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Uloric

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Uloric (Febuxostat) is a xanthine oxidase inhibitor used to treat chronic gout and hyperuricemia. It works by reducing the production of uric acid in the body, which prevents the formation of painful crystals in the joints. This medication helps adults manage long-term uric acid levels and prevent future gout attacks.


Ingredient
Category
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Febuxostat
Reference Brand
Adenuric
Manufacturer
Takeda Pharmaceuticals
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Gout Treatment
Product Category
Antigout Preparations, Urate-lowering therapy
Pharmacological Class
Xanthine oxidase inhibitors
Clinical Indications
Manufacturer Description
A prescription medicine used to lower uric acid levels in adults with gout when other treatments have not worked or are not suitable.
Mechanism of Action
This medication works by blocking an enzyme called xanthine oxidase. This enzyme is responsible for producing uric acid in the body. By reducing the production of uric acid, the drug helps prevent the formation of crystals in the joints, thereby reducing gout flares and long-term joint damage.
Route of Administration
Oral
Onset Time
2 weeks for initial effect
Duration
24 hours
Contraindications
Hypersensitivity to febuxostat, Organ transplant recipients, Ischaemic heart disease, Congestive heart failure
Severe Adverse Events
Severe allergic reactions, Heart attack symptoms, Stroke symptoms, Severe skin rashes (Stevens-Johnson syndrome)
Common Side Effects
Small skin rash, Nausea, Minor joint pain
Uncommon Side Effects
Diarrhoea, Headache, Liver function test abnormalities, Dizziness
Drug Interactions
Azathioprine, Mercaptopurine, Theophylline
Pregnancy Safety Warnings
Not recommended during pregnancy or breastfeeding.
Age Restrictions
Not recommended for children under 18
Storage Guidelines
Store at room temperature away from moisture and heat.
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Uloric FAQ

Can I take Uloric while on allopurinol?

Uloric and allopurinol are both xanthine oxidase inhibitors; using them together offers no additional benefit and may increase the risk of adverse effects. Switching from one to the other should be done under medical supervision, typically with a short wash-out period.

What does the imprint on a Uloric tablet look like?

The 40 mg tablet is usually imprinted with “U40” and the 80 mg tablet with “U80.” Imprints can vary by manufacturer, so verify with your pharmacist if you are uncertain.

Will Uloric show up on a drug test for work or sport?

Febuxostat is not a prohibited substance by most sporting bodies, and it is not screened for in standard occupational drug panels. However, athletes should always check the latest World Anti-Doping Agency (WADA) list.

Is Uloric covered by the NHS in the UK?

Uloric may be prescribed on the NHS when clinically indicated, particularly if a patient cannot tolerate allopurinol. Reimbursement depends on local formulary decisions and clinical justification.

How long does a Uloric tablet stay stable after opening the bottle?

Tablets remain stable until the expiry date printed on the packaging, provided they are stored correctly at room temperature and protected from moisture.

Can I travel internationally with Uloric?

Yes, but keep the medication in its original packaging with a prescription label. Some countries require a doctor’s note for controlled medications; Uloric is not a controlled drug but having documentation can prevent customs delays.

What should I do if I develop a rash while taking Uloric?

Stop the medication and seek immediate medical attention, as rash can be an early sign of a serious hypersensitivity reaction. Do not restart without a clinician’s evaluation.

Are there any dietary supplements that interact with febuxostat?

Supplements containing high amounts of vitamin C can modestly lower uric acid and may enhance febuxostat’s effect, but they are generally safe. However, herbal products that affect liver enzymes (e.g., St John’s wort) could alter febuxostat metabolism; discuss all supplements with your pharmacist.

Does kidney disease affect how I should take Uloric?

Febuxostat can be used in patients with mild to moderate renal impairment without dose reduction, but severe renal failure requires careful monitoring and possibly an alternative therapy. Your prescriber will assess kidney function before prescribing.

What is the difference between Uloric and other gout medicines like colchicine?

Uloric lowers uric acid production to prevent gout flares, whereas colchicine is an anti-inflammatory used to treat acute attacks. They serve different roles: Uloric for long-term control, colchicine for immediate symptom relief.

What is Uloric?

Uloric is a prescription-only pill that contains the active ingredient febuxostat. It belongs to the class of xanthine oxidase inhibitors and is used to lower high levels of uric acid in the blood. In the United Kingdom, Uloric is authorised by the MHRA for the management of chronic gout when other treatments, such as allopurinol, are not appropriate. The medication is supplied in two strengths: 40 mg and 80 mg tablets.

How Uloric Works in the Body

Febuxostat blocks the activity of the enzyme xanthine oxidase, which is responsible for converting purine metabolites (xanthine and hypoxanthine) into uric acid. By inhibiting this enzyme, Uloric reduces the production of uric acid, leading to lower serum urate concentrations. The reduction in uric acid helps prevent the formation of monosodium urate crystals that trigger gout attacks.

  • Onset of action: Serum urate levels typically begin to fall within the first week of treatment.
  • Peak effect: Maximal urate-lowering effect is usually observed after 2-3 weeks of consistent dosing.
  • Duration: The inhibitory effect persists for the entire dosing interval (once daily).

Conditions Treated by Uloric

  • Chronic gout - long-term management of hyperuricemia to reduce the frequency of gout flares.
  • Hyperuricemia associated with gout when other urate-lowering therapies are unsuitable or not tolerated.

