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Febuxostat

Febuxostat

It is a non-purine, selective Xanthine-Oxidase Inhibitor which converts xanthine and hypoxanthine to Uric Acid. Thus, it helps in reducing serum uric acid levels.

Indications

It is indicated in Gout and Hyperuricemia.


Dosage

40 to 80 mg daily. No dose adjustment needed in mild to moderate renal or hepatic impairment.


Contra-Indications

Ischemic Heart Disease and Congestive Heart Failure. Liver Function Test is recommended before Febuxostat therapy.


Special Precautions

Febuxostat treatment should not be started until an acute attack of gout has completely subsided. Flares of gout may increase after Febuxostat administration as uric acid moves out of tissues, flare prophylaxis for six months is recommended.


Side Effects

Nausea, rash, joint pain, diarrhea, headache and increased serum hepatic enzyme levels.


Drug Interactions

Reduces the breakdown of mercaptopurine, azathioprine and theophylline increasing their levels in body. Not to be co-administered with these agents.


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