{"id":55366,"date":"2024-01-31T17:18:38","date_gmt":"2024-01-31T17:18:38","guid":{"rendered":"https:\/\/medsname.com\/hyloric\/"},"modified":"2026-04-30T10:24:48","modified_gmt":"2026-04-30T10:24:48","slug":"hyloric","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/hyloric\/","title":{"rendered":"Hyloric"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Hyloric?<\/h3>\n<p style=\"margin:0;\"><strong>Hyloric<\/strong> este <strong>allopurinol 300 mg<\/strong>, un inhibitor al xantin-oxidazei care reduce acidul uric din s\u00e2nge pentru a preveni atacurile de gut\u0103, tofusurile \u0219i calculii renali de urat. Dozarea \u00eencepe cu 100 mg zilnic \u0219i se ajusteaz\u0103 progresiv spre 300\u2013600 mg \u00een func\u021bie de nivelul seric de urat. Fazele paradoxale sunt frecvente \u00een primele 3\u20136 luni de tratament \u2014 acest lucru este normal \u0219i nu reprezint\u0103 un motiv pentru \u00eentreruperea tratamentului.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<p><strong>Hyloric<\/strong> este un medicament frecvent prescris <strong>comprimat allopurinol 300 mg<\/strong> utilizat pentru a reduce nivelurile de acid uric la persoanele cu <strong>gut\u0103 cronic\u0103, calculi renali recuren\u021bi \u0219i anumite terapii anticancer<\/strong>. Fabricat conform acelora\u0219i standarde farmaceutice de calitate ca m\u0103rcile interna\u021bionale precum <strong>Zyloric<\/strong>, fiecare comprimat Hyloric con\u021bine inhibitorul de xantin-oxidaz\u0103 allopurinol, cu eficacitate clinic dovedit\u0103.<\/p>\n<p>Spre deosebire de analgezicele cu ac\u021biune rapid\u0103, Hyloric este un <strong>medicament preventiv pe termen lung<\/strong> \u2014 nu amelioraz\u0103 un acces de gut\u0103 activ, dar prin utilizarea zilnic\u0103 reduce treptat cantitatea de acid uric din s\u00e2nge, dizolv\u00e2nd depozitele de cristale \u0219i prevenind accesele viitoare. Majoritatea pacien\u021bilor \u00eencep s\u0103 observe mai pu\u021bine accese \u00een decurs de 3\u20136 luni de tratament consistent.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Hyloric?<\/h2>\n<p>Hyloric este denumirea comercial\u0103 indian\u0103 pentru <strong>allopurinol<\/strong>, una dintre cele mai vechi \u0219i mai studiate terapii de reducere a uratului din medicin\u0103. Allopurinolul este utilizat clinic \u00een mod continuu din 1966 \u0219i este op\u021biunea de prim\u0103 linie recomandat\u0103 de American College of Rheumatology, EULAR \u0219i British Society for Rheumatology pentru terapia cronic\u0103 de reducere a uratului.<\/p>\n<p>Hyloric este cel mai frecvent prescris pentru:<\/p>\n<ul>\n<li><strong>Gut\u0103 cronic\u0103<\/strong> \u2014 pentru a preveni accesele repetate prin reducerea uratului seric<\/li>\n<li><strong>Hiperuricemie asimptomatic\u0103<\/strong> c\u00e2nd nivelurile de acid uric sunt foarte ridicate (\u22659 mg\/dL \/ 0,54 mmol\/L) cu factori de risc<\/li>\n<li><strong>Gut\u0103 tofacee<\/strong> \u2014 pentru a dizolva depozitele vizibile de urat (tofuri) \u00een urechi, degete, degete de la picioare \u0219i coate<\/li>\n<li><strong>Pietre renale de acid uric<\/strong> \u0219i pietre recurente de oxalat de calciu cu urat urinar ridicat<\/li>\n<li><strong>Prevenirea sindromului de liz\u0103 tumoral\u0103<\/strong> \u00een timpul chimioterapiei pentru cancere hematologice<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cum func\u021bioneaz\u0103 Hyloric?