Febuxostat Dr. Reddys

Febuxostat Dr. Reddys Uses, Dosage, Side Effects, Food Interaction and all others data.

Febuxostat Dr. Reddys is a non-purine, selective xanthine oxidase (XO) inhibitor. It decreases serum uric acid level by inhibiting xanthine oxidase, which is responsible for uric acid production. Xanthine oxidase breaks down hypoxanthine to xanthine and thus to uric acid. Febuxostat Dr. Reddys is not expected to inhibit other enzymes involved in purine and pyrimidine synthesis and metabolism at therapeutic concentrations.

Febuxostat Dr. Reddys is a novel, selective xanthine oxidase/dehydrogenase inhibitor that works by decreasing serum uric acid in a dose-dependent manner. In healthy subjects, febuxostat decreased the mean serum uric acid and serum xanthine concentrations, as well as the total urinary uric acid excretion. Febuxostat Dr. Reddys at daily doses of 40-80 mg reduced the 24-hour mean serum uric acid concentrations by 40 to 55%. Closely related to the drug-induced reduction of serum uric acid levels and mobilization of urate crystals in tissue deposits, febuxostat is associated with gout flares.

Unlike allopurinol and oxypurinol, febuxostat has no inhibitory actions against other enzymes involved in purine and pyrimidine synthesis and metabolism, because it does not structurally resemble purines or pyrimidines.

Trade Name Febuxostat Dr. Reddys
Availability Prescription only
Generic Febuxostat
Febuxostat Other Names Fébuxostat, Febuxostat, Febuxostatum
Related Drugs allopurinol, Zyloprim, probenecid, Uloric, Krystexxa
Type
Formula C16H16N2O3S
Weight Average: 316.375
Monoisotopic: 316.088163078
Protein binding

Febuxostat is approximately 99.2% bound to plasma proteins, primarily to albumin. Plasma protein binding is constant over the concentration range achieved with 40 mg and 80 mg doses.

Groups Approved
Therapeutic Class Drugs used in Gout
Manufacturer Dr, Reddys Laboratories (UK) Ltd
Available Country United Kingdom
Last Updated: September 19, 2023 at 7:00 am
Febuxostat Dr. Reddys
Febuxostat Dr. Reddys

Uses

Febuxostat Dr. Reddys is used for the long-term management of Hyperuricemia in patients with gout. It is not recommended for use in the treatment of asymptomatic Hyperuricemia.

Febuxostat Dr. Reddys is also used to associated treatment for these conditions: Chronic, symptomatic Hyperuricemia

How Febuxostat Dr. Reddys works

Gout is a form of acute arthritis that is characterized by the accumulation of crystals of monosodium urate and urate crystals in or around a joint, leading to inflammation and persistent urate crystal deposition in bones, joints, tissues, and other organs that may exacerbate over time. Hyperuricemia is closely related to gout, whereby it may exist for many years before the first clinical attack of gout; thus, aberrated serum uric acid levels and hyperuricemia are believed to be the biochemical aberration involved in the pathogenesis of gout. Xanthine oxidoreductase (XOR) can act as a xanthine oxidase or xanthine dehydrogenase. In humans, it is a critical enzyme for uric acid production as it catalyzes the oxidation reaction steps from hypoxanthine to xanthine and from xanthine to uric acid in the pathway of purine metabolism. Febuxostat Dr. Reddys potently inhibits XOR, blocking both its oxidase and dehydrogenase activities. With high affinity, febuxostat binds to XOR in a molecular channel leading to the molybdenum-pterin active site, where allopurinol demonstrates relatively weak competitive inhibition.

XOR is mainly found in the dehydrogenase form under normal physiological conditions; however, in inflammatory conditions, XOR can be converted into the xanthine oxidase form, which catalyzes reactions that produce reactive oxygen species (ROS), such as peroxynitrite. ROS contribute to vascular inflammation and alterations in vascular function. As febuxostat can inhibit both forms of XOR, it can inhibit ROS formation, oxidative stress, and inflammation. In a rat model, febuxostat suppressed renal ischemia-reperfusion injury by attenuating oxidative stress.

Dosage

Febuxostat Dr. Reddys dosage

The recommended starting dosage of Febuxostat Dr. Reddys is 40 mg once daily. For patients who do not achieve a serum uric acid concentration of less than 6 mg/dL after 2 weeks at the 40 mg dose, Febuxostat Dr. Reddys 80 mg once daily is recommended. Febuxostat Dr. Reddys can be administered without regard to food or antacid use.

