$Unique_ID{BRK03016} $Pretitle{} $Title{allopurinol} $Subject{Lopurin Boots Zurinol Major Zyloprim Burroughs Wellcome Antigout allopurinol chronic gout blood uric acid} $Volume{} $Log{ Zyloprim 100 mg*0301601.scf Zyloprim 300 mg*0301602.scf} Copyright (C) 1993 Publications International, Ltd. allopurinol ------------------------------------------------------------------------------ BRAND NAMES (Manufacturers) allopurinol (various manufacturers) Lopurin (Boots) Zurinol (Major) Zyloprim (Burroughs Wellcome) TYPE OF DRUG Antigout INGREDIENT allopurinol DOSAGE FORM Tablets (100 mg and 300 mg) STORAGE Allopurinol tablets should be stored at room temperature in a tightly closed container. USES This medication is used to treat chronic gout and to lower blood uric acid levels. Allopurinol blocks the body's production of uric acid. Allopurinol should not be used to treat acute gout attacks. TREATMENT In order to avoid stomach irritation, you can take allopurinol with food or with a full glass of water or milk. It may take one to three weeks before the full effects of this medication are observed. Drink at least ten to 12 glasses (eight ounces each) of fluids per day while taking this medication in order to prevent the formation of kidney stones. If you miss a dose of this medication, take the missed dose as soon as possible, unless it is almost time for the next dose. In that case, do not take the missed dose at all; just return to your regular dosing schedule. Do not double the next dose. SIDE EFFECTS Minor. Diarrhea, drowsiness, nausea, stomach upset, or vomiting. These side effects should disappear as your body adjusts to the medication. Major. Tell your doctor about any side effects that are persistent or particularly bothersome that may be the result of this medication. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about blurred vision, chills, difficult or painful urination, fatigue, fever, loss of hair, muscle aches, numbness or tingling sensations, paleness, rash, sore throat, unusual bleeding or bruising, or yellowing of the eyes or skin. INTERACTIONS Allopurinol interacts with several other types of drugs: 1. Alcohol, diuretics (water pills), and pyrazinamide can increase blood uric acid levels, thus decreasing the effectiveness of allopurinol. 2. Allopurinol can increase the body's store of iron salts, which can lead to iron toxicity. 3. When combined with allopurinol, ampicillin can increase the chance of skin rash; thiazide diuretics and captopril can increase the chance of allergic reactions; and cyclophosphamide can increase the chance of blood disorders. Allopurinol can also increase the blood levels and side effects of mercaptopurine, azathioprine, oral anticoagulants (blood thinners, such as warfarin), and theophylline. 4. Vitamin C can make the urine acidic, which can increase the risk of kidney stone formation with allopurinol. Before starting to take allopurinol, BE SURE TO TELL YOUR DOCTOR about any medications you are currently taking, especially any of those listed above. WARNINGS * Tell your doctor about unusual or allergic reactions you have had to any medications, especially to allopurinol. * Tell your doctor if you now have or if you have ever had blood disorders, kidney disease, or liver disease. Also, tell your doctor if you have a relative with idiopathic hemochromatosis (a disorder of iron metabolism). * This drug may cause dizziness or drowsiness. Do not take part in any activity that requires alertness, such as driving a car or operating potentially dangerous equipment. * Be sure to tell your doctor if you are pregnant. Although this drug appears to be safe in animals, studies in pregnant women have not been conducted. Also, tell your doctor if you are breast-feeding an infant. It is not known whether allopurinol passes into breast milk. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.