<\/h2>\n<p>Acidul uric este produsul final al metabolismului purinelor. La persoanele cu gut\u0103, organismul fie produce prea mult acid uric, fie \u00eel elimin\u0103 prea \u00eencet \u2014 ceea ce duce la s\u00e2ngele suprasaturat \u0219i la formarea de cristale aciforme de urat monosodic care se depun \u00een articula\u021bii, tendoane \u0219i rinichi.<\/p>\n<ul>\n<li>Purinele din alimente \u0219i din regenerarea celular\u0103 sunt convertite \u00een <strong>hipoxantin\u0103<\/strong>, apoi \u00een <strong>xantin\u0103<\/strong>, apoi \u00een <strong>acid uric<\/strong><\/li>\n<li>Ultimele dou\u0103 etape sunt catalizate de enzima <strong>xantin oxidaz\u0103<\/strong><\/li>\n<li><strong>Allopurinol \u0219i metabolitul s\u0103u activ oxipurinol blocheaz\u0103 xantinoxidaza<\/strong>, reduc\u00e2nd produc\u021bia de acid uric \u00een amonte<\/li>\n<li>Nivelul seric de urat scade, cristalele existente se dizolv\u0103 \u00eencet \u0219i se previne formarea de cristale noi<\/li>\n<\/ul>\n<p>Efectul preventiv complet necesit\u0103 timp \u2014 de obicei <strong>2\u20136 luni<\/strong> pentru a elimina depozitele de cristale acumulate \u2014 motiv pentru care administrarea zilnic\u0103 consecvent\u0103 este esen\u021bial\u0103, chiar \u0219i atunci c\u00e2nd v\u0103 sim\u021bi\u021bi bine.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Prevenirea atacurilor de gut\u0103<\/strong> la pacien\u021bii cu dou\u0103 sau mai multe atacuri pe an, tofi sau nefropatie uratic\u0103<\/li>\n<li><strong>Dizolvarea depozitelor tofacee<\/strong> \u00een guta cronic\u0103<\/li>\n<li><strong>Sc\u0103derea nivelului seric de urat<\/strong> la nivelurile \u021bint\u0103 (&lt;6 mg\/dL pentru majoritatea pacien\u021bilor, &lt;5 mg\/dL pentru guta tofacee)<\/li>\n<li><strong>Prevenirea recidivei pietrelor renale de acid uric<\/strong><\/li>\n<li><strong>Prevenirea pietrelor de oxalat de calciu<\/strong> la pacien\u021bii cu hiperuricosurie<\/li>\n<li><strong>Prevenirea sindromului de liz\u0103 tumoral\u0103<\/strong> \u00eenainte de chimioterapia pentru leucemie, limfom sau alte maligne cu turnover ridicat<\/li>\n<li><strong>Hiperuricemie<\/strong> asociat\u0103 cu terapia citotoxic\u0103, afec\u021biuni hematologice sau anumite tulbur\u0103ri enzimatice ereditare<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i administrarea Hyloric<\/h2>\n<p>Doza este individualizat\u0103 \u00een func\u021bie de func\u021bia renal\u0103 \u0219i \u021binta de urat seric. Tratamentul \u00eencepe de obicei cu o <strong>doz\u0103 ini\u021bial\u0103 mic\u0103 pentru a reduce riscul unui acces de gut\u0103 paradoxal<\/strong> pe m\u0103sur\u0103 ce nivelurile de urat se modific\u0103.