Xanuric 40 mg (Tablet)

Unit Price: ৳ 12.00 (3 x 10: ৳ 360.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

  • Chronic management of hyperuricemia in patients with gout
  • Not recommended for asymptomatic hyperuricemia

Pharmacology

  • Non-purine, selective xanthine oxidase (XO) inhibitor
  • Decreases serum uric acid level by inhibiting xanthine oxidase
  • Not expected to inhibit other enzymes involved in purine and pyrimidine synthesis and metabolism at therapeutic concentrations

Dosage & Administration

  • Recommended starting dose of Febuxostat 40 mg tablet once daily
  • Dose adjustment for different serum uric acid levels
  • Management recommendations for tumor lysis syndrome and gout flares
  • No dose adjustment needed for renal or hepatic impairment
  • Safety and effectiveness not established in pediatric patients under 18 years of age

Interaction

  • Contraindicated with mercaptopurine/azathioprine due to increased plasma concentrations
  • No expected dose adjustment for co-administration with rosiglitazone/CYP2C8 substrates or naproxen
  • Possible effect on metabolism with inducers/inhibitors of glucuronidation
  • Co-administration recommendations for colchicine/indometacin/hydrochlorothiazide/warfarin and antacids

Contraindications

  • Contraindicated in patients being treated with azathioprine, mercaptopurine, or theophylline

Side Effects

  • Most commonly reported adverse reactions include gout flares, liver function abnormalities, diarrhea, nausea, headache, rash, and edema
  • Rare serious hypersensitivity reactions observed

Pregnancy & Lactation

  • Pregnancy Category C with no adequate and well-controlled studies in pregnant women
  • Caution advised for nursing women

Precautions & Warnings

  • Increased gout flares during initiation of anti-hyperuricemic agents
  • Monitor for signs and symptoms of MI and stroke due to higher rate of cardiovascular thromboembolic events
  • Monitor liver function tests periodically

Overdose Effects

  • Studied in healthy subjects up to 300 mg daily for seven days without evidence of dose-limiting toxicities

Therapeutic Class

  • Drugs used in Gout

Storage Conditions

  • Keep below 30°C temperature, away from light & moisture
  • Keep out of the reach of children

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