Xeljanz 5mg Tablet 56s (Box)

Xeljanz 5mg Tablet belongs to a class of medications called Janus kinase (JAK) inhibitors and contains tofacitinib as its active ingredient. It is used to help manage certain autoimmune inflammatory conditions by modulating the immune system’s activity. If you are starting this medication, it is helpful to know that it is generally taken twice daily, with or without food, and is usually prescribed when other treatments have not been effective enough or have not been well tolerated. Some people experience headache, diarrhoea, nasal congestion, or elevated cholesterol levels. This medicine also carries important safety warnings, including an increased risk of serious infections, blood clots, certain cancers, and major cardiovascular events. Regular blood tests and specialist follow-up are essential throughout treatment, and you should never start, stop, or change the dose without your doctor’s guidance.

The typical dose is 5mg twice daily, although your doctor may adjust the dose based on your condition, blood test results, and response to treatment. Dose reductions or temporary interruptions may be required if blood tests show low lymphocyte counts, low neutrophil counts, or reduced haemoglobin levels. Dose adjustment is also required in patients with moderate to severe kidney or liver impairment.

• Headache
• Diarrhoea
• Nasal congestion, sore throat, or upper respiratory tract infection
• Elevated cholesterol levels
• Abdominal pain or indigestion
• Fever
• Herpes zoster (shingles)
• Elevated liver enzymes
• Low blood cell counts, including reduced neutrophils, lymphocytes, or haemoglobin (requires regular monitoring)
• Serious infections, blood clots, certain cancers, or major cardiovascular events such as heart attack or stroke (uncommon but serious)

Store the tablets at room temperature (20°C–25°C), in the original bottle and carton to protect them from light. Keep out of reach of children.

• Take it twice daily at consistent times, exactly as prescribed
• Attend all scheduled blood tests to monitor blood counts, liver function, and cholesterol
• Report any signs of infection, such as fever, chills, or a persistent cough, to your doctor immediately
• Seek urgent medical attention if you develop symptoms of a blood clot, such as leg swelling, sudden shortness of breath, or chest pain
• Discuss pregnancy planning and contraception with your doctor before and during treatment
• Check the expiry date before use
• Store at room temperature (20°C–25°C), protected from light
• Keep out of reach of children
• Never start, stop, or adjust this medication without your specialist’s direct guidance

Swallow the tablet whole with a glass of water, with or without food, twice daily at consistent times each day. Continue taking it exactly as prescribed, and do not adjust the dose or stop treatment unless instructed by your specialist.

Xeljanz 5mg Tablet generally has a shelf life of around 2–3 years from the date of manufacture when stored correctly and kept unopened. Always check the expiry date printed on the bottle and outer packaging before use.

• Tofacitinib (as tofacitinib citrate) – a Janus kinase (JAK) inhibitor that modulates immune signalling pathways

• Known hypersensitivity to tofacitinib or any other ingredient in the formulation
• Active serious infections, including active tuberculosis
• Severe liver impairment
• Generally not recommended in patients over 65 years of age, those who currently smoke or have smoked heavily in the past, or those with significant cardiovascular or cancer risk factors unless no suitable alternatives are available
• Not recommended in patients at increased risk of blood clots
• Pregnancy requires careful specialist discussion, and effective contraception is generally recommended during treatment

Tofacitinib is metabolised by liver enzymes. Strong CYP3A4 inhibitors (such as ketoconazole) and combinations of moderate CYP3A4 inhibitors with strong CYP2C19 inhibitors (such as fluconazole) can increase tofacitinib levels and may require a dose adjustment. Strong CYP3A4 inducers (such as rifampicin) may reduce its effectiveness. Inform your doctor about all other medications you are taking, especially other immunosuppressants or biologic therapies, because they can increase the risk of serious infection when used together.

Can I order Xeljanz 5mg Tablet online for delivery to Singapore?
Yes, Singapore customers can purchase Xeljanz 5mg Tablet through our online pharmacy, with orders shipped from our Malaysia-based facility.

Do I need a prescription to buy Xeljanz 5mg Tablet?
Yes, Xeljanz is a prescription-only medication requiring specialist oversight, so please check the product listing or reach out to our pharmacist team before ordering.

How long does delivery to Singapore typically take?
Estimated delivery timeframes to Singapore will be shown at checkout based on your address and the shipping option selected.

How can I be sure the product I receive is authentic?
All products sold through our online pharmacy are sourced from authorised suppliers and manufacturers, with each order undergoing quality checks before dispatch.

What pack size is Xeljanz 5mg Tablet available in?
Xeljanz 5mg Tablet is typically available in a bottle of 60 tablets. Check the product page for current availability and stock status.

Is it safe to order this medication from an online pharmacy instead of buying in-store?
Yes, ordering from a licensed and verified online pharmacy is a safe, regulated way to purchase this product, provided a valid prescription is submitted and the item is stored and shipped under proper conditions.

How should I store the tablets while waiting for delivery or after they arrive?
Keep the tablets at room temperature (20–25°C), protected from light, and store them in their original bottle and carton once they arrive.

What payment and order tracking options are available for Singapore customers?
Our online pharmacy supports major payment methods and provides order tracking, so you can follow your purchase from checkout through to delivery in Singapore.

Who can I contact if I have questions about my order before or after purchasing?
Our customer support and pharmacist team are available to assist with questions about ordering, delivery, or general product information.