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Taro-Tofacitinib XR Tablets for Rheumatoid Arthritis
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Taro-Tofacitinib XR is an extended-release tablet for adults with rheumatoid arthritis and psoriatic arthritis. This page explains how the medicine works, how to use it, and how to access it safely. Compare Taro-Tofacitinib XR price without insurance and consider US shipping from Canada.
What Taro-Tofacitinib XR Is and How It Works
This medicine contains tofacitinib, a Janus kinase (JAK) inhibitor. It helps reduce overactive immune signaling that drives joint inflammation and stiffness. By limiting specific pathways inside immune cells, the treatment can lower swelling and improve function over time.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
People often search to buy tofacitinib extended-release online, but decisions should follow your prescriber’s advice. The extended-release tablet is taken once daily to provide steady exposure over the day. It is not a steroid or a biologic; it is an oral small-molecule therapy.
Who It’s For
This therapy is used in adults with moderately to severely active rheumatoid arthritis or psoriatic arthritis when a conventional DMARD, such as methotrexate, was not enough. It may be used alone or with certain nonbiologic DMARDs, based on the official label and your prescriber’s plan.
Some conditions require different forms or dosing. Ulcerative colitis treatment may use immediate-release schedules that differ from the extended-release tablet. For disease education, see Ulcerative Colitis, but follow your clinician’s guidance for suitable options.
Do not use this medicine if you have had a severe allergic reaction to tofacitinib. People with active serious infections, untreated tuberculosis, or severe liver problems may not be candidates. Discuss your history of blood clots, heart disease, stroke, cancer, or smoking with your clinician before starting.
Explore related conditions and options: Rheumatoid Arthritis, Psoriatic Arthritis, and our Immunology category.
Dosage and Usage
The extended-release tablet is taken once daily, with or without food, about the same time each day. Swallow tablets whole with water. Do not split, crush, or chew. The dosage your prescriber selects depends on your condition, prior therapies, and overall health. For adults with rheumatoid arthritis or psoriatic arthritis, labeled once-daily regimens align with the extended-release design. For people searching for tofacitinib XR 11 mg buy online, note that your exact strength and schedule must come from the official label and your prescriber.
Your clinician may order blood tests before and during therapy, including complete blood counts, liver enzymes, and lipids. Screening for tuberculosis and viral hepatitis is usually performed before starting. Vaccinations should be up to date; live vaccines are generally avoided during treatment.
Strengths and Forms
This product is supplied as extended-release oral tablets. A commonly available strength is 11 mg. Availability can vary by supplier and jurisdiction.
- Oral, once-daily extended-release tablets
- Packaging sizes can differ by manufacturer
Ask your prescriber and pharmacist which strengths are appropriate and in stock. If you need a different form or dose, your clinician may recommend an alternative.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember on the same day. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. Do not take two doses at once. Keeping a daily reminder can help maintain a steady routine.
Storage and Travel Basics
Store tablets at room temperature in the original container. Protect from excessive moisture and keep the bottle tightly closed. Keep out of reach of children and pets. For travel, carry the medicine in your hand luggage with the labeled pharmacy container and your prescription information. Do not repack tablets into unmarked pill boxes when crossing borders. If your schedule shifts across time zones, maintain roughly the same daily interval; ask your clinician or pharmacist for help planning.
Benefits
This treatment can reduce joint pain, swelling, and morning stiffness related to immune-driven arthritis. Oral dosing may be convenient if injections are not preferred or not suitable. It can be used alone or with certain other nonbiologic DMARDs when directed by your prescriber.
Side Effects and Safety
Common side effects can include upper respiratory tract infections, headache, diarrhea, nausea, and nasopharyngitis. Some people notice elevated cholesterol or mild increases in liver tests. Injection-site reactions do not apply because this is an oral tablet.
Serious risks include severe infections (including TB), shingles, blood clots, major cardiovascular events, certain cancers, and gastrointestinal perforation. Risk may be higher in older adults, current or past smokers, or those with cardiovascular risk factors. Seek urgent care for signs of infection, chest pain, shortness of breath, weakness on one side, vision changes, leg swelling, or severe abdominal pain. Hypoglycemia is not typical unless combined with medicines that lower blood glucose; discuss your full list of therapies.
Drug Interactions and Cautions
Strong CYP3A4 inhibitors or inducers, and combinations of moderate CYP3A4 with strong CYP2C19 modifiers, can change tofacitinib exposure. Examples include ketoconazole, clarithromycin, rifampin, and certain seizure medicines. Combining with potent immunosuppressants or biologic agents for the same condition is generally not recommended. Avoid live vaccines during treatment. Alcohol intake should be moderate and discussed with your clinician, especially if you have liver concerns.
Tell your healthcare professional about all medicines, vitamins, and herbal supplements you take. Keep an updated list during visits and when arranging refills.
What to Expect Over Time
Some people notice gradual improvement in joint symptoms with steady daily use. Others may need more time or a different regimen. Your prescriber may check labs and assess symptoms after you have taken the medicine consistently. Staying on schedule, keeping appointments, and reporting new symptoms can help your care team fine-tune your plan.
