Tocib-ER Tablet

Reviewed By Dr. Varun Gupta, MD Pharmacology, MBBS

Last updated on 12 Nov 2024 | 01:02 AM (IST)

Tocib-ER Tablet is used to treat moderate to severe rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and ulcerative colitis. It helps decrease pain, tenderness, and swelling in the joints by reducing inflammation. It also helps slow the progression of bone and joint damage.

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General Information

Contains

Tofacitinib (11mg)

Marketer

Ankaa Pharmaceutical

The content is shown in English

Product introduction

Tocib-ER Tablet may be prescribed by itself or in combination with another medicine. The tablets can be taken with or without food and it is best to take them at the same time each day. Your dose will depend on your condition and what other medicines you are taking. You should use it as your doctor tells you to. Do not stop taking this medicine unless your doctor tells you to because your condition could get worse.

The most common side effects of Tocib-ER Tablet include upper respiratory tract infections, headache, diarrhea, and nasopharyngitis. There are other less common side effects, some of them serious, including blood clots and tears in the stomach or intestine wall. These need urgent medical attention. If you have any worries about side effects, talk to your doctor.

You may need blood tests before you are given this medicine and you should not start taking it if you have any kind of infection. Make sure you talk to your doctor before starting treatment if you have or have ever had, tuberculosis, shingles, kidney or liver disease, hepatitis B or C, or blood clots in your legs or lungs. Tocib-ER Tablet can make you more likely to get infections or may worsen any current infections so avoid contact with people who have things you might catch (such as chickenpox, measles, flu). This medicine is not suitable for children under 18 years old and you should not use it if you are pregnant or breastfeeding, unless your doctor feels the benefit is greater than the risk. Your doctor may need to examine you regularly.

Uses of Tocib Tablet ER

Benefits of Tocib Tablet ER

Treatment of Rheumatoid arthritis
Tocib-ER Tablet works by blocking the action of some chemicals which cause inflammation. It can help reduce pain, stiffness, and swelling in your joints and slow down the progression of bone and joint damage. This will help you do normal daily activities more easily and thus improve your quality of life. This medicine should be taken at the same time each day to get maximum benefits. Keep taking the medicine even if you feel well because it is preventing future harm as well as improving your symptoms.

Treatment of Psoriatic arthritis
Psoriatic arthritis is a form of arthritis that affects some people who have psoriasis, a condition where the skin cells in the body grow too quickly and form scales and dry patches. Psoriatic arthritis is a type of inflammatory arthritis. Symptoms include joint pain, stiffness and swelling, which may flare and subside. Tocib-ER Tablet helps reduce pain, stiffness, and swelling associated with the condition. It also helps improve flexibility and prevents the disease progression. This way it helps in the management of psoriatic arthritis and enhances patients' quality of life.

Treatment of Ankylosing spondylitis
Ankylosing spondylitis is a rare type of arthritis that affects the spine or larger joints. It usually starts in your lower back and can spread up to your neck or damage joints in other parts of your body. Tocib-ER Tablet helps reduce pain, stiffness and swelling in your spine and joints. It helps improve flexibility and prevents disease progression. This will help you lead a better and active life.

Treatment of Ulcerative colitis
Ulcerative colitis is a disease of the large intestine (colon) and rectum in which the lining of the bowel becomes red and swollen. This can lead to bleeding, frequent diarrhea and abdominal pain. It relieves these symptoms and also helps you to stay well by preventing them from coming back. Drink plenty of fluids while on treatment with this medicine and stay hydrated.

Side effects of Tocib Tablet ER

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tocib

Upper respiratory tract infection
Headache
Diarrhea
Nasopharyngitis (inflammation of the throat and nasal passages)

How to use Tocib Tablet ER

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Tocib-ER Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Tocib Tablet ER works

Tocib-ER Tablet is a Janus kinase inhibitor. It works by blocking the action of the enzyme, Janus kinase. This decreases the activity of the immune system and inflammation associated with rheumatic diseases and ulcerative colitis.

All substitutes for Tocib-ER Tablet

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

Tocib-ER Tablet is used alone or in combination with other medicines for the treatment of rheumatoid arthritis, that did not improve with other anti-rheumatic drugs.
It may take take 3 to 6 months to feel the maximum effect of this medication. Keep taking it as prescribed.
Your doctor may get regular blood tests done to monitor your liver function, kidney function, blood counts, or cholesterol levels.
Tocib-ER Tablet can make it a bit harder for people to fight off infections. Inform your doctor if you have symptoms of an infection such as fever, chills, cough, and muscle aches.
Your doctor may get TB (tuberculosis) skin test and a chest X-ray before starting treatment with this medication.
Inform your doctor if you are pregnant, planning to conceive, or breastfeeding.

