Probenecid

— THERAPEUTIC CATEGORIES —
  • Gout

Probenecid Generic Name & Formulations

General Description

Probenecid 500mg; scored tabs.

Pharmacological Class

Uricosuric.

How Supplied

Contact supplier.

Probenecid Indications

Indications

Hyperuricemia associated with gout and gouty arthritis.

Probenecid Dosage and Administration

Adult

250mg twice daily for 1 week, then 500mg twice daily thereafter. Renal impairment, dose adjustments: see literature.

Children

Not recommended.

Probenecid Contraindications

Contraindications

Acute gouty attack. Blood dyscrasias. Uric acid kidney stones. Children <2 yrs of age. Concomitant salicylates (antagonizes uricosuric effect).

Probenecid Boxed Warnings

Not Applicable

Probenecid Warnings/Precautions

Warnings/Precautions

History of peptic ulcer. Renal insufficiency. G6PD deficiency. Maintain adequate hydration. Alkalization of urine may be required. Pregnancy.

Probenecid Pharmacokinetics

See Literature

Probenecid Interactions

Interactions

Affects renal clearance of many drugs (esp. penicillins). Potentiates methotrexate (monitor and reduce methotrexate dose). May potentiate thiopental, ketamine, NSAIDs, oral sulfonylureas, acetaminophen, lorazepam, rifampin, other sulfonamides. Pyrazinamide antagonizes uricosuric effect. May cause falsely high readings of theophylline levels.

Probenecid Adverse Reactions

Adverse Reactions

Headache, dizziness, GI upset, urinary frequency, sore gums, uric acid kidney stones, dermatitis, fever, hematuria, renal colic, blood dyscrasias, hemolytic anemia; rare: severe allergic reactions, anaphylaxis.

Probenecid Clinical Trials

See Literature

Probenecid Note

Notes

Formerly known under the brand name Benemid.

Probenecid Patient Counseling

See Literature