Compare With Alternatives
Two options your clinician might consider include:
- Xeljanz® XR — the reference extended-release tofacitinib brand. Your prescriber will choose the version that fits your clinical and access needs.
- Enbrel® Pre Filled Sureclick Auto Injector — a TNF inhibitor injection used in rheumatoid and psoriatic arthritis when appropriate. Dosing and monitoring differ from oral JAK inhibitors.
For broader education, see our article Arthritis Drugs. Your prescriber can explain how each option aligns with your history and goals.
Pricing and Access
Many patients compare tofacitinib XR cash price across pharmacies. You can also review tofacitinib XR Canadian pricing to understand potential savings. Actual out-of-pocket amounts depend on supply, manufacturer, and your plan setup. We provide current shelf pricing on each product page so you can review before placing an order.
Looking for deals? Check our Promotions page for available offers. We provide clear checkout steps with encrypted checkout. If you have questions about coverage or receipts for reimbursement, contact our care team for assistance.
We fulfill valid prescriptions and coordinate with your prescriber when needed. For US delivery from Canada, timing and availability depend on your location and inventory status.
Availability and Substitutions
Supply can vary. If your strength or quantity is unavailable, your prescriber may recommend a clinically suitable alternative. Some patients also ask about Taro-Tofacitinib XR from Canada when local stock is limited. We can discuss options that match your prescription and condition.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who have tried conventional DMARDs without enough relief and who can follow lab monitoring. It may not be suitable if you have active serious infections or certain liver or blood count issues. Older adults and those with cardiovascular risks should discuss the boxed warnings carefully.
- Multi-month fills: ask if a longer supply reduces per-fill fees
- Refill reminders: set calendar alerts to avoid gaps
- Lab coordination: schedule tests early to prevent delays
- Travel ready: keep tablets in original bottles during trips
Questions to Ask Your Clinician
- Is an oral JAK inhibitor appropriate for my arthritis history?
- Which lab tests will I need before and during therapy?
- What signs of infection or clot should prompt urgent care?
- Can I take this with my current DMARDs or pain medicines?
- How should I plan dosing if I cross time zones?
Authoritative Sources
Pfizer: Xeljanz (tofacitinib) Official Site
DailyMed: XELJANZ XR (tofacitinib) Prescribing Information
Health Canada Drug Product Database
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Disclaimer: This overview does not replace medical advice. Always follow your prescriber’s instructions and the official product label.
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How does the extended-release tablet differ from immediate-release tofacitinib?
The extended-release tablet is designed for once-daily dosing, which provides a steady level throughout the day. Immediate-release versions are usually taken twice daily and may be used for some conditions, such as ulcerative colitis, with different schedules. Your clinician will choose the formulation that suits your diagnosis, prior therapies, and monitoring plan. Do not split or crush the extended-release tablet, and always follow the label and your prescriber’s instructions.
How long before I may notice improvement in joint symptoms?
Response can vary. Some people feel gradual changes after consistent daily use, while others may need more time or a different plan. Your prescriber will assess symptoms and labs at follow-up visits to judge benefit and safety. Keep taking the medicine as directed unless told otherwise, and report new or worsening symptoms promptly. Avoid setting fixed timelines without input from your healthcare professional.
Can I take vaccines while on this medicine?
In general, live vaccines are avoided during treatment with JAK inhibitors. Your clinician may recommend non-live vaccines before or during therapy as appropriate. Be sure your immunizations are up to date before starting. Always review vaccine plans with your healthcare professional, especially if you take other immunosuppressive medicines or have infection risks.
What lab tests are recommended with this therapy?
Common checks include complete blood counts, liver enzymes, and lipid panels. Screening for tuberculosis and hepatitis is typically done before starting. Your clinician will determine the schedule based on your health and other medicines. Share any new symptoms, such as signs of infection or unusual bruising, as they may prompt additional tests or adjustments.
Are there medicines or supplements I should avoid?
Strong CYP3A4 inhibitors or inducers, and some combinations that affect CYP2C19, may change tofacitinib levels. Examples include ketoconazole, clarithromycin, and rifampin. Combining with potent immunosuppressants or biologics for the same condition is generally avoided. Always provide an updated list of prescription drugs, OTC products, and herbals to your clinician and pharmacist for review.
What if I am pregnant, planning pregnancy, or breastfeeding?
Discuss family planning before starting therapy. Data in pregnancy and breastfeeding are limited. Your clinician may recommend delaying treatment, switching to an alternative, or adjusting timing based on risks and benefits. Do not start or stop therapy without medical guidance. If you become pregnant while taking the medicine, contact your prescriber promptly to review options.
Can I drink alcohol while taking this medicine?
Moderate alcohol intake may be acceptable for some patients, but liver health and other medicines matter. Alcohol can affect liver enzymes and may add to side effects like stomach upset. Review your usual intake with your clinician, particularly if you have liver disease or take other hepatotoxic drugs. Follow your prescriber’s advice and the product label for personalized recommendations.
