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Zyrolik Tablet (Allopurinol)
Prescription medication

Zyrolik Tablet (Allopurinol)

Treatment of gout and hyperuricemia (including urate nephropathy)

Samil Pharmaceutical Co., Ltd.

Key information summary

Efficacy & effects
Treatment of gout and hyperuricemia (including urate nephropathy)
Adult dosage
Adults should start with allopurinol at 100 mg per day to avoid a rapid decrease in serum uric acid levels, increasing by 100 mg weekly until the target serum uric acid level is reached. The maximum dosage should not exceed 800 mg per day. For mild gout, the dosage is 100 to 300 mg per day; for moderate tophaceous gout, it is 300 to 600 mg per day; and for severe tophaceous gout, it is 600 to 800 mg per day, divided into 1 to 3 doses.
Ingredients
Allopurinol
Rx / OTC
Prescription medication
Appearance
White round tablet

Efficacy & effects

This medication is used for gout, hyperuricemia, and nephropathy caused by uric acid affecting the kidneys.

Dosage

Adults should start with allopurinol at 100 mg per day to avoid a rapid decrease in serum uric acid levels, increasing by 100 mg weekly until the target serum uric acid level is reached. The maximum dosage should not exceed 800 mg per day. For mild gout, the dosage is 100 to 300 mg per day; for moderate tophaceous gout, it is 300 to 600 mg per day; and for severe tophaceous gout, it is 600 to 800 mg per day, divided into 1 to 3 doses.

Precautions

This medication can cause serious allergic reactions during use, so if skin rashes or hypersensitivity symptoms occur, it should be stopped immediately. It should not be administered to children, nursing mothers, or patients who are allergic to this drug or have experienced serious adverse reactions in the past. Patients with liver or kidney problems, pregnant women, and the elderly should use this medication with caution, and regular liver function tests and blood tests are required. This medication can cause various adverse reactions such as skin rashes, fever, and joint pain, and if these symptoms occur, it is essential to consult a healthcare professional immediately. Caution is required when engaging in hazardous activities such as driving or operating machinery as drowsiness or dizziness may occur. This medication may interact with other drugs, so inform healthcare professionals of any medications being taken. Women who are pregnant or potentially pregnant should be cautious when using this medication, and it is advisable to avoid it while breastfeeding. Safety in children has not been established, so it is generally not used except in special cases. Elderly patients may experience increased drug concentration due to decreased kidney function, requiring dosage adjustments. It is recommended to maintain adequate hydration to increase urine output and alkalinize the urine while taking this medication. Store out of reach of children, and keep the medication in its original container to prevent degradation of quality. Patients with specific genetic traits may have a higher risk of severe skin reactions from this medication; genetic testing may be considered before treatment. If severe skin reactions or hypersensitivity occur while using this medication, treatment should be discontinued immediately, and consult a healthcare professional.

Side effects

Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), mucocutaneous syndrome (Stevens-Johnson syndrome), toxic epidermal necrolysis (Lyell's syndrome), fever, rash, lymphadenopathy, arthralgia, hepatitis, renal dysfunction, seizures, shock, anaphylaxis-like symptoms, aplastic anemia, pancytopenia, agranulocytosis, liver dysfunction (including liver necrosis and granulomatous hepatitis), jaundice, renal failure, worsening of renal failure, interstitial nephritis, interstitial pneumonia, cough, shortness of breath, myalgia,

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