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Febustat 40

Form: Tablet

Strength: 40mg

Generic Name: Febuxostat

Company: Incepta Pharmaceuticals Ltd.

MRP:৳ 13.0   (Strip=10)

Per Piece: ৳ 1.30  

Is Antibiotic: No

Indications

Febustat 40 is used for managing high uric acid levels in people with gout. Febustat 40 is not recommended for treating high uric acid levels in people without symptoms.

Pharmacology

Febustat 40 is a medicine that works by blocking an enzyme called xanthine oxidase. This enzyme breaks down substances in the body that produce uric acid. By blocking this enzyme, Febustat 40 lowers the level of uric acid in the blood. Febustat 40 does not affect other processes in the body related to purine or pyrimidine, which are important for cell function.

Dosage & Administration

Starting Dose: One 40 mg tablet once a day. If the uric acid level is still high after two weeks, increase to 80 mg once a day. If needed, increase to 120 mg after another 2-4 weeks.

Tumor Lysis Syndrome: Take 120 mg once daily, starting two days before chemotherapy and continue for at least 7 days. The duration may be extended up to 9 days depending on the chemotherapy.

Gout Flares: Gout flares may happen when starting this medicine. To prevent them, take a non-steroidal anti-inflammatory drug (NSAID) or colchicine. If a flare occurs, continue the treatment and manage the flare separately.

Renal Impairment: No change in dose is needed for mild to moderate kidney problems.

Hepatic Impairment: No change in dose is needed for mild to moderate liver problems.

Pediatric Use: This medicine is not recommended for children under 18, as safety and effectiveness have not been established.

Interaction

Mercaptopurine/Azathioprine: These drugs should not be used together with Febustat 40, as Febustat 40 may increase their levels in the blood and cause harm.

Rosiglitazone/CYP2C8 Substrates: No dose change is needed when using Febustat 40 with these drugs.

Naproxen & Other Glucuronidation Inhibitors: Febustat 40 can be taken with naproxen without changing the dose of either drug.

Inducers of Glucuronidation: Drugs that speed up its metabolism might reduce its effectiveness. Febustat 40 is recommended to monitor uric acid levels after starting these drugs.

Colchicine/Indomethacin/Other Medications: Febustat 40 can be used together with colchicine, indomethacin, hydrochlorothiazide, and warfarin without needing a dose change.

Antacids: Taking Febustat 40 with magnesium hydroxide and aluminum hydroxide (found in some antacids) may delay its absorption by about 1 hour but does not affect its effectiveness.

Contraindications

Febustat 40 should not be used by patients who are taking azathioprine, mercaptopurine, or theophylline.

Side Effects

The most common side effects include gout flares, liver problems, diarrhea, nausea, headaches, skin rash, and swelling. These effects are usually mild. Serious allergic reactions are rare.

Pregnancy & Lactation

Febustat 40 is a Category C drug during pregnancy, which means Febustat 40 should only be used if the benefits outweigh the risks. Febustat 40 is unknown if Febustat 40 passes into breast milk, so Febustat 40 should be used cautiously by nursing mothers.

Precautions & Warnings

Gout Flare: Gout flares are common when starting this medicine. They can be treated without stopping the medicine.

Cardiovascular Events: There is a higher risk of heart problems in some patients taking Febustat 40. Monitor for signs of heart attack or stroke.

Liver Enzyme Elevation: Febustat 40 can cause liver enzyme levels to rise. Regular liver function tests are recommended.

Overdose Effects

In studies, Febustat 40 has been given in doses up to 300 mg per day for 7 days without causing significant harmful effects.

Therapeutic Class

Febustat 40 is used in the treatment of gout.

Storage Conditions

Store below 30°C, away from light and moisture. Keep out of reach of children.

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