Alupure 100 Tablet is a medicine used to treat and prevent gout. Gout happens when there is too much uric acid in your body and it forms into crystals that can appear around your joints and kidneys and cause pain. This medicine helps to keep uric acid levels low.
Alupure 100 Tablet should be taken after food. You should keep taking it as recommended by your doctor even when you are not having a gout attack. If you stop, your symptoms may get worse because more crystals form in your joints and kidneys. You can help yourself by making some changes to your diet and drinking plenty of fluids.
Some of the common side effects of this medicine are nausea, diarrhea, increased serum glutamic oxaloacetic transaminase and serum glutamate pyruvate transaminase, and increased alkaline phosphatase. Your doctor may help with ways to reduce or prevent these symptoms. Some people may get a severe allergic reaction that needs urgent medical attention. Talk to your doctor straight away if you get symptoms of liver disease including nausea that does not stop, yellowing skin or eyes, or dark urine.
To make sure it is safe for you, before taking this medicine, let your doctor know if you have or have had heart failure, heart problems, stroke, kidney or liver disease, or thyroid problems. Do not use this medicine if you are pregnant or breastfeeding. Check with your doctor. You will be asked for regular blood tests to check that your liver is working properly.
Alupure 100 Tablet is used to prevent and treat gout. Gout is caused by too much uric acid in your body. When the level becomes too high, crystals may form in and around certain joints and your kidneys. This can cause sudden and severe pain, redness, warmth, and swelling. This medicine works by preventing crystals from forming and reducing the levels of uric acid in your blood. This makes it less likely that you will suffer the symptoms and make them milder if you do have them. It is usually for long-term treatment and should be taken regularly until the dose is completed.
Side effects of Alupure Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Alupure
Diarrhea
Nausea
Elevated serum glutamic oxaloacetic transaminase
Elevated serum glutamic pyruvic transaminase
Increased alkaline phosphatase level in blood
How to use Alupure Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Alupure 100 Tablet is to be taken with food.
How Alupure Tablet works
Alupure 100 Tablet is a xanthine oxidase inhibitor. It works by decreasing blood uric acid, which is the chemical that causes gout.
Safety advice
Alcohol
CAUTION
Caution is advised when consuming alcohol with Alupure 100 Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Alupure 100 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Alupure 100 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Alupure 100 Tablet may cause side effects which could affect your ability to drive. Occasionally drowsiness, dizziness or vertigo, ataxia and visual disturbances, may occur when taking Alupure 100 Tablet. This may affect your driving ability.
Kidney
CAUTION
Alupure 100 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Alupure 100 Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Alupure 100 Tablet should be used with caution in patients with liver disease. Dose adjustment of Alupure 100 Tablet may be needed. Please consult your doctor.
What if you forget to take Alupure Tablet?
If you miss a dose of Alupure 100 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Your doctor has prescribed Alupure 100 Tablet to reduce episodes of gout attack.
Take Alupure 100 Tablet with food to avoid stomach upset.
Take plenty of fluids (2-3 litres) daily while on Alupure 100 Tablet.
Notify your doctor if you develop a rash. This could be a sign of allergy and should go away on discontinuing Alupure 100 Tablet.
When you first start taking this medicine, you might have more gout attacks. Do not stop Alupure 100 Tablet on having an acute attack of gout as that could make an attack worse.
Your doctor may check your liver function before starting treatment and regularly thereafter. Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.
Do not consume alcohol while taking this medicine as it may cause your gout to flare up.
Fact Box
Chemical Class
Pyrazolo Pyrimidine Derivative
Habit Forming
No
Therapeutic Class
PAIN ANALGESICS
Action Class
Xanthine oxidase Inhibitors-gout
Interaction with drugs
Taking Alupure with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
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Hi For the exact treatment of gout you should consult a rheumatologist with all your reports. Precautions which you can follow are 1. eat low fat diet 2. Don't have foods with high purine content like shellfish, redmeat etc. 3. Slowly loose weight 4. Restrict your intake of alcohol 5. drink lots of water 6. Increase your intake of dairy products
What is the best time of the day to take Alupure 100 Tablet?
Alupure 100 Tablet can be taken at anytime of the day but preferably should be taken at the same time each day so that you remember to take it. It is usually prescribed once daily and should be taken after meals. If the dose exceeds 300 mg or if your stomach is upset, you can take it in divided doses as advised by your doctor.
Why do I still get gout while taking Alupure 100 Tablet?
If you have started taking Alupure 100 Tablet, you may experience an increase in attacks of gout (severe pain, swelling, and redness). However, these attacks usually become shorter and less severe after several months of therapy. The possible reason for increased attacks could be gradual breakdown of uric acid crystals, causing fluctuations in uric acid levels in the blood. To prevent such painful events, your doctor may advise to take colchicine with Alupure 100 Tablet, as it can suppress the gouty attacks.
How long does it take for Alupure 100 Tablet to lower uric acid levels?
It may take several months before you start feeling better or notice any significant reduction in attacks of gout (severe pain, swelling, and redness). Initially after starting Alupure 100 Tablet you may experience gouty attacks. Continue taking Alupure 100 Tablet even if you do not experience any considerable relief from the attacks. Do not stop taking Alupure 100 Tablet without consulting your doctor. Your doctor will prescribe you another medicine along with Alupure 100 Tablet to prevent the initial attacks. It may take up to years for the body to completely get rid of all uric acid crystals.
What if I take alcohol while taking Alupure 100 Tablet?
You should refrain yourself from consuming alcohol while taking Alupure 100 Tablet as this could make your condition worse. Also, you should avoid all foods that are rich source of proteins as it will help to prevent attacks of gout. Consult your doctor for a detailed list of food items which need to be avoided. It is also recommended that you drink at least 8 glasses of water or other fluids while taking Alupure 100 Tablet, unless your doctor has advised otherwise.
Does Alupure 100 Tablet cause drowsiness?
Yes, Alupure 100 Tablet may cause drowsiness in some people. It can even make you feel giddy (dizzy) or you may have problems with coordination. It would be best to avoid driving or operating machinery if you experience these side effects. However, if it is unavoidable then extreme caution should be exercised while performing such tasks.
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References
Furst DE, Ulrich RW, Varkey-Altamirano C. Nonsteroidal Anti-Inflammatory Drugs, Disease Modifying Antirheumatic Drugs, Nonopioids Analgesics, & Drugs Used in Gout. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 638-39.
Grosser T, Smyth E, FitzGerald GA. Anti-Inflammatory, Antipyretic, and Analgesic Agents; Pharmacotherapy of Gout. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 996-97.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 40-42.
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