What ZURIG 40MG is used for?
- ZURIG 40MG used to treat gout, which is associated with an excess of a chemical called uric acid (urate) in the body
Warning & Precautions
Talk to Doctor
Talk to your doctor before you take this medicine, if you:
- Have heart problems
- Have liver disease or liver function test abnormalities
- Are being treated for high uric acid levels because of Lesch-Nyhan syndrome (a rare inherited condition in which there is too much uric acid in the blood)
- Have thyroid problem
- Have kidney problem
Pregnancy & Breast Feeding
- ZURIG 40MG should not be used during pregnancy
- You should not use ZURIG 40MG if you are breast feeding, or if you are planning to breastfeed
- Consult your doctor for advice
Children & Adolescents
- Do not give this medicine to children under the age of 18 because the safety and efficacy have not been established
Driving & Using Machines
- You may experience dizziness, sleepiness, blurred vision and numbness or tingling sensation during treatment
- Do not drive or operate machines if affected
Tell your doctor if you are taking,
- Mercaptopurine (used to treat cancer)
- Azathioprine (used to reduce immune response)
- Theophylline (used to treat asthma)
How to Use
- Always take this medicine exactly as your doctor has told you
- Take it at the same time every day, with or without food.
- Take plenty of fluids (2-3 litres) daily while on Zurig 40 Tablet.
- When you first start taking this medicine, you might have more gout attacks. Do not stop Zurig 40 Tablet on having an acute attack of gout as that could make an attack worse.
- Do not consume alcohol while taking this medicine as it may cause your gout to flare up.
- Stop taking this medicine and inform your doctor straight away if you have symptoms like rash, itchiness, difficulties in breathing, fever or swelling of limbs or face.
If you take more ZURIG 40MG
- If you have taken more ZURIG 40MG, contact your doctor or go to nearest hospital immediately
If you forget to take ZURIG 40MG
- If you forget to take ZURIG 40MG, take it as soon as you remember
- If it is almost time for your next dose, skip the missed dose
- Do not take two doses at the same time
If you stop taking ZURIG 40MG
- Do not stop taking this medicine unless your doctor tells you to stop your treatment
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Anaphylactic reactions such as hives, rash, and itching, chest pain or chest tightness, difficulty in breathing, swelling of your face or tongue
- Potentially life-threatening skin rashes characterized by formation of blisters and shedding of the skin and inner surfaces of body cavities, e.g. mouth and genitals
- Painful ulcers in the mouth and/or genital areas, accompanied by fever, sore throat and fatigue
- Generalised skin rashes
- Abnormal liver test results
- Diarrhoea, headache, rash, nausea
- Increase in gout symptoms
- Localized swelling due to retention of fluids in tissues (oedema)
- Decreased appetite, change in blood sugar levels (diabetes)
- Loss of sex drive
- Difficulty in sleeping
- Dizziness, numbness, tingling, reduced or altered sensation (hypoaesthesia, hemiparesis or paraesthesia), altered or reduced sense of taste (hyposmia)
- Abnormal ECG heart tracing, irregular or rapid heartbeats, feeling your heart beat (palpitation)
- Hot flushes or flushing (e.g. redness of the face or neck), increased blood pressure, bleeding (hemorrhage, seen only in patients taking chemotherapy for blood disorders)
- Cough, shortness of breath, chest discomfort or pain, inflammation of nasal passage and/or throat (upper respiratory tract infection), bronchitis
- Dry mouth, abdominal pain, heartburn/indigestion, constipation, more frequent passing of stools, vomiting
- Itching, hives, skin inflammation, skin discoloration, small red or purple spot on the skin
- Muscle cramp, muscle weakness, pain/ache in muscles/joints
- Fatigue, chest pain, chest discomfort
- Stones in the gallbladder or in bile ducts (cholelithiasis)
- Increase in blood thyroid stimulating hormone (TSH) level
- Changes in blood chemistry or amount of blood cells or platelets (abnormal blood test results)
- Kidney stones
- Severe swelling around the lips, eyes, genitals, hands, feet or tongue, with possible sudden difficulty in breathing
- Reddening of the skin (erythema)
- Nervousness, feeling thirsty
- Ringing in the ears
- Blurred vision, change in vision
- Hair loss
- Mouth ulceration
- Inflammation of the pancreas
- Increased sweating
- Abnormally low blood cell counts (white or red blood cells or platelets)
- Urgent need to urinate
- Changes or decrease in urine amount due to inflammation in the kidneys (tubulointerstitial nephritis)
- Inflammation of the liver (hepatitis), yellowing of the skin (jaundice), liver damage
- Increased level of creatine phosphokinase in blood (an indicator of muscle damage)
HOW TO COPE WITH SIDE EFFECTS?
