Finished product reference

Probenecid

Tablet · Oral · 500 mg

List code
8079
Pharmacologic class
Uricosuric agent

What it is and how it works

Probenecid inhibits renal tubular reabsorption of uric acid, increasing its urinary excretion and lowering serum urate. It also inhibits tubular secretion of penicillins and cephalosporins, raising and prolonging their plasma concentrations.

Indications

Long-term management of hyperuricaemia in chronic gout; adjunct to beta-lactam antibiotics to prolong plasma concentrations; reduction of nephrotoxicity with cidofovir.

Dosage and administration (summary)

For gout, taken orally starting at 250 mg twice daily for one week, then 500 mg twice daily, adjusted to serum urate; adequate fluid intake is required.

Contraindications

Acute gout attack (do not start during an attack), history of uric acid kidney stones, blood dyscrasias, children under 2 years and concomitant salicylate therapy.

Warnings and precautions

Maintain high fluid intake and consider urine alkalinisation to reduce stone risk; less effective in renal impairment. It interacts with many drugs (e.g. methotrexate, NSAIDs, zidovudine) by reducing their renal clearance.

Storage and supply

Store below 25 °C.

Source: reference summary prepared from the EU SmPC/EPAR, BNF and WHO Model Formulary. The approved product information in Iran governs.

Reference information for professional sourcing and registration enquiries, not medical advice or a promotion. Drug information is condensed from US FDA prescribing information (public domain, via openFDA and DailyMed) and does not replace the product’s approved labelling in Iran. Availability, origin and documentation are confirmed per enquiry.

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