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Medicines > classes : Classic Psychedelic or Empathogen or [[:Category:Antigout_agents|Antigout agent]]

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generic:
brand:
None (83) · Colcrys, Mitigare, Gloperba, Lodoco (low-dose cardiovascular) (1) · Delysid (historical, Sandoz, withdrawn 1965) (1) · Zyloprim, Aloprim (IV) (1)
classes: (Click arrow to add another value)
mechanism:
5-HT2A agonist (26) · Potent 5-HT2A agonist (5) · LSD analogue; 5-HT2A agonist (4) · Prodrug of LSD; 5-HT2A agonist (4) · Monoamine releasing agent (3) · Serotonin releasing agent; 5-HT2A agonist (3) · Serotonin/norepinephrine/dopamine releasing agent (3) · None (2) · Contains LSA (2) · Contains mescaline (2) · Serotonin releasing agent (2)
uses:
None (84) · '"`UNIQ--vote-0000030B-QINU`"', '"`UNIQ--vote-0000030C-QINU`"', '"`UNIQ--vote-0000030D-QINU`"', '"`UNIQ--vote-0000030E-QINU`"' (1) · '"`UNIQ--vote-00000C6D-QINU`"', '"`UNIQ--vote-00000C6E-QINU`"', '"`UNIQ--vote-00000C6F-QINU`"', '"`UNIQ--vote-00000C70-QINU`"', '"`UNIQ--vote-00000C71-QINU`"' (1)
starting dose:
None (84) · 100 mg PO once daily; titrate by 100 mg every 2-4 weeks to a serum urate target (typically <6 mg/dL, or <5 in tophaceous disease) (1) · Acute gout: 1.2 mg PO at first symptom, then 0.6 mg 1 hour later (total 1.8 mg in 1 hour, the FDA-revised regimen); prophylaxis 0.6 mg PO daily or BID; FMF 1-2 mg/d; pericarditis 0.5-0.6 mg BID for 3 months; Lodoco 0.5 mg PO daily for CV risk reduction (1)
preparations:
None (84) · 0.6 mg tablets; 0.6 mg/5 mL solution; 0.5 mg tablets (Lodoco) (1) · 100 mg, 300 mg tablets; IV 500 mg vial (1)
fda max:
None (84) · 1.8 mg in any 1-hour period (acute gout); 1.2 mg/d (prophylaxis with renal/hepatic impairment); much lower with strong CYP3A4 or P-gp inhibitors (1) · 800 mg/d (rarely needed) (1)
routes:
None (83) · IV (1) · Oral (2) · Oral (IV form withdrawn US 2009 due to fatal toxicity reports) (1)
onset:
None (83) · 30–60 minutes (1) · Anti-inflammatory effect within 24 hours of gout flare onset; loses effectiveness if delayed (1) · Serum urate falls gradually over days to weeks; acute flare prevention requires colchicine cover during initiation (1)
duration:
None (83) · 24 hours (1) · 8–12 hours (1) · Hours per dose (1)
halflife:
None (83) · 1-2 hours (parent); 18-30 hours for active metabolite oxypurinol'"`UNIQ--ref-0000030F-QINU`"' (1) · 3–5 hours (1) · ~27-31 hours; markedly prolonged in renal/hepatic impairment and with CYP3A4 or P-gp inhibitors'"`UNIQ--ref-00000C72-QINU`"' (1)
bioavailability:
None (83) · 70–90% (oral) (1) · ~45% (oral)'"`UNIQ--ref-00000C73-QINU`"' (1) · ~80% (oral)'"`UNIQ--ref-00000310-QINU`"' (1)
pregnancy:
None (83) · Limited safety data; weigh benefit individually.<sup class="pcp-cn" title="This claim needs a citation.">&#91;[[Pharmacopedia:Citation needed|citation&nbsp;needed]]&#93;</sup> (1) · Not established (1) · Used in FMF in pregnancy; otherwise weigh against alternatives.<sup class="pcp-cn" title="This claim needs a citation.">&#91;[[Pharmacopedia:Citation needed|citation&nbsp;needed]]&#93;</sup> (1)
legal:
None (83) · Schedule I (United States) (1) · [[USLegal:Prescription only|Rx-only]] in US (2)

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