Febuxostat

Gout

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

No

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Pharmaceutical Class

Xanthine Oxidase Inhibitor

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Controlled Drug Substance

NO

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Drug Ingredient

Febuxostat

Summary

  • Febuxostat is used to treat gout, which is a type of arthritis caused by high levels of uric acid in the blood. It helps prevent gout flares by lowering uric acid levels.

  • Febuxostat works by inhibiting xanthine oxidase, which is an enzyme that helps produce uric acid in the body. By blocking this enzyme, it reduces uric acid levels and helps prevent gout flares.

  • The usual starting dose of Febuxostat for adults is 40 mg once daily. Your doctor may adjust your dose based on your uric acid levels. The maximum recommended dose is 80 mg daily. It can be taken with or without food.

  • Common side effects of Febuxostat include liver function abnormalities, nausea, and joint pain. These effects can vary from person to person, and it's important to talk to your doctor if you notice any new symptoms.

  • Febuxostat may increase the risk of heart-related death and should be used with caution in patients with a history of heart disease. It is also contraindicated in people with severe liver disease. Regular liver function tests are recommended.

Indications and Purpose

How does Febuxostat work?

Febuxostat works by inhibiting an enzyme called xanthine oxidase, which helps produce uric acid in the body. By blocking this enzyme, Febuxostat reduces uric acid levels, helping to prevent gout flares. Think of it like turning down the heat on a stove to prevent a pot from boiling over.

Is Febuxostat effective?

Febuxostat is effective in lowering uric acid levels in people with gout. Clinical studies show it significantly reduces uric acid levels, helping to prevent gout flares. It is often used when other treatments are not effective or suitable.

What is Febuxostat?

Febuxostat is a medication used to treat gout, which is a type of arthritis caused by excess uric acid in the blood. It works by reducing uric acid levels, helping to prevent gout flares. Febuxostat is usually used when other treatments are not effective or suitable.

Directions for Use

For how long do I take Febuxostat?

Febuxostat is usually a long-term medication for managing gout. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. How long you'll need this medication depends on your body's response and any side effects you experience.

How do I dispose of Febuxostat?

Dispose of unused Febuxostat by taking it to a drug take-back program or collection site at a pharmacy or hospital. If you can't find a take-back program, mix the medication with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away in the trash.

How do I take Febuxostat?

Take Febuxostat as prescribed by your doctor, usually once daily. You can take it with or without food. If you miss a dose, take it as soon as you remember unless it's almost time for your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at once. Always follow your doctor's specific instructions regarding diet and fluid intake while on this medication.

How long does it take for Febuxostat to start working?

Febuxostat begins working in your body shortly after you take it, but it may take several weeks to achieve its full effect. The time it takes to work can depend on your uric acid levels and overall health. Take it exactly as prescribed for the best results.

How should I store Febuxostat?

Store Febuxostat at room temperature, away from moisture and light. Keep it in a tightly closed container. Don't store it in humid places like bathrooms. Always keep Febuxostat out of children's reach to prevent accidental swallowing.

What is the usual dose of Febuxostat?

The usual starting dose of Febuxostat for adults is 40 mg once daily. Your doctor may adjust your dose based on your uric acid levels and how well you tolerate the medication. The maximum recommended dose is 80 mg daily. Always follow your doctor's specific dosing instructions for your personal health needs.

Warnings and Precautions

Can Febuxostat be taken safely while breastfeeding?

Febuxostat is not recommended while breastfeeding due to limited information on its safety. We don't know if it passes into human breast milk. If you're taking Febuxostat and want to breastfeed, talk with your doctor about safer medication options.

Can Febuxostat be taken safely while pregnant?

Febuxostat is not recommended during pregnancy due to limited safety data. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your condition. Your doctor can help create a treatment plan that protects both you and your baby.

Can I take Febuxostat with other prescription drugs?

Febuxostat can interact with certain medications, such as azathioprine and mercaptopurine, increasing the risk of adverse effects. Always inform your doctor about all the medications you take to avoid potential interactions and ensure your treatment is safe.

Does Febuxostat have adverse effects?

Adverse effects are unwanted reactions to a medication. Common adverse effects of Febuxostat include liver function abnormalities, nausea, and joint pain. Serious side effects can include heart-related issues and severe skin reactions. If you notice any new or worsening symptoms while taking Febuxostat, contact your doctor immediately.

Does Febuxostat have any safety warnings?

Yes, Febuxostat has important safety warnings. It may increase the risk of heart-related death and should be used with caution in patients with a history of heart disease. Febuxostat can also cause liver problems, so regular liver function tests are recommended. If you experience symptoms like chest pain, shortness of breath, or liver-related issues, seek medical attention immediately.

Is Febuxostat addictive?

Febuxostat is not addictive or habit-forming. This medication doesn't cause dependency or withdrawal symptoms when you stop taking it. Febuxostat works by reducing uric acid levels in the blood and doesn't affect brain chemistry in ways that could lead to addiction.

Is Febuxostat safe for the elderly?

Elderly patients may be more vulnerable to side effects of Febuxostat, such as heart-related issues. Regular monitoring and dose adjustments may be necessary. Always consult your doctor about the risks and benefits of Febuxostat for elderly patients.

Is it safe to drink alcohol while taking Febuxostat?

It's best to limit alcohol while taking Febuxostat, as alcohol can increase uric acid levels and worsen gout symptoms. If you choose to drink, do so in moderation and talk with your doctor about alcohol use while on this medication.

Is it safe to exercise while taking Febuxostat?

You can exercise while taking Febuxostat, but stay hydrated to prevent dehydration. If you feel dizzy or lightheaded during exercise, slow down or stop and rest. Most people can maintain their regular exercise routine while taking Febuxostat, but check with your doctor if you have concerns.

Is it safe to stop Febuxostat?

Stopping Febuxostat suddenly can cause your uric acid levels to rise, potentially worsening gout symptoms. Always talk with your doctor before stopping Febuxostat. They might suggest gradually reducing your dose or switching to a different medication to keep your condition under control.

What are the most common side effects of Febuxostat?

Side effects are unwanted reactions that can happen when taking a medication. Common side effects of Febuxostat include liver function abnormalities, nausea, and joint pain. These effects vary from person to person. If you notice new symptoms after starting Febuxostat, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.

Who should avoid taking Febuxostat?

Febuxostat should not be used in people with severe heart problems or those who have had a heart attack or stroke. It is also contraindicated in people with severe liver disease. Always consult your doctor about any health concerns before starting Febuxostat.