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藥品參考

Probenecid

Probenecid is a medicine in the class genitourinary. It is used for gonorrhea.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Genitourinary
已知交互作用
161 (禁忌併用: 2 · 嚴重: 6 · 中度: 92 · 輕微: 61)

用途

作用方式

(Uricosuric) inhibits tubular reabsorption of urate; increasing uric acid excretion, Also inhibits tubular secretion of weak organic acids like PCNs & cephalosporins

成人常用劑量(仿單摘要)

Gout: 250 mg PO twice daily for 1 week; increase to 500 mg PO twice daily to 2 g/day maximum with dosage increases of 500 mg q4weeks

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Safe Crosses the placenta and appears in cord blood; no reports of fetal harm. US label: weigh benefit against possible hazards. It has long been used with penicillin or cephalosporins to treat infections in pregnancy. Acceptable when needed.
哺乳
Safe Low milk levels at doses up to 2 g daily; not expected to affect the infant, especially after 2 months of age (LactMed). It may raise milk levels of drugs given with it (seen in animals). Acceptable while breastfeeding.

已通報的副作用

  • Headache
  • Vomiting
  • Nausea
  • Loss of appetite
  • GI upset

禁忌症

  • Age <2 years
  • Uric acid kidney stones, acute gouty arthritis
  • Hypersensitivity

哪些人需要特別留意

  • Use caution in patients with G6PD deficiency; may increase risk for hemolytic anemia
  • Salicylates may reduce the therapeutic effects of probenecid (effect may be pronounced with high chronic doses
  • May cause exacerbation of acute gouty attack; in such cases colchicine or other appropriate therapy is advisable

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (161)

All 161 interactions, with severity and what to do

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  • Dosing by age, kidney and liver function, and further dose lines
  • Renal and hepatic dose adjustments
  • Paediatric dosing
  • Pharmacokinetics
  • Patient counselling points
  • Food interactions

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同類別的其他藥品

常見問題

What is Probenecid used for?

Probenecid is a medicine in the class genitourinary. It is used for Gonorrhea, Gout, Pelvic inflammatory disease, Prolong penicillin serum levels.

What side effects have been reported with Probenecid?

Headache, Vomiting, Nausea, Loss of appetite, GI upset.

Can Probenecid be taken in pregnancy or while breastfeeding?

Pregnancy: Safe. Crosses the placenta and appears in cord blood; no reports of fetal harm. US label: weigh benefit against possible hazards. It has long been used with penicillin or cephalosporins to treat infections in pregnancy. Acceptable when needed. Breastfeeding: Safe. Low milk levels at doses up to 2 g daily; not expected to affect the infant, especially after 2 months of age (LactMed). It may raise milk levels of drugs given with it (seen in animals). Acceptable while breastfeeding.

What does Probenecid interact with?

MediHelp lists 161 known interactions for Probenecid. Contraindicated: 2 · Major: 6 · Moderate: 92 · Minor: 61. The most serious include Ketorolac, Ketorolac intranasal, Baricitinib.

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