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Xelnib 5

Form: Tablet

Strength: 5mg

Generic Name: Tofacitinib

Company: Opsonin Pharma Limited

MRP:৳ 48.0   (Box=10)

Per Piece: ৳ 4.80  

Is Antibiotic: No

Indications

Xelnib 5 is used to treat rheumatoid arthritis in adults who have not responded well or are unable to tolerate methotrexate. Xelnib 5 can be taken alone or with methotrexate or other similar medicines.

Xelnib 5 is also used for adults with active psoriatic arthritis who have not responded well or are unable to tolerate methotrexate or other similar medicines.

Xelnib 5 is used to treat adults with moderate to severe ulcerative colitis.

Pharmacology

Rheumatoid arthritis is an autoimmune disease that causes inflammation and joint damage due to abnormal immune cell activity. Tofacitinib works by blocking the signals from certain proteins in the body that cause inflammation and immune cell activation. This helps reduce inflammation and damage to the joints.

Xelnib 5 works by inhibiting the JAK-STAT pathway, which is important in immune cell function and the production of red blood cells. Tofacitinib may also have other ways of reducing inflammation.

Dosage & Administration

Rheumatoid Arthritis: Take 5 mg twice a day or 11 mg once a day. For those with moderate kidney or liver problems, take 5 mg once a day.

Psoriatic Arthritis: Take 5 mg twice a day or 11 mg once a day, in combination with other medications. For those with moderate kidney or liver problems, take 5 mg once a day.

Ulcerative Colitis: Take 10 mg twice a day for at least 8 weeks, then reduce to 5 or 10 mg twice a day. If no improvement is seen after 16 weeks, stop the treatment. Use the lowest effective dose to maintain the response.

Interaction

Do not take with strong inhibitors of Cytochrome P450 3A4 (e.g., Ketoconazole). If using medications that moderately affect CYP3A4 and strongly affect CYP2C19 (e.g., fluconazole), take 5 mg once a day.

Taking medications that strongly induce CYP enzymes (e.g., Rifampin) may reduce the effectiveness of this medication.

Contraindications

Xelnib 5 is not recommended for use in certain patients with serious infections or other health conditions, but no specific contraindications have been listed.

Side Effects

Common side effects during the first three months of treatment include upper respiratory infections, headaches, diarrhea, and nasal congestion.

Pregnancy & Lactation

If you are pregnant, planning to become pregnant, or breastfeeding, contact your doctor before using this medication. Xelnib 5 should only be used during pregnancy if the potential benefits outweigh the risks to the baby.

Xelnib 5 is not known if this medication is passed into breast milk, so a decision should be made whether to stop breastfeeding or stop the medication, considering the benefits of the medication to the mother.

Precautions & Warnings

Be cautious when using this medication in patients who may develop iron overload or have serious infections. Do not take live vaccines while using this medication. Regular blood tests are recommended to monitor for any changes in blood cell counts, liver function, and other health markers.

Do not start treatment if your lymphocyte count is too low, or if your neutrophil count or hemoglobin levels are too low.

Overdose Effects

There are no specific details available about overdose effects for this medication.

Therapeutic Class

Xelnib 5 is classified as an immunosuppressant.

Storage Conditions

Store below 30°C, away from light and moisture. Keep out of the reach of children.

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