Side Effects

The most common adverse events associated with the use of Febuxostat Dr. Reddys may include liver function abnormalities, nausea, arthralgia, and rash.

Toxicity

Oral lowest published toxic dose (TDLO) in humans is 1.82 mg/kg/14D (intermittent). Oral LD50 is 300 mg/kg in mice, 3200 mg/kg in rabbits, and 980 mg/kg in rats.

No dose-limiting toxicities were observed with febuxostat administered at doses up to 300 mg daily for seven days in healthy subjects. There are no reports of overdose of febuxostat in clinical studies and there is no known antidote. Overdose should be managed by symptomatic and supportive care.

Precaution

Gout Flare: An increase in gout flares is frequently observed during initiation of anti-hyperuricemic agents, including Febuxostat Dr. Reddys. If a gout flare occurs during treatment, Febuxostat Dr. Reddys need not be discontinued. Prophylactic therapy (i.e., non-steroidal anti-inflammatory drug (NSAID) or colchicine upon initiation of treatment) may be beneficial for up to six months.

Cardiovascular Events: A higher rate of cardiovascular thromboembolic events was observed in patients treated with febuxostat than allopurinol in clinical trials. Monitor for signs and symptoms of MI and stroke.

Liver Enzyme Elevation: Transaminase elevations have been observed in febuxostat -treated patients. Monitor liver function tests periodically.

Interaction

Concomitant administration of Febuxostat Dr. Reddys with azathioprine, mercaptopurine or theophylline could increase plasma concentrations of these drugs resulting in severe toxicity.

Food Interaction

  • Take with or without food. A high fat meal decreases Cmax and AUC in a clinically insignificant way.

Volume of Distribution

The apparent steady-state volume of distribution (Vss/F) of febuxostat ranges from 29 to 75 L, indicating a low to medium volume of distribution.

Elimination Route

After oral administration, about 85% of febuxostat is absorbed rapidly. Tmax ranges from 1 to 1.5 hours. Following once-daily oral administration, Cmax was approximately 1.6 ± 0.6 mcg/mL at a dose of 40 mg febuxostat and 2.6 ± 1.7 mcg/mL at a dose of 80 mg febuxostat.

A high-fat meal decreased Cmax by 49% and AUC by 18%, but there were no clinically significant changes in the ability of febuxostat to decrease serum uric acid concentrations.

Half Life

The apparent mean terminal elimination half-life of approximately 5 to 8 hours.

Clearance

Following oral administration of single doses of 10 to 240 mg, the mean apparent total clearance ranged from 10 to 12 L/h.

Elimination Route

Febuxostat Dr. Reddys is eliminated via both hepatic and renal pathways. Following oral administration of 80 mg radiolabeled febuxostat, approximately 49% of the dose was recovered in the urine. In urine, about 3% of the recovered dose accounted for unchanged febuxostat, 30% accounted for the acyl glucuronide metabolite, 13% accounted for oxidative metabolites and their conjugates, and 3% accounted for unidentified metabolites.

Approximately 45% of the total dose was recovered in the feces, where 12% of the dose accounted for the unchanged parent drug. About 1% accounted for the acyl glucuronide metabolite, 25% accounted for oxidative metabolites and their conjugates, and 7% accounted for unidentified metabolites.

Pregnancy & Breastfeeding use

Pregnancy Category C. There are no adequate and well-controlled studies in pregnant women. Febuxostat Dr. Reddys should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Lactation: It is not known whether this drug is excreted in human milk. Caution should be exercised when Febuxostat Dr. Reddys is administered to a nursing woman.

Contraindication

Febuxostat Dr. Reddys is contraindicated in patients being treated with azathioprine, mercaptopurine, or theophylline.

Special Warning

Pediatric Use: Safety and effectiveness in pediatric patients under 18 years of age have not been established

Acute Overdose

Febustat was studied in healthy subjects in doses up to 300 mg daily for seven days without evidence of dose-limiting toxicities.

Storage Condition

Keep out of the reach of children. Keep in a cool & dry place, protected from light.

Innovators Monograph

You find simplified version here Febuxostat Dr. Reddys

Febuxostat Dr. Reddys contains Febuxostat see full prescribing information from innovator Febuxostat Dr. Reddys Monograph, Febuxostat Dr. Reddys MSDS, Febuxostat Dr. Reddys FDA label

FAQ

How safe is Febuxostat Dr. Reddys?

