Goutil 40 mg (Tablet)

Unit Price: ৳ 12.00 (2 x 10: ৳ 240.00)
Strip Price: ৳ 120.00

Medicine Details

Category Details
Generic Febuxostat
Company Eskayef pharmaceuticals ltd
Also available as

Indications

  • Chronic management of hyperuricemia in gout patients

Pharmacology

  • Non-purine xanthine oxidase (XO) inhibitor
  • Decreases serum uric acid level
  • Inhibits xanthine oxidase
  • Does not inhibit other enzymes involved in purine and pyrimidine synthesis

Dosage & Administration

  • Recommended starting dose of Febuxostat 40mg tablet once daily
  • Adjustment of dosage based on serum uric acid levels
  • Management of gout flares with NSAID or colchicine
  • No dose adjustment necessary for renal or mild to moderate hepatic impairment

Interaction

  • Not recommended to be used with mercaptopurine or azathioprine
  • No dose adjustment necessary for co-administration with rosiglitazone or CYP2C8 substrates
  • Inhibition by NSAIDs and probenecid may affect elimination
  • Potent inducers of UGT enzymes may affect metabolism
  • No dose adjustment necessary for colchicine, indomethacin, hydrochlorothiazide, or warfarin
  • Antacid ingestion may cause delayed absorption

Contraindications

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

Side Effects

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

Pregnancy & Lactation

  • Pregnancy Category C
  • Use during pregnancy only if potential benefit justifies potential risk
  • Caution when administered to nursing women

Precautions & Warnings

  • Increased gout flares observed during initiation
  • Higher rate of cardiovascular thromboembolic events observed
  • Monitor signs and symptoms of MI and stroke
  • Transaminase elevations observed, monitor liver function tests

Overdose Effects

  • Studied in healthy subjects up to 300mg daily for 7 days without evidence of dose-limiting toxicities

Therapeutic Class

  • Drugs used in Gout

Storage Conditions

  • Keep below 30°C, away from light and moisture, out of reach of children

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