Gout Flashcards
Preventing gout attacks (3 groups)
Uricosuric drugs
Xanthine oxidase inhibitors
Catabolic enzyme preparations
Uricosuric drugs (2 drugs)
Probenecid
Sulfinpyrazole
Uricosuric drugs - indications
Under-excretion of uric acid
Probenecid - MOA
Increases excretion of uric acid by competitive inhibition of uric acid reabsorption
Sulfinpyrazole - MOA
Complete inhibition of urate reabsorption, increasing uric acid excretion
Xanthine oxidase inhibitors (2 drugs)
Allopurinol
Febuxostat
Xanthine oxidase inhibitors - indications
Overproduction of uric acid
Allopurinol - indications
Hyperuricemia & gout in cancer patients with high purine catabolism
Which xanthine oxidase inhibitor has greatest efficacy?
Febuxostat
Catabolic enzyme preparations (2 drugs)
Pegloticase
Rasburicase
Pegloticase - indications
Refractory chronic gout
Pegloticase - adverse effects
Life-threatening allergic reactions
Rasburicase - indications
ONLY: initial management of plasma uric acid in pediatric and adults with leukemia, lymphoma & solid tumor malignancies
Drugs for treating gout (2 drugs)
Indomethacin (/other NSAIDs)
Clochicine
Indomethacin - indications
Acute gout