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Zyloprim (Allopurinol)
 

 

ZYLOPRIM ®

Zyloprim (Allopurinol) 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. Zyloprim works by reducing uric acid production in the body, thus preventing crystals from forming. Zyloprim works by reducing uric acid production in the body, thus preventing crystals from forming.

Zyloprim ®


Product Dosage Qty Consult Price Order
  Generic Zyloprim 300 mg 30 Tabs FREE
  Generic Zyloprim 300 mg 60 Tabs FREE
  Generic Zyloprim 300 mg 90 Tabs FREE
  Zyloprim 100 mg 30 Tabs FREE
  Zyloprim 100 mg 60 Tabs FREE
  Zyloprim 100 mg 90 Tabs FREE
  Zyloprim 300 mg 30 Tabs FREE
  Zyloprim 300 mg 60 Tabs FREE
  Zyloprim 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
Zyloprim 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. Zyloprim 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.

Zyloprim 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 Zyloprim 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 Zyloprim you should take in a day is 800 milligrams.

How to take this medication
Take Zyloprim exactly as prescribed. Your doctor will probably start you on a low Zyloprim dosage, increasing it gradually each week until you reach the Zyloprim dosage that is best for you. A typical starting Zyloprim dose is one 100-milligram tablet per day. You may want to take Zyloprim 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 Zyloprim. A skin reaction, the most common side effect of Zyloprim, may occasionally become severe or even fatal, you should stop taking Zyloprim 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 Zyloprim become shorter and less severe after several months of therapy. A kidney problem may turn a normal dose of Zyloprim 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 Zyloprim cautiously and order periodic blood and urine tests to assess your kidney function.

Precautions
While taking Zyloprim 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 Zyloprim 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 Zyloprim.

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

Drug Interactions
If
Zyloprim 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 Zyloprim 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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 The effect of supplementing hypothermic crystalloid cardioplegia with catalase plus Zyloprim ( Allopurinol )
The effect of adding Zyloprim ( Allopurinol ) and catalase to hypothermic cardioplegia for ischemic-reperfusion injury was investigated. Cardiac function after a 12 h preservation was found to be enhanced by the added combination of Zyloprim ( Allopurinol ) and catalase to the cardioplegic solution, supporting its role in the prevention of free radical reperfusion injury in cardiac preservation.

Why does Gout Occur
Gout is medical condition characterized by abnormally elevated levels of uric acid in the blood, recurring attacks of joint inflammation (arthritis), deposits of hard lumps of uric acid in and around the joints, and decreased kidney function and kidney stones. While Gout is often associated with an abnormally elevated blood uric acid level, it need not be. That is, the medical condition of Gout can exist in an individual, with or without an elevated uric acid level in that individual. This even holds true for an acute attack of gouty arthritis! So, it is important to understand that it may not necessarily be the level of the uric acid that brings on an acute attack of gout. Frequently, it is a rapid change of uric acid, either up or down, that seems to precipitate an acute attack.

Gout is widespread
Approximately one million people in the United States suffer from attacks of gout.Gout is nine times more common in men than in women. It predominantly attacks males after puberty, with a peak age of 75. In women, gout attacks usually occur after menopause. While an elevated blood level of uric acid (hyperuricemia) may indicate an increased risk of gout, the relationship between hyperuricemia and gout is unclear.

Many patients with hyperuricemia do not develop gout, while some patients with repeated gout attacks have normal or low blood uric acid levels. Among the male population in the United States, approximately ten percent have hyperuricemia. However, only a small portion of those with hyperuricemia will actually develop gout.

Allopurinol in Treatment of Gout
Allopurinol (Zyloprim)
lowers the blood uric acid level by preventing uric acid production. It actually blocks the metabolic conversion from purine in foods to uric acid. This medication should be used with caution in patients with poor kidney function, as they are at a particular risk of developing side effects, including rash and liver damage. Again, uric acid-lowering medications, such as allopurinol (Zyloprim), are generally avoided in patients who are having acute attacks of gout (unless they are already taking them).

For unknown reasons, these medications, when started during an acute attack, actually can worsen the acute inflammation. Therefore, uric acid-lowering drugs are usually instituted only after complete resolution of the acute arthritis attacks. If patients are already taking these medications, they are maintained at the same doses during the acute attacks. In some patients, increasing the dose of uric acid-lowering medications can precipitate gout attacks. In these patients, low doses of colchicine can be given to prevent the precipitation of acute gout.

 

 

 

 

 

05th September 2008
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