Xeloda 500mg Tablet
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- Muslim-Friendly
- FDA Approved
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Prescription Required
Overview
Xeloda 500mg Tablet contains capecitabine, an oral chemotherapy medicine (a fluoropyrimidine) prescribed and monitored by an oncology specialist to treat certain cancers, including colorectal cancer, gastric cancer, and breast cancer.
Capecitabine is converted in the body into 5-fluorouracil, an active chemotherapy compound that interferes with the ability of cancer cells to build and repair their DNA, which stops the cancer cells from dividing and leads to their death.
How it Works
Xeloda is a prodrug that is converted step by step, with the final conversion happening preferentially inside tumour cells, into 5-fluorouracil. This active compound blocks an enzyme cancer cells need to make DNA and gets incorporated into RNA and DNA itself, both of which stop cancer cells from dividing and cause them to die.
Directions for Use
Swallow the tablet whole with water within 30 minutes after a meal, exactly as scheduled by your oncology team – do not alter the dose or schedule without their guidance.
Dosage
The dose is calculated by the treating oncologist based on body surface area, the cancer being treated, and how well the treatment is tolerated, typically given in cycles of twice-daily dosing followed by a rest period.
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
- Nausea or vomiting
- Diarrhoea
- Fatigue or weakness
- Loss of appetite
- Hand-foot syndrome (redness, swelling, or pain in hands and feet)
- Mouth sores
- Skin rash or dryness
Contraindications
- Known hypersensitivity to capecitabine, 5-fluorouracil, or any ingredient in the tablet
- Known dihydropyrimidine dehydrogenase (DPD) deficiency, unless specifically managed by the oncology team
- Severe kidney impairment
- Pregnancy and breastfeeding
Drug / Food Interactions
- Warfarin and other blood thinners can have a significantly increased effect when combined with capecitabine, requiring close monitoring.
- Phenytoin levels can rise when combined with capecitabine, increasing the risk of phenytoin toxicity.
- Folic acid or folinic acid supplements can increase the toxicity of capecitabine – only take these if specifically directed by your oncology team.
- Inform your oncology team of all medicines and supplements you are taking.
Quick Tips
- Take this medicine exactly on the schedule your oncology team gives you, including rest days between cycles.
- Check your hands and feet regularly for redness, tingling, or peeling, and report these to your care team promptly.
- Contact your care team immediately if you develop fever, signs of infection, severe diarrhoea, or vomiting.
- Keep all scheduled blood test appointments, as these monitor your blood counts and organ function during treatment.
Frequently Asked Questions
What is Xeloda used for?
Xeloda contains capecitabine, an oral chemotherapy medicine used to treat certain colorectal, gastric, and breast cancers.
How does Xeloda work against cancer?
It is converted in the body, preferentially within tumour tissue, into an active compound that stops cancer cells from making DNA and dividing.
What is hand-foot syndrome and why does this medicine cause it?
It is redness, swelling, and peeling of the palms and soles caused by the medicine’s effect on skin cells; report it early to your care team so your dose can be adjusted if needed.
Can I take this medicine on an empty stomach?
No, take it within 30 minutes after a meal, as this helps with absorption and tolerability.
Why can’t I take folic acid supplements while on this medicine?
Folic acid and folinic acid can increase the toxicity of capecitabine unless your oncology team is specifically managing this combination.
What should I do if I miss a dose?
Do not take a missed dose if it is close to your next one – contact your oncology team for specific guidance rather than doubling up.
Why do I need frequent blood tests during treatment?
Capecitabine can lower blood cell counts and affect organ function, so regular blood tests help your care team monitor for these effects.
Can I buy Xeloda 500mg Tablet from DoctorOnCall?
Yes, Xeloda 500mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Xeloda 500mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Xeloda 500mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Xeloda 500mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Xeloda 500mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Xeloda 500mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Capecitabine 500mg
Safety Advice
Pregnancy
This medicine is not considered safe during pregnancy and should be avoided.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Not generally recommended in patients with kidney disease.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
