Allopurinol
Allopurinol
Allopurinol jest lekiem przeciwartretycznym, który hamuje oksydazę ksantynową i zapobiega tworzeniu się kwasu moczowego z ksantyny i hipoksantyny.
Allopurinol
Product Description
Common use
Allopurinol is an arthrifuge which inhibits xanthine
oxidase and prevents formation of uric acid, from xanthine and hypoxanthine. Reduces the concentration of uric acid
and its salts in body fluids, promotes the dissolution of existing urate deposits and prevents their formation in
tissues and kidneys. The medication is used to treat diseases accompanied by hyperuricemia: gout (primary and
secondary), nephrolithiasis (forming of kidney stones from urates); hyperuricemia (abnormally high level of uric
acid
in blood, both primary and secondary), which results in diseases involving enhanced dissolution of nucleoproteins
and
elevated levels of uric acid in the blood, including at various forms of leukemias, and also for treatment of some
other conditions.
Dosage and direction
The dose of 100-800 mg a day may be
prescribed
depending on the condition. Initial dose of 100 mg can be increased gradually. Patients with acute gout and tophi
(uric acid crystals in the tissues mostly around joints) should be treated with 300-400 mg of Allopuionol daily.
Doses
over 300 mg should be divided in two or more intakes. Take medication with food to avoid irritation of the stomach.
Do
not take large doses of vitamin C. Drink plenty of water to avoid formation of kidney stones. Limit consummation of
alcoholic beverages and purine-rich foods such as sweetbreads, sardines, anchovies, kidneys, liver, and
lentils.
Precautions
Allopurinol should be taken over a period of several months so
your symptoms start to reduce. Regular intake is important even if no immediate effect is noticed. You may
experience
acute attacks of gout more often at the beginning of treatment with Allopurinol even after normal uric acid levels
are
reached. The attacks will become shorter and less acute as the therapy continues. At any sign of allergic reaction
stop taking the medication and consult your doctor as development of serious skin disease, irreversible damage to
the
liver, or generalized inflammation of a blood or lymph vessel is possible in some individuals. Inform your doctor if
you have diabetes or kidney dysfunction before taking Allopurinol as correction of your dose is needed.
Contraindications
Allopurinol cannot be used in patients with hypersensitivity to the
medication, in individuals with a hepatic or renal disorders, primary hemochromatosis, asymptomatic hyperuricemia,
acute gout, pregnancy, lactation. The medication cannot be prescribed to children under 14 years of age unless the
patients are treated for leukemia, malignant tumors and enzymatic disorders. C care. Renal failure, heart failure,
diabetes mellitus, hypertension.
Possible side effect
The most common adverse
reactions are diarrhea, nausea, allergy (rash, itching), and drowsiness. Stop taking the medication at first signs
of
rash, painful or bloody urination, eye irritation, or facial swelling, because these can be signs of a severe
allergic
reaction requiring immediate treatment. In rare cases Allopurinol can cause damage to nerve, kidney, and bone marrow
as well as be a reason to a serious and even fatal allergic liver toxicity. In patients with liver toxicity appetite
loss and itching may witness about it. The risk increases in patients with kidney impairment.
Drug
interaction
The dose of oral mercaptopurine (Purinethol) and azathioprine (Imuran) should be
reduced as Allopurinol increases their blood levels. Risk of skin rash increases in patients taking Allopurinol with
penicillins.
Missed dose
Take the missed dose as soon as you remember unless it is
almost time of your next dose. If it is almost time of your next dose just skip it and return to your regular
scheme.
Do not exceed the recommended dose.
Overdose
In case of suspected overdose seek for
immediate medical attention. No specific information is available about Allopurinol overdose.
Storage
Store at room temperature, below 25 C (77 F) and out of reach and children and
pets.
Disclaimer
We provide only general information about medications which does not
cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for
self-treatment and self-diagnosis.All specific instructions for a particular patient should be agreed with your
health
care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could
contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of
the information on this site and also for consequences of self-treatment.