Probenecid: Instructions For Use, Analogues, Reviews

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Probenecid: Instructions For Use, Analogues, Reviews
Probenecid: Instructions For Use, Analogues, Reviews
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Video: NCLEX Prep (Pharmacology): Probenecid (Benemid) 2023, February
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Probenecid Biokanol is prescribed for patients with chronic gout. The drug is intended for the correction of the condition in case of hyperuricemia. In addition, it can be included in the list of medicines that are used during the period of antibiotic therapy. However, the instructions for use say that the remedy can cause an acute attack of gout. Therefore, you should not use it yourself, without medical supervision.

"Probenecid"
"Probenecid"

On sale uricosuric (anti-gout) drug can be found under the names: "Probenecid", "Probenecid Biocanol", "Probalan", "Benemid", a synonym is also "Santuril".

This tool belongs to the category of expensive medicines. The price in a pharmacy for one package can be 5500 rubles. Most often you can buy packs with thirty tablets inside.

The production is carried out by the German pharmacological company Biokanol Pharma GmbH.

general information

"Probenecid" is intended for oral administration. Once in the gastrointestinal tract, the drug dissolves rather quickly and is usually well absorbed. The maximum amount of the drug in the blood plasma of patients is observed after 2 (less often after 4) hours.

The agent is metabolized in the liver. It is excreted from the body with the help of the kidneys. It should be noted right away that the medication easily penetrates the placenta.

The drug "Probenecid"
The drug "Probenecid"

The drug has no analgesic effect, it does not relieve inflammation. Therefore, it is completely pointless to use "Probenecid" for the treatment of an acute form of gout or at the time of a sharp exacerbation of the disease.

This medication is approved for use not only in adults or adolescents. In some cases, it can be prescribed to young patients, but not younger than two years of age.

Combination of funds with other medicines

If the patient is taking diuretics, then the dosage of "Probenecid" should be increased.

This medication is strictly prohibited to drink at the same time as acetylsalicylic acid and other similar medications. In addition, "Probenecid" inhibits the removal of many medicines from the human body, which can negatively affect the general health or give incorrect test results.

It is not recommended to carry out therapy with a uricosuric agent in combination with the following medications:

  1. Dapsone;
  2. "Acyclovir";
  3. Lorazepam;
  4. Captopril;
  5. Enalapril;
  6. "Nitrazepam";
  7. "Ketoprofen";
  8. "Paracetamol";
  9. "Methotrexate";
  10. "Indomethacin".

The drug acts on the removal of steroid hormone metabolites from the body, which should be taken into account when treating with appropriate drugs.

Indications for use

The main indication for the appointment of "Probenecid" is hyperuricemia, which can be caused by both diuretic treatment and chronic gout.

For the targeted treatment of gout, a specialist can also prescribe this remedy, based on the characteristics of the patient's condition. However, it is important to choose the right dosage so that there is no deterioration in the condition. In addition, in such a situation, you should carefully listen to all the advice and recommendations of the doctor.

In some cases, a medication may be prescribed as an adjunct drug during the correction of a condition in infectious diseases.

In combination with antibiotics, "Probenecid" is sometimes used to treat gonorrhea.

Medicine
Medicine

How to drink medicine

The duration of the course of treatment can last up to six months, depending on the type of disease and the patient's condition. Usually the effect occurs in the first thirty days.

The starting dosage is usually 250 mg of the drug. After a week, the dose can be gradually increased if the overall health requires it.

The maximum dose of the drug per day is 2 g.

With gout, the reception is carried out twice a day. Tablets should not be crushed or chewed. They need to be washed down with plenty of clean water.

During the period of correction of the condition with infections, "Probenecid", based on the instructions for use, is prescribed in an amount of 500 mg. You need to drink four times a day.

For the treatment of gonorrhea, the drug is taken in the amount of 1 g. Admission should be single. It is carried out either simultaneously with the main drug (antibiotic), or half an hour before taking it.

