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Zyloprim (Allopurinol)
 

 

ALLOPURINOL (Generic Zyloprim ®)

Allopurinol (Generic Zyloprim ®) is a hyperuricemic agent used in the treatment of many symptoms of gout, including acute attacks, tophi (collection of uric acid crystals in the tissues, especially around joints), joint destruction, and uric acid stones. Gout is a form of arthritis characterized by increased blood levels of uric acid. Allopurinol works by reducing uric acid production in the body, thus preventing crystals from forming. Allopurinol works by reducing uric acid production in the body, thus preventing crystals from forming.

Allopurinol


Product Dosage Qty Consult Price Order
  Allopurinol 300 mg 30 Tabs FREE
  Allopurinol 300 mg 60 Tabs FREE
  Allopurinol 300 mg 90 Tabs FREE



Zyloprim ® is manufactured by GlaxoSmithKline.

Chemical Name : Allopurinol

Important Note
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses
Allopurinol is used to treat chronic gout and to keep the body from producing excessive amounts of uric acid, which could lead to or aggravate various medical problems. It is used to prevent gout attacks, not to treat them once they occur. Allopurinol is also used to manage the increased uric acid levels in the blood of people with certain cancers, such as leukemia. It is also prescribed to manage some types of kidney stones.

Allopurinol will not stop a gout attack that is already underway. However, when taken over a period of several months, this drug will begin to reduce your symptoms. It's important to keep taking it regularly, even if it seems to have no immediate effect.

The usual starting dose of Allopurinol is 100 milligrams once daily. Your doctor may increase your dose by 100 milligrams per day at 1-week intervals until desired results are attained. The average dose is 200 to 300 milligrams per day for mild gout and 400 to 600 milligrams daily for moderate to severe gout. The most Allopurinol you should take in a day is 800 milligrams.

How to take this medication
Take Allopurinol exactly as prescribed. Your doctor will probably start you on a low Allopurinol dosage, increasing it gradually each week until you reach the Allopurinol dosage that is best for you. A typical starting Zyloprim dose is one 100-milligram tablet per day. You may want to take Allopurinol immediately after a meal to minimize the risk of stomach irritation. You should avoid taking large doses of Vitamin C because of the increased possibility of kidney stone formation.

Side Effects
Side effects cannot be anticipated. Only your doctor can determine if it is safe for you to continue taking Allopurinol. A skin reaction, the most common side effect of Allopurinol, may occasionally become severe or even fatal, you should stop taking Allopurinol if you notice even the beginnings of a rash. Such a rash may be itchy or scaly or may make your skin peel off in sheets; it may be accompanied by chills and fever, aching joints, or jaundice.

You may experience acute attacks of gout more often in the early stages of Zyloprim therapy, even when normal uric acid levels have been attained. These attacks Allopurinol become shorter and less severe after several months of therapy. A kidney problem may turn a normal dose of Allopurinol into an overdose. If you have a kidney disease, or a condition such as diabetes or high blood pressure that may affect your kidneys, your doctor should prescribe Allopurinol cautiously and order periodic blood and urine tests to assess your kidney function.

Precautions
While taking Allopurinol you should drink plenty of liquids--10 to 12 glasses (8 ounces each) per day--unless otherwise prescribed by your doctor. To help prevent attacks of gout, you should also avoid beer, wine, and purine-rich foods such as anchovies, sardines, liver, kidneys, lentils, and sweetbreads.

If you have been taking Colchicine and/or an anti-inflammatory drug, such as Anaprox, Indocin, and others, to relieve your gout, your doctor will probably want you to continue taking this medication while your Allopurinol dosage is being adjusted. Later, when you have had no attacks of gout for several months, you may be able to stop taking these other medications. If you have been taking a drug that promotes the excretion of uric acid in the urine, such as Probenecid (Benemid) or Sulfinpyrazone (Anturane), to try to prevent attacks of gout, your doctor will probably want to reduce or stop your dosage of this drug while increasing your dosage of Allopurinol.

Allopurinol appears in breast milk; what effect it may have on a nursing baby is unknown. Caution is advised when Allopurinol is taken during breastfeeding.

