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Th nal claanc hypoxanthin and xanthin is at last 10 tims gat than that uic acid. Th incasd xanthin and hypoxanthin in th uin hav not bn accompanid by poblms npholithiasis. Xanthin cystalluia has bn potd in only th patints. Twth patints had Lsch-Nyhan syndom, which is chaactizd by xcssiv uic acid poduction combind with a dicincy th nzym, hypoxanthinguanin phosphoibosyltansas (HGPTas). This nzym is quid th convsion hypoxanthin, xanthin, and guanin tthi spctiv nuclotids. Th thid patint had lymphosacoma and poducd an xtmly lag amount uic acid bcaus apid cll lysis duing chmothapy.
In mic, th 50% lthal dos (LD 50 ) is 160 mg/kg givn intapitonally (IP) with daths dlayd up t5 days and 700 mg/kg oally (PO) (appoximatly 140 tims th usual human dos) with daths dlayd up t3 days. In ats, th acut LD50 is 750 mg/kg IP and 6000 mg/kg PO (appoximatly 1200 tims th human dos).
Th most qunt advs action tZYLOPIM (allopuinol) is skin ash. Skin actions can b sv and somtims atal. Tho, tatmnt with ZYLOPIM (allopuinol) should b discontinud immdiatly i a ash dvlops (s WANINGS ). Som patints with th most sv action alshad v, chills, athalgias, cholstatic jaundic, osinophilia and mild lukocytosis lukopnia. Among 55 patints with gout tatd with ZYLO-PIM 3 t34 months (avag gat than 1 ya) and ollowd pospctivly, undls obsvd that 3% patints dvlopd a typ dug action which was pdominantly a pu-itic maculopapula skin uption, somtims scaly xolia-tiv. Howv, with cunt usag, skin actions hav bn obsvd lss quntly than 1%. Th xplanation this dcas is not obvious. Th incidnc skin ash may b incasd in th psnc nal insuicincy. Th quncy skin ash among patints civing ampicillin amoxicillin concuntly with ZYLOPIM (allopuinol) has bn potd tb incasd (s PCAUTIONS ).
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