Product image of Milurit (Allopurinol) supplied by GNH India

Milurit

Active Ingredient:
Allopurinol
Origin:
EU

Milurit (Allopurinol)

Allopurinol, the active ingredient in Milurit, is a xanthine oxidase inhibitor presented as an oral dosage form for oral use. It lowers uric acid production and is used to manage gout, hyperuricemia, and to prevent tumor lysis syndrome in at‑risk patients.

GNH India supplies Milurit as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Egis Pharmaceuticals Plc

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Indications & Clinical Uses

Milurit, a xanthine oxidase inhibitor, is employed in conditions where excess uric acid contributes to disease.

  • Gout: lowers serum uric acid to prevent acute attacks and chronic joint damage.
  • Hyperuricemia: maintains uric acid within target range to reduce risk of crystal deposition.
  • Tumor lysis syndrome prevention: reduces uric acid surge during rapid tumor cell breakdown in oncology patients.

How It Works

  • Allopurinol is metabolized to oxypurinol, which competitively inhibits xanthine oxidase, the enzyme responsible for converting hypoxanthine and xanthine into uric acid. By blocking this pathway, the drug decreases the production of uric acid, helping to maintain lower serum uric acid concentrations and reducing crystal formation.

Side Effects

Adverse reactions may range from mild to severe and should be monitored during therapy.

Common Side Effects

  • Rash or mild skin irritation.
  • Nausea or vomiting.
  • Diarrhea.
  • Abdominal discomfort.
  • Elevated liver enzymes.

Serious or Rare Side Effects

  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Severe hypersensitivity reactions, including fever and organ involvement.
  • Bone marrow suppression or agranulocytosis.
  • Acute interstitial nephritis.

Precautions & Warnings

Before initiating Milurit, consider the following safety measures.

  • Renal impairment: adjust dose and monitor renal function regularly.
  • Hepatic disease: use with caution and observe liver function tests.
  • History of hypersensitivity: discontinue immediately if rash or systemic symptoms develop.
  • Pregnancy: safety not established; avoid unless benefits outweigh risks.
  • Concomitant medications: review for potential interactions that may require dose adjustments.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Milurit can interact with several medicines; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Azathioprine: increased risk of bone marrow suppression.
  • Mercaptopurine: heightened toxicity due to impaired metabolism.
  • Warfarin: potentiation of anticoagulant effect, requiring close INR monitoring.

Moderate Interactions (Monitor Closely)

  • Thiazide diuretics: may diminish uric‑lowering efficacy.
  • ACE inhibitors: can enhance uric acid reduction, watch for over‑correction.
  • High‑dose vitamin C: may increase renal stone risk, monitor renal function.

Frequently Asked Questions

Milurit, containing allopurinol, is prescribed to lower uric acid levels in patients with gout, chronic hyperuricemia, and to prevent tumor lysis syndrome in individuals undergoing intensive chemotherapy or radiotherapy where rapid cell breakdown can cause a sudden rise in uric acid.

Allopurinol is converted in the body to oxypurinol, which competitively inhibits the enzyme xanthine oxidase. This enzyme normally converts hypoxanthine and xanthine into uric acid; inhibition reduces uric acid production, helping to keep serum levels within the therapeutic range.

The appropriate dose of Milurit is determined by the prescribing clinician based on the patient’s renal function, severity of hyperuricemia, and specific indication. Dosage adjustments may be required for individuals with impaired kidney function or those receiving concomitant medications.

Safety data for allopurinol in pregnancy and lactation are limited. It should only be used when the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Milurit product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Allopurinol, the active ingredient in Milurit, is a first‑line xanthine oxidase inhibitor widely used for chronic uric acid management. Alternatives such as febuxostat also inhibit xanthine oxidase but differ in metabolic pathways and may have distinct safety profiles, especially in patients with cardiovascular disease.

Milurit should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, excessive heat and direct sunlight to maintain its stability throughout its shelf life.

Milurit is taken orally, usually with a full glass of water. It can be administered with or without food, but consistent timing each day helps maintain stable drug levels. Patients should follow the prescribing clinician’s instructions regarding dosing frequency.

Serious adverse reactions include severe skin disorders such as Stevens‑Johnson syndrome or toxic epidermal necrolysis, hypersensitivity syndrome with fever and organ involvement, and bone‑marrow suppression. Prompt medical attention is required if any of these symptoms develop.

Milurit is contraindicated in patients with known hypersensitivity to allopurinol or any component of the formulation. Caution is also advised for individuals with severe renal impairment, active liver disease, or those taking medications that have major interactions, unless closely monitored by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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