Xeljanz 5mg Tablet
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Prescription Required
Overview
Xeljanz 5mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Tofacitinib citrate equivalent to tofacitinib 5mg 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 the tablet with or without food, at the same times each day, swallowed whole with water.
Dosage
The usual adult dose is 5mg taken twice daily, or as prescribed by your specialist based on your condition, kidney and liver function, and response to treatment.
Shelf Life
Refer to the expiry date printed on the packaging.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Headache
- Diarrhea
- High blood pressure
- Increased cholesterol levels
- Nausea
- Cold-like symptoms (runny nose, sore throat)
- Risk of infections (e.g., shingles, urinary tract infections)
- Liver enzyme changes
Contraindications
- Known hypersensitivity to tofacitinib or any excipient
- Active serious infections, including tuberculosis
- Severe liver impairment
- Pregnancy
- History of blood clots, certain cancers, or major cardiovascular risk factors, unless assessed as appropriate by a specialist
Drug / Food Interactions
- Combining with other strong immune-suppressing medicines, including biologics, increases the risk of serious infection and is generally avoided.
- Strong CYP3A4 inhibitors or inducers (such as certain antifungal or anti-tuberculosis medicines) can significantly change tofacitinib levels, requiring dose adjustment.
- Live vaccines should be avoided during treatment – discuss vaccination status with your specialist before starting.
- Inform your specialist of all medicines and supplements you are taking.
Quick Tips
- Attend all scheduled blood tests to monitor blood counts, liver function, and cholesterol levels.
- Report any signs of infection (fever, persistent cough, unusual fatigue) to your specialist promptly, as this medicine can lower your ability to fight infections.
- Discuss any planned pregnancy with your specialist before starting or while taking this medicine.
- Ensure your vaccinations, particularly for shingles, are up to date before starting treatment, as advised by your specialist.
Frequently Asked Questions
Is Xeljanz 5mg Tablet a prescription medicine?
Yes. Xeljanz 5mg 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 Xeljanz 5mg Tablet contain?
Xeljanz 5mg Tablet is supplied as a tablet and contains Tofacitinib citrate equivalent to tofacitinib 5mg. 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 Xeljanz 5mg 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 Xeljanz 5mg Tablet?
Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read 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 Xeljanz 5mg 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 Xeljanz 5mg 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 Xeljanz 5mg 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 Xeljanz 5mg 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 Xeljanz 5mg 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
- Tofacitinib citrate equivalent to tofacitinib 5mg
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
