Buy Zyloprim
Zyloprim

0.37
The standard long-term treatment to prevent gout attacks and kidney stones.


Ingredient
Availability
In Stock
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Alternative/Local Brand
Zyloric
Active Ingredient(s)
Allopurinol
Primary Category
Gout Prevention
Therapeutic Class
Antigout preparations, Urate production inhibitors
Pharmacological Class
Xanthine oxidase inhibitor
Indications
Gout prevention, Kidney stones, Excess uric acid during cancer treatment
Contraindications
Hypersensitivity to allopurinol, Acute gout attack (should not be started during)
Minor Side Effects
Drowsiness, Nausea
Moderate Side Effects
Skin rash, Diarrhoea, Changes in liver function tests
Serious Side Effects
Severe hypersensitivity syndrome, Fever and chills, Significant skin peeling, Blood disorders
Dosage Forms
Tablet
Administration Route
Oral
Mechanism of Action
It works by inhibiting the enzyme xanthine oxidase, which is responsible for the production of uric acid. By lowering uric acid levels in the blood, it prevents the formation of painful crystals in the joints.
Prescription Status
Rx
Manufacturer
Aspen
Patient Summary
The standard long-term treatment to prevent gout attacks and kidney stones.
Onset Time
1-2 weeks to lower uric acid
Duration
24 hours
Storage Instructions
Store at room temperature.
Drug Interactions
Azathioprine, Mercaptopurine, Amoxicillin, Warfarin, Cyclosporin
Age Restrictions
Mainly for adults; rarely used in children except for cancer/enzymatic disorders.
Pregnancy Use
Not usually recommended unless no safer alternative.
Alternative Drugs
Febuxostat, Colchicine (for acute flare-ups)

What is Zyloprim?

Zyloprim is a brand name for the medication allopurinol, an oral pill used to lower high levels of uric acid in the blood. Allopurinol belongs to the class of xanthine oxidase inhibitors and is commonly prescribed for conditions such as gout and certain types of kidney stones. In Hong Kong, Zyloprim is a prescription-only medication regulated by the Department of Health. It is available in two strengths: 100 mg and 300 mg tablets.

How Zyloprim Works in the Body

Allopurinol blocks the enzyme xanthine oxidase, which is responsible for converting purines (found in many foods) into uric acid. By inhibiting this enzyme, Zyloprim reduces the production of uric acid, helping to prevent its accumulation in joints and kidneys. Lower uric acid levels lessen the risk of gout flares and can slow the formation of uric-acid kidney stones.

  • Onset: Blood uric acid levels usually begin to decline within a few days of starting therapy.
  • Peak effect: Maximal reduction is typically seen after 2-4 weeks of consistent dosing.
  • Duration: The effect persists as long as the medication is taken daily.

Conditions Treated by Zyloprim

Zyloprim is FDA- and EMA-approved for the following indications, which are also recognized by Hong Kong health authorities:

  • Gout - prevention of acute attacks and long-term management of hyperuricemia.
  • Asymptomatic hyperuricemia - when uric acid levels remain high despite lifestyle measures.
  • Uric-acid kidney stones - to reduce stone formation in patients with recurrent stones.
  • Tumor lysis syndrome (prophylaxis) - in oncology patients at high risk of rapid uric acid release.

These uses are based on the drug’s ability to lower uric acid rather than directly relieving pain; pain relief in gout results from the reduction of crystal-induced inflammation.

Patient Suitability and Contraindications

Who Should Use Zyloprim?

  • Adults with documented hyperuricemia or a history of gout attacks.
  • Patients who can take oral medication and have no known hypersensitivity to allopurinic acid or any component of the tablet.

Absolute Contraindications

  • Known severe hypersensitivity to allopurinol (e.g., rash, Stevens-Johnson syndrome).
  • Severe renal impairment requiring dialysis (requires specialist oversight).

Relative Contraindications

  • Moderate renal or hepatic impairment - dose adjustments may be needed.
  • Pregnancy (category D) - only if the benefit outweighs the risk; discuss with a healthcare professional.
  • Breast-feeding - small amounts are excreted in milk; caution advised.

Special Populations

  • Elderly: May require lower initial doses due to decreased renal function.
  • Renal impairment: Start with 100 mg daily and increase slowly; monitor kidney function regularly.
  • Pregnancy/Breast-feeding: Use only under medical supervision.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Mild rash or itching (often transient).
  • Nausea, upset stomach, or loss of appetite.
  • Diarrhea or constipation.

These reactions are usually mild and resolve without discontinuing therapy.

Serious Adverse Events

  • Severe skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis (rare but life- threatening).
  • Liver enzyme elevation or hepatitis.
  • Acute gout flare at the start of therapy (often managed with concurrent colchicine or NSAIDs).

If any severe skin rash, jaundice, or persistent abdominal pain occurs, seek medical attention promptly.

Drug Interactions

  • Azathioprine, Mercaptopurine: Allopurinol can increase their toxicity; dose reductions of these immunosuppressants are required.
  • Thiazide diuretics (e.g., hydrochlorothiazide): May raise uric acid levels, reducing Zyloprim’s effectiveness.
  • Warfarin: Allopurinol can potentiate anticoagulant effect; monitor INR more frequently.
  • Amoxicillin-clavulanate and other β-lactam antibiotics: May increase risk of rash when combined.

