Uloric
What is Uloric?[edit | edit source]
Uloric (Febuxostat) is a xanthine oxidase (XO) inhibitor used for the chronic management of hyperuricemia in patients with gout.
What are the uses of this medicine?[edit | edit source]
- Uloric (Febuxostat) is a prescription medicine called a xanthine oxidase (XO) inhibitor, used to lower blood uric acid levels in adults with gout.
Limitations of Use:
- ULORIC is not recommended for the treatment of asymptomatic hyperuricemia.
How does this medicine work?[edit | edit source]
Febuxostat (fe bux' oh stat) is a nonpurine inhibitor of xanthine oxidase that shares no structural homology to allopurinol or to hypoxanthine. Therapy with febuxostat leads to lowering of serum uric acid levels within a few weeks, and chronic therapy has been shown to decrease uric acid levels into target levels of <6 mg/dL and to decrease acute gouty attacks.
Who Should Not Use this medicine ?[edit | edit source]
This medicine cannot be used in patients who:
- take Azathioprine (Azasan®, Imuran®)
- take Mercaptopurine (Purinethol®)
- take Theophylline (Theo-24®, Elixophyllin®, Theochron®, Theolair®, Uniphyl®)
What drug interactions can this medicine cause?[edit | edit source]
- ULORIC is contraindicated in patients being treated with azathioprine, mercaptopurine, or theophylline.
- No data are available regarding the safety of ULORIC during cytotoxic chemotherapy.
Is this medicine FDA approved?[edit | edit source]
- Febuxostat was approved for medical use in the European Union in 2008 and in the United States in 2009.
How should this medicine be used?[edit | edit source]
Recommended dosage:
- For treatment of hyperuricemia in patients with gout, ULORIC is recommended at 40 mg or 80 mg once daily.
- The recommended starting dose of ULORIC is 40 mg once daily. For patients who do not achieve a serum uric acid (sUA) less than 6 mg per dL after 2 weeks with 40 mg, ULORIC 80 mg is recommended.
- No dose adjustment is necessary when administering ULORIC to patients with mild to moderate renal or hepatic impairment.
Administration:
- Take ULORIC exactly as your healthcare provider tells you to take it.
- ULORIC can be taken with or without food.
- ULORIC can be taken with antacids.
- Your gout may flare up when you start taking ULORIC, do not stop taking your ULORIC even if you have a flare. Your healthcare provider may give you other medicines to help prevent your gout flares.
- Your healthcare provider may do certain tests while you take ULORIC.
What are the dosage forms and brand names of this medicine?[edit | edit source]
This medicine is available in fallowing doasage form:
- As Tablet: 40 mg, 80 mg.
This medicine is available in fallowing brand namesː
- ULORIC
What side effects can this medication cause?[edit | edit source]
The most common side effects of this medicine include:
- liver problems
- nausea
- gout flares
- joint pain
- rash
This medicine may cause serious side effects, including:
- Heart problems
What special precautions should I follow?[edit | edit source]
- After initiation of ULORIC, an increase in gout flares is frequently observed. This increase is due to reduction in serum uric acid levels. If a gout flare occurs during treatment, ULORIC need not be discontinued. Prophylactic therapy (i.e., non-steroidal anti-inflammatory drug (NSAID) or colchicine upon initiation of treatment) may be beneficial for up to six months.
- A higher rate of cardiovascular thromboembolic events was observed in patients treated with ULORIC than allopurinol in clinical trials. Monitor for signs and symptoms of MI and stroke.
- Transaminase elevations have been observed in ULORIC-treated patients. Monitor liver function tests periodically.
What to do in case of emergency/overdose?[edit | edit source]
Symptoms of overdosage may include:
- No overdose of ULORIC was reported in clinical studies.
Treatment of overdosage:
- Patients should be managed by symptomatic and supportive care should there be an overdose.
Can this medicine be used in pregnancy?[edit | edit source]
- There are no adequate and well-controlled studies in pregnant women.
- ULORIC should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Can this medicine be used in children?[edit | edit source]
- Safety and effectiveness in pediatric patients under 18 years of age have not been established.
What are the active and inactive ingredients in this medicine?[edit | edit source]
- Active Ingredient: febuxostat
- Inactive ingredients include: lactose monohydrate, microcrystalline cellulose, hydroxypropyl cellulose, sodium croscarmellose, silicon dioxide, magnesium stearate, and Opadry II, green
Who manufactures and distributes this medicine?[edit | edit source]
Distributed by Takeda Pharmaceuticals America, Inc. Deerfield, IL
- ULORIC® is a registered trademark of Teijin Pharma Limited and used under license by Takeda Pharmaceuticals America, Inc.
What should I know about storage and disposal of this medication?[edit | edit source]
- Store ULORIC between 59°F - 86°F (15°C - 30°C).
- Keep ULORIC out of the light.
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