<\/p>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie \/ Pacient<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>Doza de \u00eentre\u021binere obi\u0219nuit\u0103<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Gut\u0103 cronic\u0103 (ini\u021bial\u0103)<\/strong><\/td>\n<td>100 mg o dat\u0103 pe zi<\/td>\n<td>Se titreeaz\u0103 \u00een sus cu 100 mg la fiecare 2\u20135 s\u0103pt\u0103m\u00e2ni pentru a atinge \u021binta de urat<\/td>\n<\/tr>\n<tr>\n<td><strong>Gut\u0103 cronic\u0103 (\u00eentre\u021binere)<\/strong><\/td>\n<td>\u2014<\/td>\n<td>300\u2013600 mg pe zi (maxim 900 mg \u00een doze divizate)<\/td>\n<\/tr>\n<tr>\n<td><strong>Gut\u0103 tofacee<\/strong><\/td>\n<td>100 mg o dat\u0103 pe zi<\/td>\n<td>Titra\u021bi pentru a ob\u021bine urat &lt;5 mg\/dL; de obicei 400\u2013600 mg pe zi<\/td>\n<\/tr>\n<tr>\n<td><strong>Pietre la rinichi (acid uric)<\/strong><\/td>\n<td>200\u2013300 mg pe zi<\/td>\n<td>Ajusta\u021bi \u00een func\u021bie de uratul urinar pe 24 de ore<\/td>\n<\/tr>\n<tr>\n<td><strong>Prevenirea sindromului de liz\u0103 tumoral\u0103<\/strong><\/td>\n<td>600\u2013800 mg pe zi<\/td>\n<td>Ini\u021biat cu 1\u20132 zile \u00eenainte de chimioterapie, curs de 3\u20137 zile<\/td>\n<\/tr>\n<tr>\n<td><strong>eGFR 30\u201359 mL\/min<\/strong><\/td>\n<td>50\u2013100 mg o dat\u0103 pe zi<\/td>\n<td>Titra\u021bi lent cu monitorizare atent\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>eGFR &lt;30 mL\/min<\/strong><\/td>\n<td>50 mg la fiecare dou\u0103 zile<\/td>\n<td>Se recomand\u0103 supraveghere specializat\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>V\u00e2rstnici (65+)<\/strong><\/td>\n<td>100 mg zilnic<\/td>\n<td>Utiliza\u021bi cea mai mic\u0103 doz\u0103 care men\u021bine \u021binta de urat<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Cum s\u0103 lua\u021bi corect Hyloric<\/h3>\n<ul>\n<li>Lua\u021bi Hyloric <strong>o dat\u0103 pe zi, preferabil cu m\u00e2ncare<\/strong>, pentru a reduce riscul de irita\u021bii gastrice<\/li>\n<li>Dozele peste 300 mg ar trebui \u00een general s\u0103 fie <strong>\u00eemp\u0103r\u021bite \u00een dou\u0103 sau trei doze<\/strong> pe parcursul zilei<\/li>\n<li>Be\u021bi cel pu\u021bin <strong>2 litri de ap\u0103 pe zi<\/strong> \u2014 hidratarea bun\u0103 protejeaz\u0103 rinichii pe m\u0103sur\u0103 ce acidul uric este mobilizat<\/li>\n<li>Lua\u021bi Hyloric aproximativ la <strong>aceea\u0219i or\u0103 \u00een fiecare zi<\/strong> pentru a men\u021bine niveluri constante \u00een s\u00e2nge<\/li>\n<li>Nu <strong>prime\u0219te,<\/strong> \u00eentrerupe\u021bi Hyloric la apari\u021bia unui atac de gut\u0103 \u2014 \u00eentreruperea \u0219i reluarea poate declan\u0219a un nou atac. Continua\u021bi Hyloric \u0219i trata\u021bi atacul cu un tratament scurt cu AINS, colchicin\u0103 sau corticosteroid, conform prescrip\u021biei<\/li>\n<li>Dac\u0103 a\u021bi uitat o doz\u0103 \u0219i nu au trecut mai mult de 12 ore, lua\u021bi-o c\u00e2t mai cur\u00e2nd posibil. \u00cen caz contrar, omite\u021bi-o \u2014 nu lua\u021bi o doz\u0103 dubl\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte secundare ale Hyloric<\/h2>\n<p>Majoritatea pacien\u021bilor tolereaz\u0103 foarte bine Hyloric, mai ales atunci c\u00e2nd doza este ini\u021bial mic\u0103 \u0219i apoi crescut\u0103 treptat. Efectele secundare tind s\u0103 apar\u0103 \u00een primele luni.