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. By blocking the enzyme that converts purines to uric acid, it lowers serum urate levels and is employed in the management of gout attacks, chronic hyperuricemia, and to prevent tumor lysis syndrome in patients undergoing cytotoxic therapy.\n\nGNH India supplies Milurit as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing products that meet EU manufacturing standards.

Manufacturer / TM Owner

Egis Pharmaceuticals Plc

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Indications & Clinical Uses

  • Milurit (allopurinol) acts on purine metabolism and is indicated for the following conditions:\n\nGout: reduces uric acid levels to prevent acute attacks and chronic joint damage.\nHyperuricemia: maintains serum urate within target range to avoid crystal deposition.\nTumor lysis syndrome prophylaxis: lowers uric acid production in patients receiving cytotoxic therapy.

How It Works

  • Allopurinol is a structural analogue of hypoxanthine that competitively inhibits xanthine oxidase, the enzyme responsible for converting hypoxanthine to xanthine and xanthine to uric acid. This blockade reduces uric acid formation, lowering serum urate concentrations. Its metabolite oxypurinol retains inhibitory activity, extending the therapeutic effect.

Side Effects

  • Allopurinol may cause a range of adverse reactions, which are categorized by frequency and severity.\n\nCommon Side Effects:\n- Rash: mild skin eruption.\n- Nausea: upset stomach.\n- Diarrhea: loose stools.\n- Elevated liver enzymes: mild hepatic enzyme increase.\n- Gout flare: transient increase in gout symptoms at therapy start.\n\nSerious or Rare Side Effects:\n- Stevens‑Johnson syndrome or toxic epidermal necrolysis: severe skin reactions.\n- Allopurinol hypersensitivity syndrome: multi‑organ involvement with fever, rash, eosinophilia.\n- Hepatic failure: acute liver injury.\n- Acute renal failure: sudden loss of kidney function.

Precautions & Warnings

  • When prescribing Milurit, clinicians should consider several safety measures.\n\nRenal impairment: dose may need adjustment and renal function should be monitored.\nHepatic impairment: use with caution; monitor liver enzymes regularly.\nHistory of hypersensitivity: avoid in patients with prior allergic reactions to allopurinol.\nConcomitant azathioprine or mercaptopurine: increased risk of bone‑marrow suppression.\nPregnancy and lactation: safety not established; prescribe only if benefits outweigh risks.\nStore at room temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

  • Allopurinol interacts with several medicines; some require avoidance while others need close monitoring.\n\nMajor Interactions (Avoid):\n- Azathioprine: increased bone‑marrow suppression risk.\n- Mercaptopurine: heightened toxicity.\n- Warfarin: enhanced anticoagulant effect, may raise INR.\n\nModerate Interactions (Monitor Closely):\n- NSAIDs: monitor renal function.\n- Thiazide diuretics: may reduce urate‑lowering efficacy.\n- Cyclosporine: may increase allopurinol plasma concentrations.

Frequently Asked Questions

Milurit contains allopurinol and is used to lower uric acid levels in patients with gout, chronic hyperuricemia, and to prevent tumor lysis syndrome in individuals receiving high‑dose chemotherapy or radiotherapy.

Allopurinol is a competitive inhibitor of the enzyme xanthine oxidase. By blocking this enzyme, it stops the conversion of purines into uric acid, thereby reducing serum urate concentrations and preventing crystal formation in joints and tissues.

The prescribed dose of Milurit is set by the treating physician based on the patient’s renal function, severity of hyperuricemia, and clinical response. Dosage adjustments are often required for patients with impaired kidney function.

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

To order Milurit, submit an enquiry on the 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.

The primary alternative to allopurinol is febuxostat, another xanthine oxidase inhibitor. Febuxostat may be preferred in patients with moderate renal impairment, whereas allopurinol is often first‑line because of its long‑standing safety record and lower cost. Choice depends on individual patient factors and physician judgment.

Milurit should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight to maintain stability and potency.

Milurit is taken orally, usually with or without food, as directed by the prescriber. Tablets should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed.

Serious risks include allopurinol hypersensitivity syndrome, which can involve fever, rash, eosinophilia, and organ dysfunction, as well as severe skin reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis. Prompt medical attention is required if these symptoms appear.

Milurit is contraindicated in patients with known hypersensitivity to allopurinol or any of its components. Caution is also advised for individuals with severe renal or hepatic impairment, and it should be avoided in patients currently receiving azathioprine or mercaptopurine without dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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