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

Q. Is Piloric safe to use?
Piloric is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q. What is Piloric?
Piloric belongs to a group of medicines called xanthine oxidase inhibitors. It reduces the amount of uric acid in the body by blocking one of the processes that make it. It is used to treat gout (pain and swelling of the small joints due to elevated levels of uric acid in the blood and subsequent deposition in the joints), kidney stones, and to remove uric acid from the body in certain cancers.

Q. Can I take Piloric with Torasemide?
Piloric can be taken with Torasemide. Piloric is sometimes given to decrease the hyperuricemic effects of Torasemide. However, Piloric is not safe in patients with renal failure, so may need to be replaced with another similar medicine like febuxostat.

Q. How is Piloric different from febuxostat?
Both Piloric and febuxostat work in a similar way by lowering uric acid levels. However, as compared to Piloric, febuxostat is seen to be more effective and faster in its action. Also, in patients taking Piloric, a dose adjustment is needed if the patient has mild, moderate or severe renal failure while in the case of febuxostat a dose adjustment may be needed only in patients with severe renal failure.

Q. Can I take Piloric with febuxostat?
Both Piloric and febuxostat 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 febuxostat when used with Piloric 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.