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Allopurinol

General Information and Indications:

Allopurinol is used to treat gout, high levels of uric acid in the body caused by certain cancer medications, and kidney stones. Allopurinol is in a class of medications called xanthine oxidase inhibitors. It works by reducing the production of uric acid in the body. High levels of uric acid may cause gout attacks or kidney stones. Allopurinol is used to prevent gout attacks, not to treat them once they occur.

Information For Users:

Allopurinol comes as a tablet to take by mouth. It is usually taken once or twice a day, preferably after a meal. To help you remember to take allopurinol, take it around the same time every day. Follow the directions on your prescription label, ask your doctor or pharmacist If you have any questions. Take allopurinol exactly as directed. Do not take more or less of it or take it more often than prescribed by your health care provider.

Your doctor will probably start you on a low dose of allopurinol and slowly increase your dose, not more than once a week.

It may take several months or longer before you feel the full benefit of allopurinol. Allopurinol may increase the number of gout attacks during the first few months that you take it, although it will eventually prevent attacks. Your doctor may prescribe another medication such as colchicine to prevent gout attacks for the first few months you take allopurinol. Continue taking allopurinol even if you feel well. Do not discontinue taking allopurinol without informing your doctor.
Other uses for this medicine

Allopurinol is also sometimes used to treat seizures, pain caused by pancreas disease, and certain infections. It is also sometimes used to improve survival after bypass surgery, to reduce ulcer relapses, and to prevent rejection of kidney transplants. Talk to your doctor about the possible risks of using this medication for your condition.

special precautions:

o Inform your doctor or pharmacist if you have allergy to allopurinol or any other medications.
o Inform your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: amoxicillin (Amoxil, Trimox); ampicillin (Polycillin, Principen); anticoagulants ('blood thinners') such as warfarin (Coumadin); cancer chemotherapy drugs such as cyclophosphamide (Cytoxan) and mercaptopurine (Purinethol); chlorpropamide (Diabinese); diuretics ('water pills'); medications that suppress the immune system such as azathioprine (Imuran) and cyclosporine (Neoral, Sandimmune); other medications for gout such as probenecid (Benemid) and sulfinpyrazone (Anturane); and tolbutamide (Orinase). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
o inform your doctor if you are breast-feeding kidney or liver disease or heart failure.
o Inform your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking allopurinol, call your doctor.
o you should know that allopurinol may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
o ask your doctor about the safe use of alcoholic beverages while you are taking allopurinol. Alcohol may decrease the effectiveness of allopurinol.

Drink at least eight glasses of water or other fluids each day while taking allopurinol unless directed to do otherwise by your doctor.


Possible Adverse Effects:

Allopurinol may cause adverse effects. Inform your doctor if any of the following symptoms are severe or do not go away:

o upset stomach
o diarrhea
o drowsiness

Some adverse effects could be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor without delay:

o skin rash
o painful urination
o blood in the urine
o irritation of the eyes
o swelling of the lips or mouth
o fever, sore throat, chills, and other signs of infection
o loss of appetite (anorexia)
o unexpected weight loss
o itching

Brand Name(s):

o Aloprim®
o Zyloprim®


 

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