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:: Overview :: Precautions :: Side Effects Search results last updated: 5/9/2009

Generic & Brand Name : Source: (RXList)

Brand Name : Zyflo
Generic Name : Zileutin

Overview (Source: MedicineNet)
home > zileuton-oral index > zileuton-oral, zyflo drug monograph ...
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Precautions (Source: RXList)
ZYFLO is not indicated for use in the reversal of bronchospasm in acute asthma attacks, including status asthmaticus. Therapy with ZYFLO can be continued during acute exacerbations of asthma. Co-administration of ZYFLO and theophylline results in, on average, an approximate doubling of serum theophylline concentrations. Theophylline dosage in these patients should be reduced and serum theophylline concentrations monitored closely (see PRECAUTIONS: DRUG INTERACTIONS ). Co-administration of ZYFLO and warfarin results in a clinically significant increase in prothrombin time (PT). Patients on oral warfarin therapy and ZYFLO should have their prothrombin times monitored closely and anticoagulant dose adjusted accordingly (see PRECAUTIONS : DRUG INTERACTIONS ). Co-administration of ZYFLO and propranolol results in doubling of propranolol AUC and consequent increased beta-blocker activity. Patients on ZYFLO and propranolol should be closely monitored and the dose of the propranolol reduced as necessary (see PRECAUTIONS : DRUG INTERACTIONS ). ...
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Side Effects (Source: RXList)
Clinical Studies A total of 5542 patients have been exposed to zileuton in clinical trials , 2252 of them for greater than 6 months and 742 for greater than 1 year. Adverse events most frequently occurring (frequency = 3%) in ZYFLO-treated patients and at a frequency greater than placebo-treated patients are summarized in Table 2. TABLE 2 Proportion of Patients Experiencing Adverse Events in Placebo-Controlled Studies in Asthma BODY SYSTEM/Event ZYFLO 600 mg 4 times daily % Occurrence (N = 475) Placebo % Occurrence (N = 491) BODY AS A WHOLE    Headache 24.6 24.0    Pain (unspecified) 7.8 5.3    Abdominal Pain 4.6 2.4    Asthenia 3.8 2.4    Accidental Injury 3.4 2.0 DIGESTIVE SYSTEM    Dyspepsia 8.2* 2.9    Nausea 5.5 3.7 MUSCULOSKELETAL    Myalgia 3.2 2.9 *p = 0.05 vs placebo constipation , dizziness , fever , flatulence , hypertonia , insomnia , lymphadenopathy , malaise , neck pain/rigidity, nervousness, pruritus , somnolence , urinary tract infection , vaginitis , and vomiting. The frequency of discontinuation from the asthma clinical studies due to any adverse event was comparable between ZYFLO (9.7%) and placebo-treated (8.4%) groups. In placebo-controlled clinical trials, the frequency of ALT elevations = 3xULN was 1.9% for ZYFLO-treated patients, compared with 0.2% for placebo-treated patients. In controlled and uncontrolled trials, one patient developed symptomatic hepatitis with jaundice , which resolved upon discontinuation of therapy. An additional 3 patients with ...
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