
Bd Lym Caps
Bdr Pharmaceuticals Internatio - Capsule - 408mg - 10 S
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Tofacitinib extended-release 11 mg
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BD Tofa XR 11 mg Tablet is used for treatment of moderate to severe rheumatoid arthritis in adults (when response to DMARDs like methotrexate is inadequate), psoriatic arthritis in adults, and moderate to severe ulcerative colitis in adults (as prescribed by specialist).
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
BD Tofa XR 11 mg Tablet contains Tofacitinib extended-release 11 mg. It belongs to the Janus kinase (JAK) inhibitor class of medicines.
Tofacitinib is a Janus kinase (JAK) inhibitor that reduces inflammatory signaling by inhibiting JAK enzymes involved in cytokine pathways. This lowers immune-mediated inflammation and helps reduce joint pain/swelling and gut inflammation in eligible patients.
Oral tablet (extended-release). Take 1 tablet once daily, preferably at the same time each day, with or without food. Swallow whole; do not crush, break, or chew. Use only as prescribed; regular lab monitoring is required.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can seriously suppress the bone marrow and damage the liver. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of BD Tofa XR are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Not recommended / Consult doctor |
|---|---|
| Breastfeeding | Not recommended while breastfeeding. |
| Alcohol | Use with caution |
| Driving | May cause drowsiness or affect your concentration. Do not drive until you know how it affects you. |
| Kidney | Consult your doctor if you have kidney disease. |
| Liver | Consult your doctor if you have liver disease. |
| Habit forming | No |
Prescription-only immunosuppressant. Increases risk of serious infections (including TB, fungal and opportunistic infections); screen for TB/hepatitis and monitor. Risk of blood clots (DVT/PE), major cardiovascular events and malignancy may be increased in certain patients; use lowest effective dose and assess risk factors (age, smoking, cardiovascular history). Monitor CBC (lymphocytes/neutrophils/hemoglobin), liver enzymes, lipids; dose adjustments/avoid in severe hepatic impairment and severe renal impairment as advised. Avoid live vaccines during and shortly after treatment. Not recommended in active serious infections; seek urgent care for fever, cough, breathlessness, chest pain, leg swelling, or unusual bleeding/bruising.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an active serious infection, or with severe liver or bone-marrow disease. Several of these medicines must not be used in pregnancy.
Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) may increase levels; strong CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin, St John’s wort) may reduce effect; moderate CYP3A4 inhibitors with strong CYP2C19 inhibitors (e.g., fluconazole) increase exposure; other immunosuppressants/biologics (e.g., azathioprine, cyclosporine, tacrolimus, TNF inhibitors) increase infection risk; live vaccines should be avoided.
Store at room temperature (below 25°C), in original blister pack, protected from moisture and light. Keep out of reach of children.
Keep every monitoring blood test appointment. Carry a note of the medicine and its schedule, especially for weekly dosing.

Bdr Pharmaceuticals Internatio - Capsule - 408mg - 10 S
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The information on BD Tofa XR 11 mg Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.