Drug Interactions
If
Allopurinol is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Allopurinol with the following: Amoxicillin (Amoxil, Trimox, Wymox), Ampicillin (Omnipen, Principen), Azathioprine (Imuran), Blood thinners such as Coumadin, Cyclosporine (Sandimmune, Neoral), Drugs for diabetes, such as Diabinese and Orinase, Mercaptopurine (Purinethol), Probenecid (Benemid, ColBENEMID), Sulfinpyrazone (Anturane), Theophylline (Theo-Dur, Sl,-Phyllin, and others), Thiazide diuretics such as HydroDIURIL, Diuril, and others, Vitamin C.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately.The following symptoms indicate an overdose: dizziness; fainting; fast heartbeat.

Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not take a double dose to make up for a missed one.

Storage
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed.

 

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 Zyloprim ( Allopurinol ) protects the bowel from necrosis caused by indomethacin and temporary intestinal ischemia in mice
Although the protection against myocardial ischemia-reperfusion injury by Zyloprim ( Allopurinol ) has previously been attributed to inhibition of xanthine oxidase, the demonstration of protective effects in species devoid of detectable myocardial xanthine oxidase activity argues against this hypothesis. In the present study, the effects of Zyloprim ( Allopurinol ) pretreatment in a model of heart-lung transplantation were examined in swine, a species devoid of myocardial xanthine oxidase activity.

Based on postsurgical assessments of cardiac and pulmonary function integrity, animals showing the greatest red cell antioxidant response following Zyloprim ( Allopurinol ) treatment showed significantly better recovery compared with the control group. The present study suggests that Zyloprim ( Allopurinol ) protection against ischemia-reperfusion injury may involve generalized alterations in tissue antioxidant status, and that the measurement of erythrocyte susceptibility to oxidative challenge could provide a useful approach to optimizing the effectiveness of therapeutic interventions undertaken prior to surgery in order to minimize the risk of damage resulting from postischemic tissue reperfusion.

Zyloprim ( Allopurinol ) inhibition of neutrophilic alveolar response during hyperoxia
Zyloprim ( Allopurinol ) is a potent xanthine oxidase inhibitor that has been administered to animals to protect tissues from oxidant injury. We hypothesized that Zyloprim ( Allopurinol ) may protect against oxidant injury by inhibiting the inflammatory response. Data reveals that oxygen exposure produces a neutrophilic alveolar response that is attenuated by Zyloprim ( Allopurinol ) treatment. Therefore, Zyloprim ( Allopurinol ) decreases the neutrophilic alveolar response produced by a hyperoxic exposure in the rat but does not decrease lung injury as assessed by alveolar LDH and protein release.

Aspirin and Gout
Amall doses of aspirin can elevate the uric acid level. This occurs because aspirin in low doses can impair the excretion of uric acid from the kidneys. The change typically would be only noted when aspirin was taken in the usual over-the-counter doses - that is two 325mg tablets every four hours. The extremely low dose aspirin 75-81mg per day, given for example for heart attack or stroke prevention, should not significantly alter the uric acid level. Furthermore, even the higher doses mentioned should only precipitate a Gout attack in a person with Gout, that is, someone at risk for an attack, not in a normal individual. Because of the effects of moderate and high-dose aspirin that can alter the blood level of uric acid, aspirin is generally avoided by persons with a known Gout condition.

Interaction between Zyloprim ( Allopurinol ) and copper: possible role in myocardial protection
Zyloprim ( Allopurinol ), a potent inhibitor of xanthine oxidase, is known to effectively protect the heart against damage in patients undergoing cardiac bypass surgery. There is still an ambiguity concerning the presence of xanthine oxidase in the human heart. Thus, the mechanism underlying the protective effect of Zyloprim ( Allopurinol ) is unclear. Transition metal ions, such as iron and copper, can participate in single-electron reactions and mediate the formation of oxygen-derived free radicals.

Results show that Zyloprim ( Allopurinol ) substantially reduced the copper-mediated and ascorbate-driven DNA breakage. It is suggested that the beneficial effects of Zyloprim ( Allopurinol ) during reperfusion of the heart could stem from its chelation of copper, yielding a complex with low redox activity.

 

 

 

 

 

05th September 2008
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