Uloric is not indicated for acute gout attacks; those require anti-inflammatory agents such as NSAIDs, colchicine, or corticosteroids.

Patient Suitability and Contraindications

Who Should Use Uloric?

  • Adults diagnosed with chronic gout who require urate-lowering therapy.
  • Patients who have not achieved target serum urate levels with, or cannot tolerate, allopurinol.

Absolute Contraindications

  • Known hypersensitivity to febuxostat or any excipients in the tablet.
  • Severe hepatic impairment (Child-Pugh class C).

Relative Contraindications

  • Moderate hepatic impairment (Child-Pugh class B) - dose adjustment and close monitoring are advised.
  • Mild to moderate renal impairment - standard dosing may be used, but renal function should be reviewed periodically.
  • Cardiovascular disease - febuxostat carries a boxed warning in some jurisdictions for an increased risk of major adverse cardiovascular events; clinicians should assess risk-benefit individually.

Special Populations

  • Pregnancy and lactation: Febuxostat is contraindicated during pregnancy and breastfeeding because of potential fetal and neonatal toxicity.
  • Elderly: No specific dosage reduction is required solely due to age, but comorbidities common in older adults (renal or hepatic dysfunction) may necessitate monitoring.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Elevated liver enzymes (ALT, AST) - usually mild and reversible.
  • Rash or mild skin reactions - often transient.
  • Nausea or abdominal discomfort - typically resolves with continued therapy.

Serious Adverse Events

  • Severe hypersensitivity reactions (e.g., Stevens-Johnson syndrome, toxic epidermal necrolysis).
  • Liver failure - rare but potentially fatal; immediate medical attention required if jaundice or dark urine develop.
  • Cardiovascular events - increased incidence of heart-related serious adverse events has been reported in some studies; patients with established cardiovascular disease should be monitored closely.

Drug Interactions

  • Azathioprine and Mercaptopurine: Febuxostat can increase plasma concentrations of these immunosuppressants, raising the risk of myelosuppression. Dose reductions of the antimetabolites are recommended.
  • Warfarin: May enhance anticoagulant effect; INR should be monitored more frequently after initiating or changing febuxostat therapy.
  • Ritonavir and other CYP3A4 inhibitors: May raise febuxostat levels; dose adjustment may be needed.

If you are taking any other prescription medicines, over-the-counter drugs, supplements, or herbal products, discuss them with your pharmacist or prescriber before starting Uloric.

Food and Lifestyle Interactions

  • Alcohol: Excessive intake can raise uric acid levels and may diminish the benefit of febuxostat; moderation is advised.
  • High-purine diet: While Uloric lowers uric acid production, a diet rich in purines (red meat, seafood, organ meats) can still provoke gout flares; dietary counseling is recommended.
  • Driving and machinery: No specific impairment is associated with Uloric, but severe rash or dizziness from any medication warrants caution.

How to Take Uloric

  • Standard dosing:
  • Start with 40 mg tablet taken orally once daily.
  • If serum urate remains above target after approximately 2 weeks, the dose may be increased to 80 mg once daily.
  • Administration: Swallow the tablet whole with water. It can be taken with or without food.
  • Missed dose: Take the missed tablet as soon as you remember on the same day; do not double the dose the next day.
  • Overdose: Symptoms may include severe nausea, vomiting, abdominal pain, and dizziness. Seek urgent medical care; supportive measures are the mainstay of treatment.
  • Discontinuation: Do not stop abruptly without medical advice. Tapering is not required for febuxostat, but clinicians may advise a gradual reduction if adverse reactions develop.

All dosing decisions must be individualized by a qualified healthcare professional.

Monitoring and Follow-Up

  • Serum urate: Check baseline level before starting therapy, then re-measure 2-4 weeks after dose initiation or adjustment. Target is usually < 0.36 mmol/L (≤ 6 mg/dL).
  • Liver function tests (ALT, AST, bilirubin): Baseline and periodic monitoring (e.g., every 3 months) are recommended, especially in patients with existing hepatic disease.
  • Renal function: Periodic assessment of eGFR is advisable for patients with chronic kidney disease.
  • Cardiovascular assessment: For patients with known heart disease, periodic evaluation of blood pressure and cardiac status is prudent.

If any concerning symptoms (e.g., rash, jaundice, chest pain) arise, contact a healthcare provider promptly.

Storage and Handling

  • Store Uloric tablets at room temperature (15-25 °C), away from excess heat, moisture, and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the pack.
  • Dispose of unused tablets according to local pharmacy waste guidelines; do not flush them down the toilet.

Medication-Specific Glossary

Xanthine Oxidase Inhibitor
A drug class that blocks the enzyme xanthine oxidase, reducing the conversion of purines into uric acid.
Hyperuricemia
An abnormally high concentration of uric acid in the blood, which can precipitate gout crystals.
Gout Flare
An acute episode of joint pain, swelling, and redness caused by the deposition of monosodium urate crystals.
Child-Pugh Score
A system used to assess the severity of chronic liver disease, guiding medication dosing decisions.
Serum Urate Target
The desired maximum concentration of uric acid in the blood, commonly set below 0.36 mmol/L for gout management.

Medical Disclaimer

This article provides educational information about Uloric and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Uloric is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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