Common Increased liver enzymes, Diarrhoea, Headache, Nausea, Skin rash.

Expert advice for Fexanto Tablet
Your doctor has prescribed Fexanto to reduce episodes of gout attack. Take Fexanto at the same time every day, with or without food. Take plenty of fluids (2-3 litres) daily while on Fexanto. Notify your doctor if you develop a rash. This could be a sign of allergy and should go away on discontinuing Fexanto. To ensure that Fexanto is working, you may have to undergo blood tests regularly. When you first start taking Fexanto, you might have more gout attacks. Do not stop Fexanto on having an acute attack of gout as that could make an attack worse.

Q. Can I take Fexanto with rosuvastatin?
Rosuvastatin can be taken with Fexanto. Rosuvastatin is used to lower bad cholesterol and Fexanto is used to lower uric acid levels in patients with gout. Many patients of high cholesterol levels also have high uric acid levels. There are no human studies available on this interaction. However, animal research shows that when given together, Fexanto can increase the blood levels of Rosuvastatin causing a higher risk of its side effects like muscle pain and muscle damage. So, a dose adjustment of Rosuvastatin may be needed when given along with Fexanto.

Q. Does Fexanto cause frequent urination?
Fexanto is not known to cause frequent urination. However, if you experience any such symptom while using the drug, consult your doctor.

Q. How does Fexanto work for the treatment of gout?
Gout is a type of arthritis in which uric acid levels are very high in the blood and they get deposited in the joints causing swelling, redness and sudden pain in these joints. Fexanto works by inhibiting the enzyme xanthine oxidase involved in the synthesis of uric acid and hence decreases the level of uric acid in the blood.

Q. Is Fexanto a steroid?
No, Fexanto is not a steroid. It is a xanthine oxidase inhibitor and decreases the serum uric acid levels.

Q. Is Fexanto useful in lowering the triglyceride levels?
Fexanto is not indicated for the treatment of hypertriglyceridemia. Conclusive evidence showing the drug lowering triglyceride levels is lacking.

Q. How long does Fexanto take to work?
After oral intake, the peak plasma concentration of Fexanto is achieved between 1 to 1.5 hours. However, it may take a few days to weeks to show its effect and you can experience gout attacks during this time. Continue to take your medicine during this time as with continuous use these attacks would decrease.

Q. Is Fexanto an over the counter product?
Fexanto is not an over the counter product. It is a prescription medicine and is available as per the doctor's advice.

Q. Is Fexanto safe to use for a long time?
Studies have shown that Fexanto is safe for long-term use. However, it should be taken only for the duration as per the doctor's advice.

Q. Can Fexanto be used for the treatment of heart failure?
Fexanto is not indicated for the treatment of heart failure. However, high uric acid levels is a risk factor for cardiovascular diseases and the benefit of urate-lowering therapy for cardiac diseases is being explored.

Q. Is Fexanto useful for treating chronic kidney disease?
Fexanto is not indicated for the treatment of chronic kidney disease. However, it can be safely used in patients with mild to moderate renal failure for lowering uric acid levels. Safety of the drug in severe renal failure is not established.

Q. Can I use Fexanto for cancer?
Fexanto is not used for the treatment of cancer. However, patients with malignant cancer when given anti-cancer drugs, experience a serious condition known as tumor lysis syndrome characterized by increased potassium, phosphate and uric acid levels in the blood due to the killing of cancer cells and this can lead to acute kidney injury, cardiac arrhythmia, and seizures. Fexanto helps in this condition by lowering the uric acid levels and preventing further complications.

Q. Can I take Fexanto with allopurinol?
Both Fexanto and allopurinol are uric acid lowering agents and work in a similar way. So, using both the two medicines together may not be very beneficial and can increase the risk of side effects. However, there have been studies where Fexanto when used with allopurinol in patients with refractory gout, was quite effective in providing relief. So, a combined use would be best decided by your treating doctor depending on your condition.

Q. Is Fexanto useful for treating kidney stones?
Fexanto is not indicated in the treatment of kidney stones. However, some studies show that high renal uric acid excretion may precipitate the formation of calcium stones in the kidney and hence, suggest Fexanto may have a role in the reduction of stone formation.

Q. Can I take Fexanto with colchicine?
Fexanto can be taken with colchicine. In the initial few days of starting Fexanto, patients may experience an increase in gout attacks because of the movement of uric acid and colchicine and painkillers are given to these patients for the relief of pain and inflammation.

Q. Can I take Fexanto with azathioprine?
Fexanto should not be taken with azathioprine. Taking both the medicines together will increase the levels of azathioprine and can cause toxicity.

Q. Can I take Fexanto with antibiotics?
Fexanto can generally be taken safely together with antibiotics. However, interactions can occur. Talk to your doctor about the right antibiotic therapy for your condition while you are also taking Fexanto.

Q. What are the contraindications to the use of Fexanto?
Use of Fexanto is contraindicated in patients being treated with azathioprine, mercaptopurine, theophylline, and in patients who develop hypersensitivity to the drug.