Febuxostat (INN; trade names Adenuric [Europe], Febutaz [India ] and Takeda's Uloric [United States ]) is a urate lowering
drug, an inhibitor of xanthine oxidase that is indicated for use in the
treatment of hyperuricemia and chronic gout.
Febuxostat received marketing approval by
the European Medicines Agency on April 21, 2008 and was approved by the U.S.
Food and Drug Administration on February 16, 2009. A study comparing febuxostat
to allopurinol found that more individuals treated with febuxostat had
decreased levels of uric acid, but there was no difference in the amount of
initial gout flares or the surface area of gout tophi. The CAS NO of Febuxostat
is 144060-53-7.
Febuxostat is used to treat gout. Gout is a
type of arthritis in which uric acid, a naturally occurring substance in the
body, builds up in the joints and causes sudden attacks of redness, swelling,
pain, and heat in one or more joints. Febuxostat is in a class of medications
called xanthine oxidase inhibitors. It works by decreasing the amount of uric
acid that is made in the body. Febuxostat is used to prevent gout attacks, but
not to treat them once they occur.
Nausea may occur. If this effect persists
or worsens, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed
this medication because he or she has judged that the benefit to you is greater
than the risk of side effects. Many people using this medication do not have
serious side effects.
Febuxostat may rarely cause serious
(possibly fatal) liver disease. It may also cause an increase in liver enzymes.
Your doctor will order blood tests to measure these enzymes. Keep all medical/lab
appointments. Tell your doctor immediately if you develop symptoms of liver
disease, including persistent nausea, stomach/abdominal pain, dark urine,
yellowing eyes/skin.
Tell your doctor immediately if any of
these rare but very serious side effects occur: chest pain/pressure, sudden
tiredness, weakness, jaw/left arm pain, weakness on one side of the body,
slurred speech, sudden vision changes, confusion, pink/bloody urine, painful
urination.
Febuxostat may cause a rash that could be a
sign of a severe reaction. Therefore, tell your doctor immediately if you
develop any rash.
A very serious allergic reaction to this
drug is rare. However, seek immediate medical attention if you notice any
symptoms of a serious allergic reaction, including: rash, itching/swelling
(especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible
side effects. If you notice other effects not listed above, contact your doctor
or pharmacist.
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