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ZYLOPRIM ®

Zyloprim (Allopurinol) is a hyperuricemic agent used in the treatment of many symptoms of gout, including acute attacks, tophi (collection of uric acid crystals in the tissues, especially around joints), joint destruction, and uric acid stones. Gout is a form of arthritis characterized by increased blood levels of uric acid. Zyloprim works by reducing uric acid production in the body, thus preventing crystals from forming. Zyloprim works by reducing uric acid production in the body, thus preventing crystals from forming.

Zyloprim ®


Product Dosage Qty Consult Price Order
  Generic Zyloprim 300 mg 30 Tabs FREE
  Generic Zyloprim 300 mg 60 Tabs FREE
  Generic Zyloprim 300 mg 90 Tabs FREE
  Zyloprim 100 mg 30 Tabs FREE
  Zyloprim 100 mg 60 Tabs FREE
  Zyloprim 100 mg 90 Tabs FREE
  Zyloprim 300 mg 30 Tabs FREE
  Zyloprim 300 mg 60 Tabs FREE
  Zyloprim 300 mg 90 Tabs FREE



Zyloprim ® is manufactured by GlaxoSmithKline.

Chemical Name : Allopurinol

Important Note
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses
Zyloprim is used to treat chronic gout and to keep the body from producing excessive amounts of uric acid, which could lead to or aggravate various medical problems. It is used to prevent gout attacks, not to treat them once they occur. Zyloprim is also used to manage the increased uric acid levels in the blood of people with certain cancers, such as leukemia. It is also prescribed to manage some types of kidney stones.

Zyloprim will not stop a gout attack that is already underway. However, when taken over a period of several months, this drug will begin to reduce your symptoms. It's important to keep taking it regularly, even if it seems to have no immediate effect.

The usual starting dose of Zyloprim is 100 milligrams once daily. Your doctor may increase your dose by 100 milligrams per day at 1-week intervals until desired results are attained. The average dose is 200 to 300 milligrams per day for mild gout and 400 to 600 milligrams daily for moderate to severe gout. The most Zyloprim you should take in a day is 800 milligrams.

How to take this medication
Take Zyloprim exactly as prescribed. Your doctor will probably start you on a low Zyloprim dosage, increasing it gradually each week until you reach the Zyloprim dosage that is best for you. A typical starting Zyloprim dose is one 100-milligram tablet per day. You may want to take Zyloprim immediately after a meal to minimize the risk of stomach irritation. You should avoid taking large doses of Vitamin C because of the increased possibility of kidney stone formation.

Side Effects
Side effects cannot be anticipated. Only your doctor can determine if it is safe for you to continue taking Zyloprim. A skin reaction, the most common side effect of Zyloprim, may occasionally become severe or even fatal, you should stop taking Zyloprim if you notice even the beginnings of a rash. Such a rash may be itchy or scaly or may make your skin peel off in sheets; it may be accompanied by chills and fever, aching joints, or jaundice.

You may experience acute attacks of gout more often in the early stages of Zyloprim therapy, even when normal uric acid levels have been attained. These attacks Zyloprim become shorter and less severe after several months of therapy. A kidney problem may turn a normal dose of Zyloprim into an overdose. If you have a kidney disease, or a condition such as diabetes or high blood pressure that may affect your kidneys, your doctor should prescribe Zyloprim cautiously and order periodic blood and urine tests to assess your kidney function.

Precautions
While taking Zyloprim you should drink plenty of liquids--10 to 12 glasses (8 ounces each) per day--unless otherwise prescribed by your doctor. To help prevent attacks of gout, you should also avoid beer, wine, and purine-rich foods such as anchovies, sardines, liver, kidneys, lentils, and sweetbreads.

If you have been taking Colchicine and/or an anti-inflammatory drug, such as Anaprox, Indocin, and others, to relieve your gout, your doctor will probably want you to continue taking this medication while your Zyloprim dosage is being adjusted. Later, when you have had no attacks of gout for several months, you may be able to stop taking these other medications. If you have been taking a drug that promotes the excretion of uric acid in the urine, such as Probenecid (Benemid) or Sulfinpyrazone (Anturane), to try to prevent attacks of gout, your doctor will probably want to reduce or stop your dosage of this drug while increasing your dosage of Zyloprim.

