If probenecid and colchicine is given with methotrexate, the dosage of methotrexate should be reduced and serum levels may need to be monitored.In patients on probenecid and colchicine the use of salicylates in either small or large doses is contraindicated because it antagonizes the uricosuric action of probenecid. Most of these have been reported to occur within several hours after readministration following prior usage of the drug.The appearance of hypersensitivity reactions requires cessation of therapy with probenecid and colchicine.Colchicine has been reported to adversely affect spermatogenesis in animals.
The possibility of increased colchicine toxicity in the presence of hepaticdysfunction should be considered.
Although the clinical significance of this observation has not been established, a lower dosage of the drug may be required to produce a therapeutic effect, and increases a dosage of the drug in question should be made cautiously and in small increments when Probenecid is being coadministered. This prevents urate deposition and promotes resolution of existing urate deposits. Most of the drugs reported in the list below are organic anion compounds that are secreted through OATs, hence their interaction with probenecid. The maintenance dosage should not be reduced to the point where serum urate levels tend to rise.Initial dose: 25 mg/kg body weight (or 0.7 g/square meter body surface).Maintenance Dose: 40 mg/kg body weight (or 1.2 g/square meter body surface) per day, divided into 4 doses.For children weighing more than 50 kg (110lb) the adult dosage is recommended.Probenecid is contraindicated in children under 2 years of age.The PSP excretion test may be used to determine the effectiveness of Probenecid in retarding penicillin excretion and maintaining therapeutic levels. It inhibits the tubular reabsorption of urate, thus increasing the urinary excretion of uric acid and decreasing serum urate levels. Probenecid may not be effective in chronic renal insufficiency particularly when the glomerular filtration rate is 30 mL/minute or less. Half-Life: 3-17 hr. Probenecid competitively inhibits the active reabsorption of urate at the proximal tubule in the kidney thereby increasing urinary excretion of uric acid and lowering serum urate concentrations. Probenecid was developed as an alternative to caronamideProbenecid is sometimes used to increase the concentration of some antibiotics and to protect the kidneys when given with Mild symptoms such as nausea, loss of appetite, dizziness, vomiting, headache, sore gums, or frequent urination are common with this medication. They are available as follows:Dispense in a well closed, light-resistant container using a child-resistant closure as defined in the USP.MANUFACTURED BY LANNETT COMPANY, INC. PHILADELPHIA, PA 19136The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. CrCl 50 mL/minute or less: Avoid use of drug. The chemical name for colchicine is (Colchicine consists of pale yellow scales or powder; it darkens on exposure to light.
Probenecid is a uricosuric and renal tubular transport blocking agent.The chemical name for Probenecid is 4-[(dipropylamino) sulfony1] benzoic acid. Probenecid was developed as an alternative to caronamideProbenecid is sometimes used to increase the concentration of some antibiotics and to protect the kidneys when given with Mild symptoms such as nausea, loss of appetite, dizziness, vomiting, headache, sore gums, or frequent urination are common with this medication. Hence, the urine reta… The use of any drug in women of childbearing potential requires that the anticipated benefit be weighed against the possible hazards.Exacerbation of gout following therapy with probenecid and colchicine may occur; in such cases additional colchicine or other appropriate therapy is advisable.Probenecid increases plasma concentrations of methotrexate in both animals and humans. Probenecid and colchicine contains probenecid, which is a uricosuric agent, and colchicine, which has antigout activity, the mechanism of which is unknown.
Probenecid is a uricosuric and renal tubular transport blocking agent. Although the clinical significance of this observation has not been established, a lower dosage of the drug may be required to produce a therapeutic effect and increases in dosage of the drug in question should be made cautiously and in small increments when probenecid is being co-administered.
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