Zyloric 150 mg (Allopurinol) is a xanthine oxidase inhibitor that lowers uric acid production—used primarily for preventing gout attacks, uric acid kidney stones, and hyperuricemia from chemotherapy.
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Zyloric (Allopurinol) works by inhibiting the enzyme xanthine oxidase, which reduces uric acid production, thereby preventing crystallization and accumulation in joints and renal tissues. It’s indicated for:
Gouty arthritis, skin tophi, uric acid nephrolithiasis
Hyperuricemia during malignancy or high cell turnover states
Specific metabolic enzyme disorders like Lesch–Nyhan syndrome
Management of renal 2,8-DHA stones or recurrent calcium oxalate stones associated with hyperuricosuria
RxReasoner
MedicineP
Dosage Guidelines (Adults):
Start at 100 mg daily after a meal to minimize GI upset
Mild cases: 100–200 mg/day
Moderate: 300–600 mg/day (often in divided doses)
Severe: up to 700–900 mg/day as clinically required
Always adjust based on serum urate levels and renal/hepatic function
RxReasoner
Medicines.org.uk
MIMS
Special Populations & Precautions:
Renal impairment: lower doses or extended dosing intervals are required; dialysis patients may need post-dialysis dosing (300–400 mg)
Hepatic dysfunction: dose reduction and periodic liver function monitoring recommended
Elderly: use the lowest effective dose
anagen.net
RxReasoner
Key Risks & Side Effects:
Common: rash, nausea, drowsiness, elevated liver enzymes
Rare but serious: Stevens–Johnson syndrome, toxic epidermal necrolysis—especially among certain ethnic groups or those with renal impairment—requires immediate discontinuation
Medicines.org.uk
patient-info.co.uk
lynchspharmacy.com
Drug Interactions:
Increases effects or toxicity of azathioprine, 6-mercaptopurine
Interaction with ACE inhibitors, diuretics, warfarin, theophylline
May exacerbate reactions if taken with ampicillin/amoxicillin