The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.
Coping with Headache
Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. Ask your doctor to recommend a painkiller if they last longer than a week or get worse.
Coping with Nausea
You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
Coping with Skin rash
There are many treatments for a wide range of skin problems. Avoid hot showers or baths because hot water can irritate the skin. Make sure to pat your skin dry after a bath or shower. Do not rub or scratch the affected area. Leave the skin exposed to the air as much as possible. Do not use perfumed soaps or deodorants. Water containing chlorine can make most skin problems worse so avoid swimming. Avoid spicy foods, alcohol, tobacco smoke and caffeine as it may also make itching worse. Avoid excessive sun exposure, always use sunscreen and protective clothing when outdoors. Moisturizers can be used regularly to soothe and hydrate the affected area. If it does not get better within a week, speak to a pharmacist or doctor.
- Keep this medicine out of reach of children
- Store at room temperature (15-25°C)
- Do not use this medicine after the expiry date
Zurig is used to treat gout in adults. It is mainly used in patients who did not respond to the treatment with allopurinol or who are not able to take allopurinol. Gout is a type of arthritis in which uric acid, a naturally occurring substance in the body, builds up in the joints. It causes sudden attacks of redness, swelling, pain and heat in one or more joints.
Q. What are the side effects of Zurig?
Zurig may cause common side effects such as abnormal liver test results, diarrhea, headache, rash, nausea, and even an increase in gout symptoms and localized swelling due to retention of fluids in tissues (edema). Whereas, the serious side effects of Zurig include heart problems, gout flares, liver problems, and severe skin and allergic reactions. Immediately inform your doctor if you experience any serious side effects.
Q. How long should I take Zurig?
The dose and duration of Zurig varies from person to person and will be decided by your doctor. It may take several months before Zurig begins to prevent gout attacks. Do not stop taking Zurig without the advice of your doctor even if you feel better.
Q. What is the best time to take Zurig?
Zurig is advised to be taken once a day. It can be taken at any time of the day, but preferably at the same time each day so that you remember to take it every day. This will help maintain the levels of Zurig in the body. You can take this medicine with or without food.
Q. Can Zurig cause kidney damage?
Zurig may affect kidneys in different ways, though it is quite uncommon. You may experience blood in the urine, frequent urination, kidney stones, abnormal urine tests (increased level of proteins in the urine) and a reduction in the ability of the kidneys to function properly. Rarely, it may cause changes or decrease in urine amount due to inflammation in the kidneys (tubulointerstitial nephritis). Consult your doctor if your kidney functions get further affected.
Q. Can I stop taking Zurig on my own if I am fine and have no pain or swelling in joints?
No, do not stop taking Zurig without the advice of your doctor even if you feel better. Discontinuation of medicine may increase the levels of uric acid. It may also worsen your symptoms due to the formation of new crystals of urate in and around your joints and kidneys.
Q. What are the things which I need to know while taking Zurig?
You should be aware that Zurig may cause serious heart problems which can be life-threatening in some cases. The symptoms of heart problems include chest pain, shortness of breath or trouble breathing, dizziness, fainting or feeling light-headed, rapid or irregular heartbeat. It may also cause numbness or weakness in one side of your body, slurring of speech and sudden blurry vision, or sudden severe headache. Immediately inform your doctor and seek medical help if you experience any of these symptoms.
Q. Can Zurig cause any liver problems?
Yes, Zurig use may cause liver problems. Your doctor may advise you to get regular blood tests done before and during treatment with Zurig to check how well your liver was working before and while taking this medicine. Inform your doctor if you notice symptoms such as fatigue, pain or tenderness on the right side of the abdomen or loss of appetite for several days or longer. It may also cause changes in the color of urine (dark or tea colored) and may make your skin or the white part of your eyes turn yellow (jaundice).
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.