Zyloprim

— THERAPEUTIC CATEGORIES —
  • Gout
  • Hyperuricemia
  • Miscellaneous urogenital disorders

Zyloprim Generic Name & Formulations

General Description

Allopurinol 100mg, 300mg; scored tabs.

Pharmacological Class

Xanthine oxidase inhibitor.

How Supplied

100mg—100; 300mg—100, 500

Manufacturer

Zyloprim Indications

Indications

Gout.

Zyloprim Dosage and Administration

Adult

Take with food. Initially 100mg daily. Maintain prophylactic therapy initially. Increase by 100mg daily increments at weekly intervals; max 800mg/day and 300mg/dose. Usual range: mild: 200–300mg daily; severe: 400–600mg daily.

Children

Not recommended.

Zyloprim Contraindications

Not Applicable

Zyloprim Boxed Warnings

Not Applicable

Zyloprim Warnings/Precautions

Warnings/Precautions

Discontinue at 1st sign of skin rash. Renal or hepatic dysfunction. Monitor blood, renal, and hepatic tests for first few months of therapy. Maintain neutral or alkaline urine and increase urine output to ≥2 liters daily. Pregnancy. Nursing mothers.

Zyloprim Pharmacokinetics

See Literature

Zyloprim Interactions

Interactions

Increase in azathioprine and mercaptopurine toxicity. May potentiate oral anticoagulants, chlorpropamide, cyclosporine. Uricosurics reduce drug effect. Increased rash with ampicillin, amoxicillin. Monitor renal function with thiazides.

Zyloprim Adverse Reactions

Adverse Reactions

Rash, GI disorders, acute gout, ecchymosis, fever, headache, hepatic necrosis, drowsiness, neuritis, arthralgia, necrotizing angiitis, blood dyscrasias, bone marrow depression, toxic skin reactions (eg, SJS, DRESS, generalized vasculitis), renal failure.

Zyloprim Clinical Trials

See Literature

Zyloprim Note

Not Applicable

Zyloprim Patient Counseling

See Literature

Zyloprim Generic Name & Formulations

General Description

Allopurinol 100mg, 300mg; scored tabs.

Pharmacological Class

Xanthine oxidase inhibitor.

How Supplied

100mg—100; 300mg—100, 500

Manufacturer

Zyloprim Indications

Indications

Hyperuricosuria and hyperuricemia induced nephropathy due to cancer chemotherapy.

Zyloprim Dosage and Administration

Adult

600–800mg daily for 2–3 days with fluids.

Children

Not recommended.

Zyloprim Contraindications

Not Applicable

Zyloprim Boxed Warnings

Not Applicable

Zyloprim Warnings/Precautions

Warnings/Precautions

Discontinue at 1st sign of skin rash. Renal or hepatic dysfunction. Monitor blood, renal, and hepatic tests for first few months of therapy. Maintain neutral or alkaline urine and increase urine output to ≥2 liters daily. Pregnancy. Nursing mothers.

Zyloprim Pharmacokinetics

See Literature

Zyloprim Interactions

Interactions

Increase in azathioprine and mercaptopurine toxicity. May potentiate oral anticoagulants, chlorpropamide, cyclosporine. Uricosurics reduce drug effect. Increased rash with ampicillin, amoxicillin. Monitor renal function with thiazides.

Zyloprim Adverse Reactions

Adverse Reactions

Rash, GI disorders, acute gout, ecchymosis, fever, headache, hepatic necrosis, drowsiness, neuritis, arthralgia, necrotizing angiitis, blood dyscrasias, bone marrow depression, toxic skin reactions (eg, SJS, DRESS, generalized vasculitis), renal failure.

Zyloprim Clinical Trials

See Literature

Zyloprim Note

Not Applicable

Zyloprim Patient Counseling

See Literature

Zyloprim Generic Name & Formulations

General Description

Allopurinol 100mg, 300mg; scored tabs.

Pharmacological Class

Xanthine oxidase inhibitor.

How Supplied

100mg—100; 300mg—100, 500

Manufacturer

Zyloprim Indications

Indications

Management of recurrent calcium oxalate calculi in hyperuricosurics. Hyperuricosuria and hyperuricemia induced nephropathy due to cancer chemotherapy.

Zyloprim Dosage and Administration

Adult

Take with food. Calculi: 200–300mg daily. Adjust based on urinary urate levels. Chemotherapy-induced nephropathy prophylaxis: 600–800mg daily for 2–3 days with fluids.

Children

Usually not recommended. Chemotherapy–induced nephropathy prophylaxis: <6yrs: 150mg daily. 6–10yrs: 300mg daily.

Zyloprim Contraindications

Not Applicable

Zyloprim Boxed Warnings

Not Applicable

Zyloprim Warnings/Precautions

Warnings/Precautions

Discontinue if rash occurs. Use only if daily uric acid excretion exceeds 800mg in males or 750mg in females. Advise reduction of animal protein, sodium, refined sugars, oxalate-rich foods, and excessive calcium intake. Increase fiber intake. Renal or hepatic dysfunction. Monitor blood, renal, and hepatic tests for first few months of therapy. Maintain neutral or alkaline urine and increase urine output to ≥2 liters daily. Pregnancy (Cat.C). Nursing mothers.

Zyloprim Pharmacokinetics

See Literature

Zyloprim Interactions

Interactions

Increase in azathioprine and mercaptopurine toxicity. May potentiate oral anticoagulants, chlorpropamide, cyclosporine. Uricosurics reduce drug effect. Increased rash with ampicillin, amoxicillin. Monitor renal function with thiazides.

Zyloprim Adverse Reactions

Adverse Reactions

Rash, GI disorders, acute gout, ecchymosis, fever, headache, hepatic necrosis, drowsiness, neuritis, arthralgia, necrotizing angiitis, blood dyscrasias, bone marrow depression, toxic skin reactions (eg, SJS, DRESS, generalized vasculitis), renal failure.

Zyloprim Clinical Trials

See Literature

Zyloprim Note

Not Applicable

Zyloprim Patient Counseling

See Literature