TOFAMET

TOFAMET Tablet 10's belongs to a group of medicines called Janus kinase inhibitors used to treat rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis. Rheumatoid arthritis is an auto-immune disease (the body's immune system attacks its tissue) which leads to joint pain and damage. Psoriatic arthritis is an inflammatory condition of the joints, often associated with psoriasis. Ulcerative colitis is an inflammatory disease of the large intestine.
TOFAMET Tablet 10's contains 'Tofacitinib' which works by blocking the Janus kinase enzyme, thereby lowering inflammation and symptoms associated with rheumatoid and psoriatic arthritis.
In some cases, you may experience common side-effects such as diarrhoea, headache, upper respiratory tract infection, cold, nausea, and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Inform your doctor if you have an active infection, if you have a condition that increases the chance of having infections, if you are taking immunosuppressants, medicines that affect the immune system or corticosteroids. Avoid taking TOFAMET Tablet 10's if you are pregnant or breastfeeding. TOFAMET Tablet 10's is not recommended for children below 18 years as safety and effectiveness have not been established. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Rheumatoid arthritis, Psoriatic arthritis, Ulcerative colitis.

TOFAMET Tablet 10's belongs to a group of medicines called Janus kinase inhibitors used to treat rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis. TOFAMET Tablet 10's works by blocking Janus kinase enzyme, thereby lowering inflammation and symptoms associated with rheumatoid and psoriatic arthritis. TOFAMET Tablet 10's is indicated for patients with moderate to severe rheumatic arthritis, and psoriatic arthritis who have had intolerance or inadequate response to methotrexate or DMARDs (Disease-Modifying Anti-Rheumatic Drugs).

Swallow TOFAMET Tablet 10's as a whole with a glass of water; do not chew or break it.

Store in a cool and dry place away from sunlight.

• Headache
• Diarrhoea
• Vomiting
• Nausea
• Upper respiratory tract infection
• Cold
• High blood pressure

Drug Warnings: Do not take TOFAMET Tablet 10's if you are allergic to any of its components; if you have a severe infection, bloodstream infection, active tuberculosis, or if you have severe liver problems such as cirrhosis. Avoid taking TOFAMET Tablet 10's if you are pregnant or breastfeeding. Inform your doctor if you have an infection, symptoms of infection, a condition that increases chances of infection, are taking any medicines that affect the immune system; have or had a history of tuberculosis, or were in close contact with someone who has/had tuberculosis; chronic lung disease, liver problems, hepatitis B/C, cancer, are at a high risk of developing skin cancer, inflammation/ulcers of the large intestine, kidney problems, planning to get vaccinated, heart problems, high cholesterol, high blood pressure, heart attack, diabetes, or blood clotting problems. If your white blood cell count or red blood cell count is low, avoid taking TOFAMET Tablet 10's.TOFAMET Tablet 10's is not recommended for children below 18 years as safety and effectiveness have not been established. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Drug Interactions:
Drug-drug interactions - TOFAMET Tablet 10's may interact with antibiotic (rifampicin), anti-fungal (fluconazole, ketoconazole), immunosuppressant (azathioprine, mercaptopurine, cyclosporine, tacrolimus), corticosteroids (prednisone).
Drug-food interactions -No interactions found/established.
Drug-disease interactions - Inform your doctor if you have infections, bloodstream infection, severe liver problems, tuberculosis, blood clot problems, diabetes, high cholesterol, intestinal perforation, or gastrointestinal obstruction.

• RIFAMPICIN
• FLUCONAZOLE
• KETOCONAZOLE
• AZATHIOPRINE
• MERCAPTOPURINE
• CYCLOSPORINE
• TACROLIMUS
• PREDNISONE

• ALCOHOL (CAUTION):It is not known if alcohol interacts with TOFAMET Tablet 10's, so please consult a doctor.
• PREGNANCY(UNSAFE): TOFAMET Tablet 10's must not be taken during pregnancy. If you are a woman of child-bearing potential, use effective contraception during the treatment with TOFAMET Tablet 10's and for 4 weeks after discontinuation.
• BREAST FEEDING (UNSAFE):Avoid breastfeeding while taking TOFAMET Tablet 10's. Please consult a doctor if you have any concerns.
• DRIVING (SAFE IF PRESCRIBED): TOFAMET Tablet 10's generally does not affect your ability to drive. However, drive or operate machinery only if you are alert.
• LIVER (CAUTION):Dose adjustment may be needed in patients with liver impairment. Please consult your doctor if you have a liver impairment or any concerns regarding this.TOFAMET Tablet 10's is not recommended for patients with severe liver problems.
• KIDNEY (CAUTION):Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.
• CHILDREN (UNSAFE):TOFAMET Tablet 10's is not recommended for children below 18 years as safety and effectiveness were not established.

No

• Physical activity helps in strengthening muscles and relieves joint stiffness. Gentle activities like 20-30minutes of walking or swimming would be helpful.
• Performing yoga may also help in improving joint flexibility and pain management.
• Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
• Get adequate sleep, as resting the muscles can help in reducing inflammation and swelling.
• De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
• Acupuncture, massage and physical therapy may also be helpful.
• Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
• Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
• Avoid smoking and alcohol consumption.

• Your doctor may advise you to get a blood test done before starting treatment with TOFAMET Tablet 10's, after 4-8weeks of treatment and then every three months to determine your blood cell count.
• Your doctor might advise regular tests to determine blood cholesterol levels and liver functioning.
• Inform your doctor if you notice painful blisters on the skin or if you experience breathing difficulties.
• If you are a woman of child-bearing potential, use effective contraception during the treatment with Tofadoz Tablet 10's and for 4 weeks after discontinuation.

Rheumatoid arthritis: It is an auto-immune disease (the body's immune system attacks its tissue) that leads to joint pain and damage. Symptoms of rheumatoid arthritis include pain, swelling, stiffness, deformities and loss of joint function.
Psoriatic arthritis: It is a type of inflammatory arthritis which occurs in patients with psoriasis. It could also occur in patients without psoriasis, particularly in those who have relatives with psoriasis. It affects large joints in the lower extremities, distal joints of toes and fingers, back and pelvis. Symptoms include inflammation of joints, difficulty moving, swelling, patches of red, scaly skin and pain.
Ulcerative colitis: It is a type of chronic inflammatory bowel disease that causes inflammation of the lining of the large intestine (colon) and produces ulcers on the lining of the colon, which may cause bleeding and discharge of pus and mucus. The common symptoms include bloody stools, stomach pain, rectal pain, diarrhoea, fever, and weight loss. Additionally, it may cause other problems such as joint pain or swelling, mouth sores, skin problems, decreased appetite or nausea.

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