Allopurinol (Drug Study)
Allopurinol (Drug Study)
Allopurinol (Drug Study)
ALLOPURINOL Inhibits xanthine Treatment of Severe renal impairment and CNS: Fever, drowsiness, Assess patient’s history, gout may
oxidase, an enzyme primary or children except those with headache, be secondary to disease such as
involved in the secondary gout hyperuricemia secondary to paresthesia, acute or chronic leukemia,
(Allomaron, Allurase,
synthesis of uric acid hyperuricemia malignancy, idiopathic peripheral polycythemia vera, multiple
Drugmaker’s Biotech
without disrupting the resulting from hemochromatosis, acute gouty neuropathy, neuritis. myeloma or psoriasis.
Allopurinol, Elavil,
biosynthesis of chemotherapy attack, hypersensitivity. CV: Hypersensitivity Assess for pain including location,
Llanol, Lopric,
essential purine. for Lactation. vasculitis, necrotizing characteristics, onset/duration,
Loricid, Purinase,
Results in decreased malignancies angiitis. frequency, quality, intensity or
Puristen, SYnol,
acid level. recurrent EENT: Epistaxis. severity of pain, precipitating
Zelcron, Zyloprim)
calcium oxalate GI: Diarrhea, nausea, factors.
renal calculi vomiting, abdominal Monitor uric acid levels every 2
CLASSIFICATION: pain, gastritis, taste
Recurrent weeks. Monitor renal function;
Xanthine oxidase trophaceous loss, or perversion, check intake-output ratio, increase
inhibitor; antigout deposits or uric dyspepsia. fluids to 2 L/day to prevent stone
drug acid stones. GU: Renal failure, formation, toxicity, BUN,
uremia. creatinine.
Hematologic: Monitor CBC and hepatic function
Agranulocytosis, at the start of therapy and
anemia, aplastic periodically thereafter.
anemia, Be alert for adverse reaction and
thrombocytpenis, drug interaction, anemia, hepatitis.
leucopenia, Advaic patient to avoid hazardous
leukocytosis, activities requiring mental
eosinophilia. alertness until CNS effect are
Hepatic: Hepatitis, known.
hepatic necrosis,
Advice patient to avoid taking
hepatomegaly,
large dose of vitamin C, it may
cholestatic jaundice.
cause kidney stone formation.
Musculoskeletal:
Maintain a diet enhancing urine
Arthralgia,
alkalinity, and if taking drug for
myopathy.
calcium oxalate stones, reduce
dairy products, refined sugar,
sodium and meat.
Tell patient to stop drug and report
if skin rash, stomatitis, malaise,
and fever occur, this may precede
hypersensitivity or adverse
reaction.