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- $Unique_ID{BRK03302}
- $Pretitle{}
- $Title{probenecid}
- $Subject{Benemid Merck Sharp Dohme Probalan Lannett Uricosuric antigout
- preparation probenecid gout attacks elimination uric acid kidneys penicillin
- ampicillin antibiotics bloodstream}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- probenecid
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- Benemid (Merck Sharp & Dohme)
- Probalan (Lannett)
- probenecid (various manufacturers)
-
- TYPE OF DRUG
-
- Uricosuric (antigout preparation)
-
- INGREDIENT
-
- probenecid
-
- DOSAGE FORM
-
- Tablets (500 mg)
-
- STORAGE
-
- Probenecid should be stored at room temperature in a tightly closed
- container.
-
- USES
-
- Probenecid is used to prevent gout attacks. It increases the elimination
- of uric acid (the chemical responsible for the symptoms of gout) through the
- kidneys. Probenecid is also occasionally used in combination with penicillin
- or ampicillin to increase the length of time that the antibiotics remain in
- the bloodstream.
-
- TREATMENT
-
- In order to avoid stomach irritation, you may take probenecid with a full
- glass of water or milk. You should also drink at least ten to 12 full
- eight-ounce glasses of liquids (not alcoholic beverages) each day to prevent
- formation of uric acid 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.
-
- Dizziness, frequent urination, headache, loss of appetite, nausea, rash,
- sore gums, or vomiting. These side effects should disappear as your body
- adjusts to the medication.
- If you feel dizzy, sit or lie down for a while; get up slowly from a
- sitting or reclining position, and be careful on stairs.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. TELL YOUR DOCTOR about fatigue, fever, flushing,
- lower back pain, painful or difficult urination, sore throat, unusual bleeding
- or bruising, or yellowing of the eyes or skin.
-
- INTERACTIONS
-
- Probenecid interacts with several other types of drugs:
- 1. Aspirin and pyrazinamide antagonize (act against) the antigout effects
- of probenecid.
- 2. The blood levels of methotrexate, sulfonamide antibiotics,
- nitrofurantoin, oral antidiabetic medicines, ketoprofen, naproxen,
- indomethacin, rifampin, sulindac, dapsone, and clofibrate can be increased by
- probenecid, which can lead to an increase in side effects.
- 3. Alcohol, chlorthalidone, ethacrynic acid, furosemide, or thiazide
- diuretics (water pills) can increase blood uric acid levels, which can
- decrease the effectiveness of probenecid.
- Before starting to take probenecid, BE SURE TO TELL YOUR DOCTOR about any
- medications you are taking, especially any of those listed above.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- any medications, especially to probenecid.
- * Before starting to take probenecid, be sure to tell your doctor if you
- now have or if you have ever had blood diseases, diabetes mellitus,
- glucose-6-phosphate dehydrogenase (G6PD) deficiency, kidney stones, peptic
- ulcers, or porphyria.
- * Diabetics using Clinitest urine glucose tests may get erroneously high
- readings of blood sugar levels while they are taking this drug. Temporarily
- changing to Clinistix or Tes-Tape urine tests will avoid this problem.
- * If probenecid makes you dizzy, do not take part in any activity that
- requires alertness, such as driving a car or operating potentially dangerous
- machinery.
- * Avoid taking large amounts of vitamin C while on probenecid. Vitamin C
- can increase the risk of kidney stone formation.
- * Probenecid is not effective during an attack of gout. It is used to
- prevent attacks.
- * Tell your doctor if you are pregnant. Although probenecid appears to
- be safe, it does cross the placenta. Extensive studies in pregnant women have
- not been conducted. Also, tell your doctor if you are breast-feeding an
- infant. It is not known whether probenecid 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.
-