<\/p>\n<table>\n<thead>\n<tr>\n<th>Severitate<\/th>\n<th>Efect Secundar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Frecvente (\u22651 din 100)<\/strong><\/td>\n<td>Atac de gut\u0103 paradoxal \u00een primele 2\u20133 luni, erup\u021bie cutanat\u0103, grea\u021b\u0103, diaree, cefalee, somnolen\u021b\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Pu\u021bin frecvente<\/strong><\/td>\n<td>Enzime hepatice crescute, febr\u0103, durere articular\u0103, anemie u\u0219oar\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Rare, dar grave<\/strong><\/td>\n<td>Reac\u021bii cutanate severe (sindromul Stevens-Johnson, necroliz\u0103 epidermic\u0103 toxic\u0103), sindrom de hipersensibilitate la alopurinol (DRESS), insuficien\u021b\u0103 renal\u0103 acut\u0103, anemie aplazic\u0103, hepatit\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Opri\u021bi Hyloric imediat \u0219i c\u0103uta\u021bi \u00eengrijire medical\u0103 urgent\u0103<\/strong> dac\u0103 dezvolta\u021bi orice urticarie, vezicule, ulcera\u021bii bucale, febr\u0103, umflarea fe\u021bei sau \u00eengalbenirea ochilor\/pielei. Acestea pot fi semne timpurii de hipersensibilitate sever\u0103 care este <strong>poten\u021bial letal\u0103 dac\u0103 administrarea medicamentului continu\u0103<\/strong>.<\/p>\n<h2 class=\"wp-block-heading\">Paradoxul Flare-ului \u2014 La ce s\u0103 v\u0103 a\u0219tepta\u021bi \u00een primele luni<\/h2>\n<p>C\u00e2nd acidul uric \u00eencepe s\u0103 scad\u0103, atrage depozitele existente de cristale \u00eenapoi \u00een solu\u021bie \u2014 iar acest proces \u00een sine poate declan\u0219a un atac de gut\u0103. Acesta se nume\u0219te <strong>\u201cflare de mobilizare\u201d<\/strong> \u0219i este <strong>nu un semn c\u0103 medicamentul nu func\u021bioneaz\u0103<\/strong>. Ghidurile recomand\u0103 <strong>profilaxia flare-urilor<\/strong> \u2014 o doz\u0103 mic\u0103 de colchicin\u0103, AINS sau prednisolon \u2014 \u00een primele 3\u20136 luni de terapie de reducere a uratului. Continua\u021bi s\u0103 lua\u021bi Hyloric \u0219i \u00een timpul flare-ului.<\/p>\n<h2 class=\"wp-block-heading\">Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Testarea genetic\u0103 HLA-B*5801<\/strong> este recomandat\u0103 pentru pacien\u021bii de origine chinez\u0103, thailandez\u0103, coreean\u0103 sau din alte regiuni din Asia de Sud-Est \u00eenainte de a \u00eencepe tratamentul cu Hyloric, deoarece ace\u0219tia prezint\u0103 un risc mai mare de reac\u021bii cutanate severe<\/li>\n<li><strong>Afectare renal\u0103<\/strong> \u2014 reduce\u021bi doza ini\u021bial\u0103 \u0219i titra\u021bi lent; oxipurinolul este eliminat prin rinichi<\/li>\n<li><strong>Boal\u0103 hepatic\u0103<\/strong> \u2014 monitoriza\u021bi enzimele hepatice; reduce\u021bi doza dac\u0103 sunt semnificativ anormale<\/li>\n<li><strong>Atac acut de gut\u0103<\/strong> \u2014 nu \u00eencepe\u021bi Hyloric \u00een timpul unui episod acut; a\u0219tepta\u021bi p\u00e2n\u0103 c\u00e2nd inflama\u021bia s-a ameliorat (cu excep\u021bia cazului \u00een care sunte\u021bi deja stabilizat pe terapie)<\/li>\n<li><strong>Risc cardiovascular<\/strong> \u2014 s-a observat o reducere moderat\u0103 a riscului; allopurinolul este preferat \u00een locul febuxostatului la pacien\u021bii cu boli cardiovasculare stabilite<\/li>\n<li>Alcoolul (\u00een special berea \u0219i b\u0103uturile spirtoase) cre\u0219te nivelul acidului uric; limitarea consumului face Hyloric mai eficace<\/li>\n<li>Evita\u021bi modific\u0103rile bru\u0219te \u00een alimentele bogate \u00een purine (carne