Febuxostat Dr. Reddys is a medication used long-term to treat gout due to high uric acid levels. It is generally recommended only for people who cannot take allopurinol.

How safe is Febuxostat Dr. Reddys?

Take one tablet each day. There have been a few reports of Febuxostat Dr. Reddys causing a serious allergic reaction. Although this is rare, if you experience any of these symptoms, you should stop taking Febuxostat Dr. Reddys and contact your doctor straightaway.

How does Febuxostat Dr. Reddys work?

Febuxostat Dr. Reddys works by decreasing the amount of uric acid that is made in the body.

What are the common side effects of Febuxostat Dr. Reddys?

Common side effects of Febuxostat Dr. Reddys are include:

  • Arm, back, or jaw pain
  • black, tarry stools
  • bloody nose
  • blurred vision
  • chest pain or discomfort
  • chills
  • cloudy urine
  • confusion
  • cough
  • dark urine
  • decreased frequency or amount of urine
  • diarrhea
  • difficult or labored breathing
  • difficulty with moving
  • dizziness
  • dry mouth
  • fainting
  • fast, irregular, pounding, or racing heartbeat or pulse
  • feeling of fullness
  • fever

Is Febuxostat Dr. Reddys safe during pregnancy?

Some experts advise against use during pregnancy as the potential risk for humans is unknown.

Is Febuxostat Dr. Reddys safe during breastfeeding?

There are no data on the effects of this drug on the breastfed infant or its effects on milk production. Some experts advise against breastfeeding as a risk to the breastfeeding infant cannot be excluded.

Can I drink alcohol with Febuxostat Dr. Reddys?

Alcohol doesn't interact significantly with Febuxostat Dr. Reddys, but it does increase the level of urate in the blood.

Can I drive after taking Febuxostat Dr. Reddys ?

Be aware that you may experience dizziness, sleepiness, blurred vision and numbness or tingling sensation during treatment and should not drive or operate machines, if affected.

When is the best time to take Febuxostat Dr. Reddys?

It is best taken in the morning. If you do shift work or want to take your medicine at night, talk to your doctor, nurse or pharmacist.

Can I take Febuxostat Dr. Reddys on an empty stomach?

You can take Febuxostat Dr. Reddys with or without food.

How long does Febuxostat Dr. Reddys take to work?

Febuxostat Dr. Reddys should be taken every day to prevent a gout attack. It can take six months to become fully effective. It does not have any effect during a gout attack, although you should continue to take it regularly every day even if this happens.

Does Febuxostat Dr. Reddys affect the liver?

No instances of acute liver failure or chronic liver injury have been reported due to Febuxostat Dr. Reddys, but the clinical experience with this agent is limited.

Can I take Febuxostat Dr. Reddys for a long time?

Treatment with Febuxostat Dr. Reddys is usually long-term unless you experience an adverse effect. Continue to take the tablets unless you are advised otherwise by a doctor.

Is Febuxostat Dr. Reddys bad for my heart?

Febuxostat Dr. Reddys does not increase or decrease the risk of cardiovascular disease but may increase the risk of CVD death.

Is Febuxostat Dr. Reddys bad for kidney?

Febuxostat Dr. Reddys has shown to be safe and effective in patients with moderate to severe renal impairment, and dose adjustment is not required in these patients.

Can Febuxostat Dr. Reddys be stopped?

You should not stop using Febuxostat Dr. Reddys suddenly.

What happen If I stop taking Febuxostat Dr. Reddys?

If Febuxostat Dr. Reddys treatment is stopped there is a high risk that your gout may worsen. You should continue to take it even if you do not have symptoms.

Who should not take Febuxostat Dr. Reddys?

Taking Febuxostat Dr. Reddys may increase your risk of serious or fatal heart problems. Seek medical attention if you have chest pain, trouble breathing, fast heartbeats, sudden severe headache, numbness or weakness on one side of your body, or problems with vision or speech. You should not use Febuxostat Dr. Reddys if you also use azathioprine or mercaptopurine.

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happen if I take too much Febuxostat Dr. Reddys?

If you take too much Febuxostat Dr. Reddys, call your healthcare provider or local Poison Control Center or seek emergency medical attention right away. If Febuxostat Dr. Reddys is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. However, if an overdose is suspected, seek emergency medical attention.

Will Febuxostat Dr. Reddys affect my fertility?

The effects of Febuxostat Dr. Reddys  on fertility are not currently known, but it's unlikely to be harmful.

*** Taking medicines without doctor's advice can cause long-term problems.
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