your own, and do not continue beyond the period your doctor has prescribed. Practical handling steps are set out in the Directions for Use section on this page.

What should I do if I miss a dose?

Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.

How should I store Strokan 250mg Tablet?

Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects?

Tell your doctor or pharmacist about any reaction that concerns you, and 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.

Can I stop taking Strokan 250mg Tablet on my own?

No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.

How do I get a prescription for Strokan 250mg Tablet?

Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.

Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.

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 Strokan 250mg 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 Strokan 250mg 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.

Ingredients / Active Ingredients

  • Ticlopidine 250mg (as ticlopidine hydrochloride)

Safety Advice

Pregnancy

Generally Safe

This medicine is generally safe during pregnancy, though minor risks may exist in rare cases.

Breastfeeding

Limited Data

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

Kidney

Safe If Prescribed

Use only if prescribed, with possible monitoring of kidney function.

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

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Medical Review

Written by:

Dr. Chong Zhan Pong

Doctor of Medicine (MD), International Medical University (IMU)

Reviewed by:

Dr. Mohd Izzat Amir Bin Awang

Doctor of Medicine (MD), University of Mansoura - Manchester

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