ro\u0219ie, m\u0103runtaie, crustacee, b\u0103uturi cu con\u021binut ridicat de fructoz\u0103) f\u0103r\u0103 sfatul medicului<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii \u2014 Cine NU ar trebui s\u0103 ia Hyloric<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la allopurinol<\/li>\n<li>Sindrom de hipersensibilitate la allopurinol \u00een antecedente (DRESS, SJS sau TEN)<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sau renal\u0103 sever\u0103, activ\u0103, f\u0103r\u0103 supraveghere specializat\u0103<\/li>\n<li>Sarcin\u0103 (categoria B3) \u2014 numai dac\u0103 beneficiul dep\u0103\u0219e\u0219te riscul<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<table>\n<thead>\n<tr>\n<th>Medicament<\/th>\n<th>Interac\u021biune<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Azatioprin\u0103, 6-mercaptopurin\u0103<\/strong><\/td>\n<td>Alopurinolul blocheaz\u0103 metabolismul \u2014 <strong>toxicitate letal\u0103 pentru m\u0103duva osoas\u0103<\/strong>. Doza de azatioprin\u0103\/6-MP trebuie redus\u0103 cu 75% dac\u0103 administrarea concomitent\u0103 este inevitabil\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Warfarin<\/strong><\/td>\n<td>Poate cre\u0219te INR-ul \u0219i riscul de s\u00e2ngerare \u2014 monitoriza\u021bi mai frecvent la ini\u021biere sau \u00eentrerupere<\/td>\n<\/tr>\n<tr>\n<td><strong>Amoxicilin\u0103 \u0219i ampicilin\u0103<\/strong><\/td>\n<td>Inciden\u021b\u0103 mai mare de erup\u021bii cutanate atunci c\u00e2nd sunt combinate<\/td>\n<\/tr>\n<tr>\n<td><strong>Diuretice tiazidice, diuretice de ans\u0103<\/strong><\/td>\n<td>Cre\u0219te acidul uric \u0219i reduce eficacitatea alopurinolului; poate cre\u0219te \u0219i riscul de erup\u021bii cutanate<\/td>\n<\/tr>\n<tr>\n<td><strong>Inhibitori ACE<\/strong><\/td>\n<td>Risc crescut de hipersensibilitate, \u00een special \u00een insuficien\u021b\u0103 renal\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Ciclosporin<\/strong><\/td>\n<td>Cre\u0219terea nivelurilor de ciclosporin\u0103 \u2014 monitorizare atent\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Teofilin\u0103<\/strong><\/td>\n<td>Alopurinolul poate cre\u0219te nivelurile de teofilin\u0103 la doze mari<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Monitorizare cu Hyloric<\/h2>\n<ul>\n<li><strong>Urat seric<\/strong> la fiecare 2\u20134 s\u0103pt\u0103m\u00e2ni \u00een timpul titr\u0103rii cresc\u00e2nde, apoi la fiecare 6\u201312 luni dup\u0103 stabilizare<\/li>\n<li><strong>\u021aint\u0103:<\/strong> &lt;6 mg\/dL (&lt;0,36 mmol\/L) pentru majoritatea pacien\u021bilor; &lt;5 mg\/dL pentru gut\u0103 tofacee<\/li>\n<li><strong>Func\u021bia renal\u0103 (eGFR \u0219i creatinin\u0103)<\/strong> la ini\u021biere \u0219i la fiecare 6\u201312 luni<\/li>\n<li><strong>Enzime hepatice (ALT, AST)<\/strong> la ini\u021biere \u0219i periodic \u00een timpul terapiei<\/li>\n<li><strong>Hemogram\u0103 complet\u0103<\/strong> \u00een cazul oric\u0103rui v\u00e2n\u0103tai neobi\u0219nuit, oboseal\u0103 sau infec\u021bii recurente<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Instruc\u021biuni de Depozitare<\/h2>\n<ul>\n<li>Se p\u0103streaz\u0103 la temperaturi sub 25 \u00b0C, \u00een loc uscat, departe de lumin\u0103 direct\u0103<\/li>\n<li>Se