Xepagan 10mg/5ml Elixir

Brand Xepa
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Overview

Xepagan 10mg/5ml Elixir is supplied as a healthcare product, with Promethazine hydrochloride, equivalent to 10mg per 5ml of elixir. It is supplied in a pack size of 60ml.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Xepagan Elixir is taken by mouth, using the measuring cup or spoon supplied with the pack, generally at night or before an activity where drowsiness will not be a problem, since it can cause significant sedation. Shake the bottle well before use, and avoid combining it with other sedating cough/cold products or alcohol, as this can increase drowsiness and the risk of breathing difficulty.

Dosage

Dosing depends on age and body weight and should follow the product label or a pharmacist’s advice; typical adult dosing is in the range of 5-10ml (10-20mg) at night or as directed, while dosing in children is age-based and generally lower. Xepagan must not be given to children under 2 years of age, and any use in young children should only be under a doctor’s or pharmacist’s specific guidance because of the risk of respiratory depression.

Shelf Life

Use Xepagan Elixir before the expiry date printed on the bottle or carton, and do not use it beyond this date even if the elixir appears unchanged.

Storage Instructions

Store below 30°C in a cool, dry place away from direct sunlight, keep the bottle tightly closed, and store out of the sight and reach of children.

Side Effects

  • Drowsiness or dizziness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Skin sensitivity to sunlight
  • Confusion (especially in older adults)
  • Restlessness in children

Contraindications

  • Known hypersensitivity to promethazine or other phenothiazine medicines
  • Children under 2 years of age
  • Comatose states or use together with large amounts of CNS depressants
  • Severe liver disease, unless a doctor advises otherwise

Drug / Food Interactions

  • Alcohol and other sedating medicines (sleeping tablets, other antihistamines, opioid painkillers) — increased sedation and risk of breathing difficulty
  • Other anticholinergic medicines — increased dry mouth, constipation, urinary retention
  • MAOI antidepressants — may intensify anticholinergic and sedative effects; seek medical advice if you are on this class of medicine

Quick Tips

  • Take at night or when drowsiness will not interfere with driving, work, or caring for children
  • Do not combine with alcohol or other sedating cough/cold medicines
  • Never give to a child under 2 years of age
  • Use only the measuring device provided for accurate dosing
  • Stay well hydrated, as promethazine can dry out the mouth and thicken mucus
  • Seek prompt medical attention if breathing becomes slow, shallow, or laboured after a dose

Frequently Asked Questions

Do I need a prescription to buy Xepagan 10mg/5ml Elixir?

No. Xepagan 10mg/5ml Elixir is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Xepagan 10mg/5ml Elixir contain?

Xepagan 10mg/5ml Elixir is a healthcare product containing Promethazine hydrochloride, equivalent to 10mg per 5ml of elixir. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Xepagan 10mg/5ml Elixir come in?

It is supplied in a pack size of 60ml. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Xepagan 10mg/5ml Elixir is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Xepagan 10mg/5ml Elixir?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Xepagan 10mg/5ml Elixir before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

How should I store Xepagan 10mg/5ml Elixir?

Store below 30°C in a cool, dry place away from direct sunlight, keep the bottle tightly closed, and store out of the sight and reach of children. Keep it in its original pack and do not use it after the expiry date printed on the packaging.

What should I do if I notice side effects after using Xepagan 10mg/5ml Elixir?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. 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.

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 Xepagan 10mg/5ml Elixir 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 Xepagan 10mg/5ml Elixir 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

  • Active ingredient: Promethazine hydrochloride, equivalent to 10mg per 5ml of elixir
  • Drug class: first-generation (sedating) antihistamine, phenothiazine derivative
  • Dosage form: oral elixir
  • Inactive ingredients are not fully disclosed on the public label; ask your pharmacist if you have specific excipient allergies

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Limited Data

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

Kidney

Limited Data

Limited data in kidney disease patients. Use only if necessary.

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

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Precautions: Xepagan causes significant drowsiness — avoid driving, operating machinery, or other activities requiring alertness after taking it, and avoid alcohol. Use with caution in the elderly, in anyone with asthma or chronic lung disease (thickened secretions may worsen breathing), glaucoma, or urinary retention, and check with a doctor or pharmacist before use in pregnancy or breastfeeding.

When to See a Doctor or Pharmacist: Seek medical advice promptly if a child under 2 years has been given this medicine, if breathing becomes slow or shallow at any age, if excessive drowsiness or difficulty waking occurs, or if allergy symptoms or cough do not improve after a few days of use.

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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Important Medical Information

💊 Recommended Dosage:

Dosing depends on age and body weight and should follow the product label or a pharmacist’s advice; typical adult dosing is in the range of 5-10ml (10-20mg) at night or as directed, while dosing in children is age-based and generally lower. Xepagan must not be given to children under 2 years of age, and any use in young children should only be under a doctor’s or pharmacist’s specific guidance because of the risk of respiratory depression.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to promethazine or other phenothiazine medicines
  • Children under 2 years of age
  • Comatose states or use together with large amounts of CNS depressants
  • Severe liver disease, unless a doctor advises otherwise
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Drowsiness or dizziness
  • Dry mouth
  • Blurred vision
  • Constipation
  • Skin sensitivity to sunlight
  • Confusion (especially in older adults)
  • Restlessness in children
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.