Safety advice

Alcohol

SAFE

Consuming alcohol with Tocib-ER Tablet does not cause any harmful side effects.

Pregnancy

CONSULT YOUR DOCTOR

Tocib-ER Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Tocib-ER Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

SAFE

Tocib-ER Tablet does not usually affect your ability to drive.

Kidney

CAUTION

Tocib-ER Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Tocib-ER Tablet may be needed. Please consult your doctor.

Liver

CAUTION

Tocib-ER Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Tocib-ER Tablet may be needed. Please consult your doctor.

Frequently asked questions

Can I take Tocib-ER Tablet if I have liver problems?

Inform your doctor if you have liver problems, before starting Tocib-ER Tablet. This is done because in some cases Tocib-ER Tablet may cause an increase in liver enzymes. Therefore, your liver function needs to be investigated before starting Tocib-ER Tablet. Although, Tocib-ER Tablet can be given to patients with mild to moderate liver function impairment, but should not be prescribed to patients with severe liver impairment.

Can Tocib-ER Tablet cause cancer?

Tocib-ER Tablet may increase the chances of developing the risk of certain cancers (lymphoma and other cancers including skin cancers) by affecting the working of the immune system. Hence, inform your doctor if you ever had or have any type of cancer.

What is Tocib-ER Tablet used for?

Tocib-ER Tablet is approved for use in people with moderate to severe rheumatoid arthritis. It is an inflammatory disease of the joints. It is used if previous therapy did not work well or did not suit the patient. However, it can also be used earlier in treatment if the person does not respond well to the prescribed drugs. It can be used alone or together with some other medicines, such as methotrexate.

How long does it take for Tocib-ER Tablet to start working?

Tocib-ER Tablet usually takes about 2 to 8 weeks before you start feeling better, and it can take 3 to 6 months to feel the maximum effect of this medication.

Do I need to get any investigations done before starting Tocib-ER Tablet?

You may need to get your blood tests done before you start Tocib-ER Tablet or while you are taking it. Blood tests are done in order to check if you have a low red blood cell count (anemia), low white blood cell count (neutropenia or lymphopenia), high blood fat (cholesterol) or high levels of liver enzymes. It also helps to ensure that treatment with Tocib-ER Tablet is not causing problems. In addition to this, your doctor may advise you to get tested for tuberculosis before starting Tocib-ER Tablet, as using Tocib-ER Tablet may make an existing infection worse.

Can Tocib-ER Tablet cause infections?

Tocib-ER Tablet is a medicine that affects your immune system. This may reduce your ability to fight infection and may increase the risk of getting a serious infection including tuberculosis. It may also include infections caused by severe fungal, bacterial or viral infections that spread through the body. In some cases, these infections can be life-threatening and may even cause death. Hence, it is advised to treat these infections in a hospital.

If I am already taking tocilizumab, can I take Tocib-ER Tablet?

No, you should not take tocilizumab along with Tocib-ER Tablet. Tocib-ER Tablet affects the immune system, so you should avoid taking it with any other immunity-affecting medicine. Taking both medicines together can further increase the risk of infection and may lead to further complications.

Fact Box

Chemical Class

Pyrrolo Pyrimidine Derivative

Habit Forming

Therapeutic Class

PAIN ANALGESICS

Action Class

Janus kinase inhibitors

Related lab tests

Anti Neutrophilic Cytoplasmic Antibody - P

C- Reactive Protein Quantitative

Erythrocyte Sedimentation Rate

HLA - B27, PCR

Rheumatoid Factor - Agglutination

Rheumatoid Factor - Turbidometry

Rheumatoid Factor IgG Antibody

References

Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1373-74.
Tofacitinib. New York, New York: Pfizer Labs; 2012 [revised Nov. 2012]. [Accessed 02 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). Tofacitinib. [Accessed 02 Apr. 2019] (online) Available from:
Tofacitinib [Prescribing Information]. New York, NY: Pfizer labs; 2022. [Accessed 07 Aug. 2023]. (online) Available from:

Patient concerns

I have joint pain in my rt wrist since 6 yrs. What are the possible reasons?

Dr. Trilok Kumar Jha

Orthopaedics

It may be Tenosynovitis, or Rheumatoid arthritis or any other type of arthritis

Sir/Ma'am, I feel pain in the heel of both the legs especially when I get up from the bed in the morning. After walking couple of steps, it goes away. there is no bone problem reported in the Xray report. Please guide me what could be the reason?

Dr. Mehtab Baig

Orthopaedic Physiotherapy

This is the test for rheumatoid arthritis

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Ankaa Pharmaceutical
Address: 6/16 a, d/s jangpura extension, bhogal, delhi-110014, india

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Tocib-ER Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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