p\u0103streaz\u0103 \u00een blisterul original p\u00e2n\u0103 la utilizare<\/li>\n<li>Se p\u0103streaz\u0103 \u00een afara accesului copiilor<\/li>\n<li>Nu se utilizeaz\u0103 dup\u0103 data de expirare tip\u0103rit\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Produse similare pe MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/meftal\/\" rel=\"noopener\">Meftal (Acid Mefenamic)<\/a> \u2014 AINS folosit frecvent \u00een gestionarea crizelor acute de gut\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/heart-blood-pressure\/\" rel=\"noopener\">Medicamente pentru inim\u0103 \u0219i tensiune arterial\u0103<\/a> \u2014 gut\u0103 coexista frecvent cu hipertensiunea arterial\u0103<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede reduce Hyloric acidul uric?<\/h3>\n<p>Nivelul seric de urat \u00eencepe s\u0103 scad\u0103 de obicei \u00een 1-2 s\u0103pt\u0103m\u00e2ni, ating\u00e2nd un nou echilibru la 4-6 s\u0103pt\u0103m\u00e2ni. Disolu\u021bia complet\u0103 a depozitelor cristaline existente poate dura 6-12 luni de terapie consecvent\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Hyloric \u00een timpul unui atac de gut\u0103?<\/h3>\n<p>Dac\u0103 sunte\u021bi deja stabilit pe Hyloric, <strong>nu opri\u021bi<\/strong> \u2014 continua\u021bi s\u0103-l lua\u021bi \u0219i trata\u021bi atacul cu un tratament scurt cu AINS, colchicin\u0103 sau corticosteroid. Dac\u0103 nu lua\u021bi \u00eenc\u0103 Hyloric, majoritatea speciali\u0219tilor a\u0219teapt\u0103 p\u00e2n\u0103 c\u00e2nd atacul s-a calmat \u00eenainte de a \u00eencepe.<\/p>\n<h3 class=\"wp-block-heading\">Trebuie s\u0103 iau Hyloric pentru totdeauna?<\/h3>\n<p>Pentru majoritatea pacien\u021bilor cu gut\u0103 cronic\u0103, da \u2014 terapia de reducere a uratului este pe termen lung. Oprirea Hyloricului determin\u0103 de obicei cre\u0219terea uratului la nivelul pre-tratament \u00een c\u00e2teva s\u0103pt\u0103m\u00e2ni, iar atacurile de gut\u0103 revin.<\/p>\n<h3 class=\"wp-block-heading\">Pot consuma alcool \u00een timp ce iau Hyloric?<\/h3>\n<p>Alcoolul, \u00een special berea \u0219i b\u0103uturile spirtoase, cre\u0219te acidul uric \u0219i cre\u0219te riscul de atacuri de gut\u0103. Consumul moderat de vin este \u00een general tolerat. Abstinen\u021ba total\u0103 nu este necesar\u0103, dar reducerea alcoolului face Hyloric semnificativ mai eficient.<\/p>\n<h3 class=\"wp-block-heading\">Hyloric este acela\u0219i lucru cu Zyloric?<\/h3>\n<p>Ambele con\u021bin acela\u0219i ingredient activ \u2014 alopurinol \u2014 \u00een aceea\u0219i doz\u0103 de 300 mg. Hyloric este genericul indian; Zyloric este un brand interna\u021bional. Eficacitatea clinic\u0103 este identic\u0103.<\/p>\n<h3 class=\"wp-block-heading\">De ce atacurile mele de gut\u0103 s-au \u00eenr\u0103ut\u0103\u021bit de c\u00e2nd am \u00eenceput Hyloric?<\/h3>\n<p>Acesta este \u201catacul paradoxal\u201d \u2014 frecvent \u00een primele 2-3 luni. Sc\u0103derea acidului uric mobilizeaz\u0103 depozitele vechi de cristale, care pot declan\u0219a atacuri. Nu este un semn de e\u0219ec \u2014 continua\u021bi s\u0103 lua\u021bi Hyloric \u0219i \u00eentreba\u021bi-v\u0103 medicul despre profilaxia atacurilor cu doze mici de colchicin\u0103 sau AINS.