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Allopurinol
Allopurinol
Pronunciation
(al oh PURE i nole)
Brand Names
Zyloprim®
Canadian/Mexican Brand Names
Apo-Allopurinol® (Canada); Novo-purol® (Canada); Purinol® (Canada); Atisuril®
(Mexico); Unizuric® 300 (Mexico)
Therapeutic Categories
Uricosuric Agent
What is this medicine used for?
- This medicine is used to prevent gout attacks. It may take 2-6 weeks to see
the benefit.
- It is used to prevent arthritis and kidney problems caused by gout.
- It prevents high blood levels of uric acid. This occurs in patients being
treated for cancer.
- Other uses include treatment of kidney stones and prevention of side
effects due to fluorouracil.
How does it work?
- Allopurinol decreases production of uric acid. Too much uric acid causes
gout attacks, arthritis, and kidney problems.
How is it best taken?
- Take with or without food. Take with food if this medicine causes an upset
stomach.
- Drink 10-12 glasses of liquid every day unless told to drink less liquid by
healthcare provider.
- A liquid (suspension) is available if you cannot swallow pills. Those who
have feeding tubes can also use the liquid. Flush the feeding tube before and
after medicine is given. Shake well first.
- Do not take antacids within 3-6 hours of using this medicine.
What do I do if I miss a dose?
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to your
regular schedule.
- Do not take a double dose or extra doses.
What are the precautions when taking this
medicine?
- Check medicines with healthcare provider. This medicine may not mix well
with other medicines. If you are on azathioprine, mercaptopurine, captopril,
enalapril, or ampicillin, tell healthcare provider.
- You may not be alert. Avoid driving, doing other tasks or hobbies until you
see how this medicine affects you.
- Tell healthcare provider if you are on warfarin. You may need your INR
checked in 2 weeks from starting medicine.
- Avoid alcohol (includes wine, beer, and liquor). It decreases this
medicine's effectiveness.
- Tell healthcare provider if you are allergic to any medicine. Make sure to
tell about the allergy and how it affected you. This includes telling about
rash; hives; itching; shortness of breath; wheezing; cough; swelling of face,
lips, tongue, throat; or any other symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting pregnant.
- Tell healthcare provider if you are breast-feeding.
What are the common side effects of this
medicine?
- Feeling sleepy or unable to think clearly. Avoid driving, doing other tasks
or hobbies that require you to be alert until you see how this medicine affects
you.
- Skin rash.
What should I monitor?
- Follow up with healthcare provider.
Reasons to call healthcare provider
immediately
- Signs of a life-threatening reaction. These include wheezing; tightness in
the chest; fever; itching; bad cough; blue skin color; fits; swelling of face,
lips, tongue, or throat.
- Pain with urination or blood in urine.
- Any rash.
How should I store this medicine?
- Store in a tight, light-resistant container at room temperature.
- Suspension can be stored at room temperature or in the refrigerator.
- Throw away suspension after 2 months.
General statements
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine, including
over-the-counter or natural products (herbs, vitamins).
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