Treatment Arthritis: Allopurinol

Treatment Arthritis

Allopurinol is a preparation from group of antigouty means, ksantioksidaza inhibitor. The preparation has impact on an exchange of uric acid in an organism.

Allopurinol

Allopurinol

Brand(s): allopurinol, substance, tablets 100mg, tablets 300mg

Manufacturer: Akrikhin of HFK (Russia), Borshchagovsky chemical and pharmaceutical plant (Ukraine), Vicher-Farm (Russia), Organic chemistry (Russia), Planteks Kemikals B.V. (Netherlands), Farmakon (Russia), Hafslund Nikomed Farma (Denmark)

Clinico-pharmacological group: Gipourikemichesky, antigouty. Inhibits a ksantinoksidaza, breaks transformation of oxypurine into xanthene and xanthene — in uric acid. Lowers the maintenance of urat in serum of blood and prevents adjournment them in organism fabrics. Almost it is completely absorbed from a gastrointestinal tract. The maximum concentration is reached in 1,5 hours. The semi-removal period — 1-2 hours. It is removed by kidneys and through intestines.

Composition, structure and packing: Tablets Allopurinol on 10 pieces in the blisternykh packings, in a cardboard pack 3 or 5 blisternykh of packings.

Tablets Allopurinol on 50 pieces in bottles from polymeric materials, in a cardboard pack 1 bottle.

Basic ingredient: 1 tablet of a preparation Allopurinol 100 contains:

Allopurinola – 100 mg;

Other ingredients: excipients: sucrose (the granulated sugar refined) — 20 mg; potato starch — 77,68 mg; magnesium stearate (magnesium stearinovokisly) — 1 mg; edible gelatin — 1,32 mg

1 tablet of a preparation Allopurinol 300 contains:

Allopurinola – 300 mg;

Other ingredients: lactoses monohydrate (sugar dairy) — 49 mg; MKTs — 20 mg; I karboksimetilkrakhmat sodium— 20 mg; edible gelatin — 5 mg; magnesium stearate — 4 mg; silicon dioxide colloidal (aero forces) — 2 mg

Dosage

Inside, after food. The patient with small expressiveness of symptoms of gout appoint in 200-300 mg/days; the patient with heavy gout having tofusa — 400-600 mg/days. The daily dose can be divided into 2 receptions or is accepted in one stage; the doses exceeding 300 mg are accepted fractionally (at emergence of side effects from a gastrointestinal tract). The minimum effective dose — 100-200 mg/days, maximum — 800-900 mg/days.

For decrease in risk of an exacerbation of gout treatment is begun with small doses — 100 mg/days with weekly increase by 100 mg (before decrease in the content of uric acid in plasma to 6 mg/dl).

For the prevention of an uratny nephropathy at chemotherapy of malignant diseases of blood during the first 2-3 days appoint 600-800 mg/days and recommend plentiful consumption of liquid.

At the stones recurring the oksalatnykh in kidneys at patients with a giperurikozuriya — 200-300 mg/days; at HPN the dose is reduced: at KK of 10-20 ml/min. — the maximum dose of 200 mg, 10 ml/min. — 100 mg, less than 3 ml/min. — an interval between reception of 100 mg of 36-72 h.

To children till 6 years — 5 mg/kg/days, from 6 to 10 years — 10 mg/kg/days, of 15 years appoint at the rate of 10-20 mg/kg/days or 100-400 mg/days. Adequacy of a dose is estimated in 48 h, frequency rate of reception — 3-4 times per day. At the expressed HPN — 100 mg/days or 100 mg with an interval more than 1 day. Elderly patients are recommended to appoint the lowest doses.

At addition of an allopurinol to urikozurichesky PM its dose gradually increases, and the urikozuricheskikh of PM decreases. During treatment it is necessary to provide daily diuresis not less than 2 l, to support urine pH at the neutral or alkalescent level.

Overdose

Symptoms: nausea, vomiting, diarrhea.

Treatment: symptoms of intoxication decrease due to increase of a kidney ekskretion of an allopurinol and its metabolites at plentiful consumption of liquid and corresponding strengthening of diuresis. In clinical conditions it is possible to apply a dialysis.

Side effects

Violation of functions of various systems of an organism can become result of application of this medicine. For example, there can be digestion violations generally connected with misoperation of a liver. Also, nervous or endocrine systems, system of blood, integumentary fabrics sometimes suffer. Including, there can be violations of sight, a spasm, thrombocytopenia, impotence, diabetes and so on. From a urinary system hypostasis, emergence of blood in urine and so on can be observed. Cases of an allergy to a preparation are described.

Indications for use:

  • gout;
  • treatment of primary giperurikemiya;
  • prevention and treatment of an uratny nephropathy with symptoms of gout or without them;
  • treatment of the secondary giperurikemiya connected with blood diseases;
  • prevention and treatment of the secondary giperurikemiya developing at radio — and/or chemotherapy of leukemia, a lymphoma and other malignant diseases;
  • prevention and treatment of a giperurikozuriya.

Contraindications: Hypersensibility, the expressed renal failure, pregnancy and lactation.

Where to buy?

You can buy allopurinol as in conventional pharmacy and on the Internet. It is is available by prescription.