Dosage in childhood

The calculation of the dosage in the case of treating a child is based on the weight of the small patient.

Usually the initial dose is 25 mg / kg if the child weighs up to 50 kilograms from two years old. Gradually, the amount of funds can be increased to 40 mg / kg. The tablets should be taken four times a day (the required dosage is divided four times).

If a child weighs more than 50 kg, then the dosage is usually the same as in the case of treatment of adult patients.

Tablets "Probenecid"
Tablets "Probenecid"

Special groups of patients

In old age, "Probenecid" is used with caution. The dosage should be calculated only by the doctor, based on the patient's condition. Typically, the total amount of medication per day is slightly lower than that of the average adult.

If there is a history of renal failure, then therapy with the indicated agent may not give any effect.

For the treatment of cancer patients, this tool is not used.

Treatment with the drug during pregnancy or during breastfeeding should be carried out exclusively under the supervision of a specialist. In this case, "Probenecid" is prescribed only when the risk of harming the child is minimal, and the general well-being of the mother requires urgent correction.

Carefully use the product in the presence of peptic ulcer disease.

Specific contraindications

  1. Age up to 2 years.
  2. Urolithiasis disease.
  3. Severe / acute gout attack.
  4. Secondary type hyperuricemia, provoked, inter alia, by cancer.
  5. Chemotherapy.
  6. Hypersensitivity or individual intolerance to the drug.
  7. Porphyria.
  8. Negative dynamics in the analysis of peripheral blood.
  9. Diseases of the blood.
Consultation with a doctor
Consultation with a doctor

Possible side effects

Most often, as follows from patient reviews, the following conditions and reactions occur against the background of therapy:

  • constant desire to run to the toilet, increased urination;
  • negative symptoms from the gastrointestinal tract, for example, severe nausea, upset stools, sometimes vomiting;
  • lack of appetite;
  • anemia;
  • headache, dizziness;
  • inflammation of the gums and bleeding gums, painful sensations;
  • hot flashes;
  • drops in blood pressure;
  • chills;
  • fragility, dryness and hair loss;
  • allergic reactions, including urticaria;
  • nervous itching;
  • dermatitis;
  • temperature increase.

In rare cases, diagnosed: anaphylaxis, nephrotic syndrome, liver necrosis, leukopenia.

Some patients also note the presence of pain that is concentrated in the lower back, extending to the entire back along the spine, affecting the ribs and chest.

In medical practice, cases are described when "Probenecid Biocanol" caused an increased formation of kidney stones, provoked renal colic.

Due to the prolonged course of treatment, eating disorders, such as anorexia, can develop against the background of loss of appetite.

Overdose threat

Doctors note that cases of drug overdose have indeed been recorded.

Symptoms are usually as follows:

  1. overexcitation of the central nervous system;
  2. muscle spasms, cramps;
  3. indomitable vomiting;
  4. breathing problems.

In severe cases, coma is possible. There is also a risk of death due to breathing problems.

Treatment of patients in this condition begins with gastric and intestinal lavage.Follow-up therapy is prescribed based on general well-being and additional symptoms.

Analogues and reviews

Many patients who have used Probenecid say that the drug is effective. The effect of the treatment comes quickly. It is worth noting that the drug has proven itself well during the treatment of infectious cystitis.

However, there are also negative reviews among the reviews. As a rule, they are based on the fact that the drug causes strong adverse reactions, which become more frequent and increase with the passage of time and under the influence of changes in dosage.

Doctors for the most part highly appreciate this remedy, recommend it for treatment. But they remind you that you should not carry out drug therapy on your own. And it is important during the correction period to constantly monitor your condition, to pass the appropriate tests.

Among analog drugs, the following drugs are usually distinguished:

  • "Fitolit";
  • Febuxostat;
  • "Baytach";
  • Citrocas;
  • Uroholum.

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