<\/p>\n<h3 class=\"wp-block-heading\">Poate Hyloric s\u0103-mi afecteze rinichii?<\/h3>\n<p>Hyloric pe termen lung la doze adecvate, de fapt <strong>protejeaz\u0103 func\u021bia renal\u0103<\/strong> la pacien\u021bii cu hiperuricemie. Cu toate acestea, reac\u021biile severe de hipersensibilitate sunt rare \u0219i pot provoca leziuni renale acute. Func\u021bia renal\u0103 ar trebui verificat\u0103 la \u00eenceput \u0219i monitorizat\u0103 periodic.<\/p>\n<h3 class=\"wp-block-heading\">Ce alimente ar trebui s\u0103 evit \u00een timpul tratamentului cu Hyloric?<\/h3>\n<p>Alimentele bogate \u00een purine includ carne de organe (ficat, rinichi), crustacee, sardine, an\u0219oa \u0219i b\u0103uturi cu con\u021binut ridicat de fructoz\u0103. Nu este necesar s\u0103 le elimina\u021bi complet, ci s\u0103 le consuma\u021bi cu modera\u021bie. Produsele lactate \u0219i proteinele vegetale sunt asociate cu <em>un risc mai sc\u0103zut<\/em> de gut\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Hyloric poate fi utilizat pentru pietrele renale?<\/h3>\n<p>Da \u2014 este utilizat pentru a preveni recuren\u021ba pietrelor de acid uric \u0219i a pietrelor de oxalat de calciu la persoanele cu niveluri ridicate de urat \u00een urin\u0103. Alcalinizarea urinei \u0219i cre\u0219terea aportului de lichide sunt de obicei combinate cu alopurinol pentru prevenirea pietrelor.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2nd voi observa mai pu\u021bine atacuri de gut\u0103?<\/h3>\n<p>Majoritatea pacien\u021bilor observ\u0103 o reducere clar\u0103 a frecven\u021bei crizei \u00een decurs de <strong>3\u20136 luni<\/strong> de la atingerea nivelului \u021bint\u0103 de urat. Tofusul necesit\u0103 adesea 12\u201324 de luni de terapie sus\u021binut\u0103 pentru a se mic\u0219ora vizibil.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lispro\/\">Lispro<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/rosuline\/\">Rosuline<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/okacet\/\">Okacet<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/tiova-inhaler\/\">Tiova Inhaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/domin-injection\/\">Domin Injection<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Reduce nivelul acidului uric<br \/>\n\u2705 Previne atacurile de gut\u0103<br \/>\n\u2705 Amelioreaz\u0103 durerea articular\u0103<br \/>\n\u2705 Reduce umflarea<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te mobilitatea<\/p>\n<p>Hyloric con\u021bine Allopurinol.<\/p>","protected":false},"featured_media":55367,"comment_status":"closed","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3920],"product_tag":[3921,3922],"class_list":{"0":"post-55366","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-gout-treatment","9":"product_tag-allopurinol","10":"product_tag-hyloric","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55366","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55366"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55367"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55366"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55366"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55366"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55366"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}