Uricosuric medicine

Benzbromarone (بنزبرومارون)

Benzbromarone lowers uric acid by increasing its removal through the kidneys. It is used for chronic hyperuricaemia or gout where authorised and requires specialist supervision because it can cause severe liver injury.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Lowering raised uric acid in people with chronic gout
  • Treating hyperuricaemia when a specialist decides other options are unsuitable

How it is used

  • Swallow the tablet with water exactly as prescribed
  • Drink adequate fluids unless your doctor has told you to restrict them
  • Do not start it during an acute gout attack or stop gout treatment on your own

Possible side effects

  • Nausea, diarrhoea or abdominal discomfort
  • Rash or itching
  • Gout attacks may occur when uric acid lowering begins
  • Rarely, severe liver injury that may be life-threatening

Who should not use it

  • Liver disease or abnormal liver function
  • Uric-acid stones or conditions in which the kidneys cannot remove uric acid adequately
  • Allergy to benzbromarone

Before and while using it

  • Regular liver-function tests are required before and during treatment
  • Stop the medicine and seek medical care immediately for loss of appetite, persistent nausea, marked tiredness, dark urine, or yellow skin or eyes
  • It can increase the risk of kidney stones; follow your doctor's advice about fluids and urine tests
  • This medicine is unavailable or restricted in some countries because of the liver-injury risk

Medicine interactions

  • It may increase the effect of warfarin and similar anticoagulants; medical monitoring is needed
  • Pain-relief amounts of salicylates may reduce its uric-acid-lowering effect
  • Tell your doctor about all gout medicines and medicines that may affect the liver

Pregnancy and breastfeeding

  • It is not recommended in pregnancy or breastfeeding because safety information is insufficient; tell your doctor if you are pregnant or breastfeeding

How to store it

  • Keep tablets in their original pack away from moisture and out of the sight and reach of children

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.