Allopurinol 300mg Tablets
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Patient Information Leaflet
Your medicine is known by either of the above names but will be referred to as Zyloric throughout the rest of the leaflet. Please note that the leaflet also contains information about another strength of the medicine, Zyloric 100mg Tablets.
Read all of this leaflet carefully before you start taking this medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you. Do not pass it onto others. It may harm them, even if their symptoms are the same as yours.
• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet:
1. What Zyloric is and what it is used for
2. Before you take Zyloric
3. How to take Zyloric
4. Possible Side Effects
5. How to store Zyloric
6. Further Information
1. What Zyloric is and what it is used for
Zyloric contains a medicine called allopurinol. It works by slowing down the speed of certain chemical reactions in your body.
Zyloric is used:
• to prevent gout. This is a disease where your body produces too much of a substance called ‘uric acid'. The uric acid builds up in your joints and tendons as crystals. These crystals cause an inflammatory reaction. The inflammation causes the skin around certain joints to become swollen, tender and sore when only slightly touched. You can also find you get severe pain when the joint is moved.
• to prevent other conditions where there is a build up of uric acid in the body. These include kidney stones and certain other types of kidney problem and when you are having treatment for cancer.
2. Before you take Zyloric
Do not take Zyloric if:
• you are allergic (hypersensitive) to allopurinol or any of the other ingredients of Zyloric (listed in Section 6).
Do not take Zyloric if the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Zyloric.
Warnings and Precautions
Talk to your doctor or pharmacist before taking your medicine if:
• you have problems with your liver or kidneys. Your doctor may give you a lower dose or ask you to take it less often than each day. They will also monitor you more closely
• you have heart problems or high blood pressure
• you are currently having an attack of gout
• you have been told by your doctor that you have an intolerance to lactose. Zyloric contains a small amount of lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Serious skin rashes have been reported with the use of allopurinol that can be more common in patients with chronic renal impairment and in people of Han Chinese or Thai Origin. These serious skin rashes can include (Hypersensitivity syndrome, Stevens- Johnson syndrome and toxic epidermal necrolysis) have been reported with the use of allopurinol. Frequently, the rash can involve ulcers of the mouth, throat, nose, genitals and conjunctivitis (red and swollen eyes).
These serious skin rashes are often preceded by influenza-like symptoms, fever, headache, body ache (flu-like symptoms). The rash may progress to widespread blistering and peeling of the skin. If you develop a rash or these skin symptoms, stop taking allopurinol and contact your doctor immediately.
Taking other medicines
Tell your doctor or pharmacist if you are taking any of the following:
• aspirin
• theophylline, used for breathing problems
• medicines used for fits (epilepsy)
• antibiotics
• didanosine, used to treat HIV infection
• medicines for cancer
• medicines used to reduce your immune response (immunosuppressants)
• medicines used to treat diabetes
• medicines for heart problems or high blood pressure such as ‘ACE inhibitors' or water tablets (diuretics)
• medicines used to thin your blood (anticoagulants), such as warfarin
• any other medicine to treat gout.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines obtained without a prescription, including herbal medicines. This is because Zyloric can affect the way some medicines work. Also some other medicines can affect the way Zyloric works.
Taking Zyloric with food and drink
Take Zyloric with food and water.
Pregnancy and breast-feeding
Talk to your doctor before taking this medicine if you are pregnant, might become pregnant or are breast-feeding.
Driving and using machines
You may feel drowsy, giddy or have problems with your co-ordination. If this happens, do not drive or use any tools or machines.
3. How to take Zyloric
Always take Zyloric exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Taking this medicine
• Swallow the tablet with a drink of water.
• Take with or just after food.
Children (under 15 years)
• The usual dose ranges from 100 to 400 mg each day.
Adults (over 18 years)
• The usual dose ranges from 100 to 900 mg each day.
You will usually start on a dose of 100 to 300 mg each day.
Elderly (over 65 years)
• Your doctor will prescribe the lowest dose of Zyloric that best controls your symptoms.
If you have a serious kidney problem
• you may be asked to take less than 100 mg each day
• or you may be asked to take 100 mg at longer intervals than one day.
If you have dialysis two or three times a week, your doctor may prescribe a dose of 300 or 400 mg which is to be taken straight after your dialysis.