Zyloprim appears in breast milk; what effect it may have on a nursing baby is unknown. Caution is advised when Zyloprim is taken during breastfeeding.

Drug Interactions
If
Zyloprim is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Zyloprim with the following: Amoxicillin (Amoxil, Trimox, Wymox), Ampicillin (Omnipen, Principen), Azathioprine (Imuran), Blood thinners such as Coumadin, Cyclosporine (Sandimmune, Neoral), Drugs for diabetes, such as Diabinese and Orinase, Mercaptopurine (Purinethol), Probenecid (Benemid, ColBENEMID), Sulfinpyrazone (Anturane), Theophylline (Theo-Dur, Sl,-Phyllin, and others), Thiazide diuretics such as HydroDIURIL, Diuril, and others, Vitamin C.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately.The following symptoms indicate an overdose: dizziness; fainting; fast heartbeat.

Missed Dose
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not take a double dose to make up for a missed one.

Storage
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed.

 

 
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 Effects of Zyloprim ( Allopurinol ) on reperfusion arrhythmias in isolated ventricles
Electrophysiological effects of Zyloprim ( Allopurinol ) on arrhythmias were studied in isolated segments of guinea pig right ventricular free walls paced from endocardium. A high-gain electrocardiogram as well as transmembrane electrical activity from endo- and epicardium were recorded. Tissues were exposed to simulated ischemia for 15 min and then were reperfused with normal Tyrode solution. Sustained or nonsustained ventricular tachycardia, bigeminy, and trigeminy with characteristics of transmural reentry occurred in early reperfusion in 75% of 20 control preparations.

Zyloprim ( Allopurinol ) did not affect endocardial conduction times nor did it significantly alter endocardial action potential duration or ERP. Our results indicate that Zyloprim ( Allopurinol ) exerts antiarrhythmic efficacy during reperfusion by selectively attenuating defects related to anisotropic tissue properties.

Interaction between Zyloprim ( Allopurinol ) and copper: possible role in myocardial protection
Zyloprim ( Allopurinol ), a potent inhibitor of xanthine oxidase, is known to effectively protect the heart against damage in patients undergoing cardiac bypass surgery. There is still an ambiguity concerning the presence of xanthine oxidase in the human heart. Thus, the mechanism underlying the protective effect of Zyloprim ( Allopurinol ) is unclear. Transition metal ions, such as iron and copper, can participate in single-electron reactions and mediate the formation of oxygen-derived free radicals.

Results show that Zyloprim ( Allopurinol ) substantially reduced the copper-mediated and ascorbate-driven DNA breakage. It is suggested that the beneficial effects of Zyloprim ( Allopurinol ) during reperfusion of the heart could stem from its chelation of copper, yielding a complex with low redox activity.

Gout is widespread
Approximately one million people in the United States suffer from attacks of gout.Gout is nine times more common in men than in women. It predominantly attacks males after puberty, with a peak age of 75. In women, gout attacks usually occur after menopause. While an elevated blood level of uric acid (hyperuricemia) may indicate an increased risk of gout, the relationship between hyperuricemia and gout is unclear.

Many patients with hyperuricemia do not develop gout, while some patients with repeated gout attacks have normal or low blood uric acid levels. Among the male population in the United States, approximately ten percent have hyperuricemia. However, only a small portion of those with hyperuricemia will actually develop gout.

Zyloprim ( Allopurinol ) plus pentoxifilline in hepatic ischaemia/reperfusion injury
Ischaemia/reperfusion injury of the liver is the major cause of liver dysfunction and cellular death in transplantation and in liver resection with hepatic pedicle clamping. Many agents are used to prevent this phenomenon, which occurs following interaction of different mediators during both ischaemia and reperfusion. In this study, we aimed to assess the effects of Zyloprim ( Allopurinol ), a xanthine oxidase inhibitor, and pentoxifilline, on liver ischaemia/reperfusion injury when used together and to compare these with the effects of using these agents singly. Results show that Pretreatment with Zyloprim ( Allopurinol ) or pentoxifilline resulted in significantly lower hepatic enzyme elevation than that in controls in the rat liver ischaemia/reperfusion model. Using both agents does not provide better protection than using either agent alone.

 

 

 

 

 

21st November 2008