Food and Lifestyle Interactions

  • Alcohol, especially beer, can raise uric acid and may diminish the benefit of Zyloprim.
  • High-purine foods (red meat, organ meats, certain seafood) should be limited while on therapy.
  • No known interaction with caffeine or nicotine, but maintaining a balanced diet supports overall uric-acid control.
  • Driving or operating machinery is not typically affected, but severe rash or dizziness warrants caution.

General Advice: Always provide a full medication list-including over-the-counter drugs, supplements, and herbal products-to the prescribing clinician.

How to Take Zyloprim

Standard Dosing

  • Initial dose: 100 mg (one 100 mg tablet) taken once daily.
  • Titration: Dose may be increased by 100 mg every 2-4 weeks based on serum uric acid levels, up to a typical maintenance dose of 300 mg once daily.
  • Maximum dose: Some patients require higher doses (up to 800 mg per day), but tablets larger than 300 mg are not available in this formulation; multiple tablets may be prescribed under medical supervision.

Special Populations

  • Renal impairment: Begin with 100 mg daily, increase slowly; dose may be limited to 100 mg if creatinine clearance is <30 mL/min.
  • Elderly: Start low and titrate cautiously, monitoring renal function.

Administration Tips

  • Swallow tablets whole with a full glass of water.
  • Can be taken with or without food; consistency (same time each day) improves adherence.
  • Store at room temperature, away from moisture and direct sunlight.

Missed Dose

  • If a dose is missed, take it as soon as remembered unless it is near the time of the next scheduled dose. Do not double-dose.

Overdose

  • Symptoms may include severe nausea, vomiting, dizziness, and kidney dysfunction.
  • Seek emergency medical care; treatment is supportive, and dialysis may be required in extreme cases.

Discontinuation

  • Abrupt cessation is generally safe, but patients should discuss any plan to stop therapy with a clinician, especially if gout attacks have been frequent.

Monitoring and Follow-Up

  • Serum uric acid: Check 2-4 weeks after initiating therapy, then every 3-6 months once target levels are achieved.
  • Renal function: Baseline creatinine and periodic monitoring, especially when doses exceed 300 mg daily.
  • Liver enzymes: Periodic testing if there is a history of hepatic disease or if symptoms of hepatitis appear.
  • Skin examination: Promptly report any rash or skin changes.

Regular follow-up appointments allow dose adjustments to maintain uric acid below 6 mg/dL (or below 5 mg/dL in patients with tophi).

Storage and Handling

  • Keep Zyloprim tablets in the original container, tightly closed.
  • Store at 15 °C to 30 °C (room temperature), protected from light and moisture.
  • Do not use tablets after the expiration date printed on the package.
  • Dispose of unused medication according to local pharmacy take-back programs or follow Hong Kong waste-disposal guidelines for medicines.

Medication-Specific Glossary

Xanthine Oxidase
An enzyme that converts purines into uric acid; the primary target of allopurinol.
Hyperuricemia
Elevated blood uric acid concentration, often defined as >7 mg/dL in men and >6 mg/dL in women.
Stevens-Johnson Syndrome
A rare, severe skin reaction that can be triggered by medications like allopurinol; requires immediate medical attention.

Medical Disclaimer

This article provides educational information about Zyloprim and is not a substitute for professional medical advice. Treatment decisions, including the use of Zyloprim for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Zyloprim FAQ

Can Zyloprim be taken with other gout medications like colchicine?

Yes, Zyloprim is often initiated alongside colchicine or an NSAID to prevent an initial gout flare. Both drugs can be taken together, but dosing intervals should follow the prescribing clinician’s instructions.

Why do some patients experience a rash when starting Zyloprim?

Allopurinol can trigger immune-mediated skin reactions in a small proportion of patients. The rash typically appears within the first few weeks. If it spreads or is accompanied by fever, seek medical care promptly.

Is Zyloprim safe for people with mild kidney disease?

Patients with mild to moderate renal impairment can use Zyloprim, but the starting dose is usually reduced to 100 mg daily, and dosing is adjusted based on kidney function and uric-acid response.

How long does it take for Zyloprim to lower uric acid levels enough to prevent gout attacks?

Most patients see a measurable decline in serum uric acid within 2-3 days, with optimal control achieved after 2-4 weeks of steady dosing.

Can I travel internationally with Zyloprim tablets?

Yes, Zyloprim is legal for personal use in most countries when you possess a valid prescription. Carry the medication in its original packaging with the prescription label visible.

Do I need to avoid certain foods while on Zyloprim?

Limiting high-purine foods (e.g., red meat, organ meats, certain seafood) and reducing alcohol intake, especially beer, helps maximize the drug’s effectiveness.

What should I do if I miss a dose while on a weekend?

Take the missed dose as soon as you remember, unless it is close to the time of your next scheduled dose. Do not double-dose; simply resume the regular dosing schedule.

Are there any special storage considerations for Zyloprim in hot climates?

Store the tablets in a cool, dry place away from direct sunlight. In very hot environments, keep them inside a temperature-controlled cabinet or a sealed container to protect from heat and humidity.

How does Zyloprim compare to febuxostat for gout management?

Both drugs lower uric acid, but they belong to different classes. Allopurinol (Zyloprim) is a xanthine oxidase inhibitor with a long safety record, while febuxostat is a newer, non-purine inhibitor. Choice depends on individual kidney function, tolerance, and physician recommendation.

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