If you take more Zyloric than you should
If you take more Zyloric than you should, talk to a doctor or go to hospital straight away. Take the medicine pack with you.
If you forget to take Zyloric
• If you forget a dose, take it as soon as you remember it.
However, if it is nearly time for the next dose, skip the missed dose.
• Do not take a double dose to make up for a forgotten dose.
If you stop taking Zyloric
Do not stop taking your Zyloric without talking to your doctor.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible Side Effects
Like all medicines, Zyloric can cause side effects, although not everybody gets them. The following side effects may happen with this medicine:
Allergic reactions (affects less than 1 in 10,000 people)
If you have an allergic reaction, stop taking Zyloric and see a doctor straight way. The signs may include:
• skin rash, flaking skin, boils or sore lips and mouth
• very rarely signs may include sudden wheeziness, fluttering or tightness in the chest and collapse. Do not take any more tablets unless your doctor tells you to do so.
If you experience any of the following, stop your tablets and tell your doctor as soon as possible:
Rare (affects less than 1 in 1000 people)
Joint pain or Painful swelling in your groin, armpits or neck yellowing of the skin and eyes (jaundice) liver or kidney problems
feeling sick (nausea) or being sick (vomiting), occasionally with blood
you notice any changes to your skin, for example ulcers of the mouth, throat, nose, genitals and conjunctivitis (red and swollen eyes), widespread blisters or peeling, fever and chills, headache, aching muscles (flu-like symptoms) and generally feeling unwell bleeding in the lips, eyes, mouth, nose or genitals
Serious hypersensitivity reactions involving fever, skin rash, joint pain, and abnormalities in blood and liver function tests (these may be signs of a multi-organ sensitivity disorder).
Very rare (affects less than 1 in 10,000 people)
• bruising more easily than usual, or you may develop a sore throat or other signs of an infection. Tell your doctor as soon as possible. Occasionally Zyloric may affect your blood or lymph system. These effects usually occur in people with liver or kidney problems high temperature blood in your urine (haematuria) high levels of cholesterol in your blood (hyperlipidaemia) a general feeling of being unwell
weakness, numbness, unsteadiness on your feet, feeling unable to move muscles (paralysis) or loss of consciousness
headache, dizziness, drowsiness or disturbance of your vision chest pain, high blood pressure ora slow pulse male infertility or erectile dysfunction enlargement of the breasts, in men as well as women a change in your normal bowel habit a change in taste cataracts
hair loss or discolouration fits (convulsions) depression
build up of fluid leading to swelling (oedema) particularly of your ankles
feeling thirsty, tired and losing weight; these may be symptoms of diabetes. Your doctor may wish to measure the level of sugar in your blood to check if this is happening.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Zyloric
• Do not use after the expiry date printed on the carton label or blister strip after 'EXP'. The expiry date refers to the last day of that month.
• Zyloric tablets should be stored in a dry place below 25°C.
• KEEP ALL MEDICINES OUT OF THE SIGHT AND REACH OF CHILDREN.
• If your doctor tells you to stop taking the tablets, please take them back to the pharmacist for safe disposal. Only keep the tablets if your doctor tells you to.
• If the tablets become discoloured or show signs of any deterioration, you should ask your doctor or pharmacist before taking them.
• Medicines should not be disposed of via wastewater or household waste.
6. Further Information
Your medicine is called Zyloric 300mg Tablets / Allopurinol 300mg Tablets.
Each 300mg tablet contains 300mg of the active ingredient allopurinol. The tablet is white, round and is marked ‘C9B' and a breakline on one side and plain on the reverse.
Zyloric 300mg Tablets / Allopurinol 300mg Tablets also contain the following: lactose, maize starch, polyvinylpyrrolidone and magnesium stearate.
Zyloric 300mg Tablets / Allopurinol 300mg Tablets are available as blister packs of 30 tablets.
POM PL No: 6464/0096
This product is manufactured by Teofarma S.r.l., Viale Certosa, 8/A- 27100 Pavia, Italy and is procured from within the EU and repackaged by the Product Licence holder:
Waymade plc, Miles Gray Road, Basildon, Essex SS14 3FR
Leaflet revision and issue date (Ref.) 11.08.2014
Zyloric is a registered trademark of the Glaxo Group Ltd.
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