Boxstar 40 Tablet (FEBUXOSTAT)

What is Boxstar 40 tablet?

Boxstar 40 tablet is a medicine for gout, a type of arthritis caused by too much uric acid in the body. It works by lowering uric acid levels. The medicine is processed by the liver and kidneys and leaves the body fairly quickly. Some people get side effects like joint pain, nausea, or a rash. Importantly, it's linked to a slightly higher risk of heart problems, so doctors usually only prescribe it if another similar medicine, allopurinol, doesn't work or can't be used.

What is the usual dose of Boxstar 40 tablet?

The recommended dose for Boxstar 40 tablet is 40 mg once daily, which may be increased to 80 mg daily if the target uric acid level is not achieved after two weeks.

Children: Safety and effectiveness have not been established for pediatric use.

​However, people with severely weakened kidneys might need a lower dose (40mg once a day). There's no information given about the correct dose for children.

 

How do I take Boxstar 40 tablet?

You can take Boxstar 40 tablet with or without food. It doesn't matter what you eat with it. Just follow your doctor's instructions on how many pills to take and when.

For how long do I take Boxstar 40 tablet?

If you've had gout, your doctor might suggest taking Boxstar 40 tablet for six months to prevent it from coming back. It's like a preventative measure to keep gout attacks away.

 

What is Boxstar 40 tablet used for?

Boxstar 40 tablet is a medicine that lowers uric acid in adults with gout. Doctors prescribe it when another medicine, allopurinol, doesn't work or can't be used. It's only for people who have high uric acid causing gout symptoms. It hasn't been tested on children, so it's not safe to use in them.

How long does it take for Boxstar 40 tablet to start working?

Boxstar 40 tablet starts lowering uric acid levels within two weeks, with improvements in gout symptoms seen as treatment progresses.

Is Boxstar 40 tablet effective?

Clinical studies have shown Boxstar 40 tablet to be effective in reducing serum uric acid levels to below 6 mg/dL in most patients, especially at 80 mg daily​.

How does one know if Boxstar 40 tablet is working?

Boxstar 40 tablet helps with gout, but its effects aren't directly measured. Doctors watch for side effects and how well it reduces gout attacks. They'll likely do blood tests to check your liver. Even though you might have a gout attack while taking it, don't stop. Your doctor will probably give you medicine to prevent attacks for six months.

How does Boxstar 40 tablet work?

Boxstar 40 tablet is a medicine that lowers uric acid in the blood. Your body breaks it down using different processes, some involving the liver. Most of the medicine and its breakdown products leave the body through the liver and kidneys. Importantly, at the dose used to treat high uric acid, it doesn't interfere with other processes involved in making or using uric acid.

Who should avoid taking Boxstar 40 tablet?

Patients on azathioprine or mercaptopurine.
Boxstar 40 tablet is a medicine for gout, but it has serious risks. It shouldn't be taken with certain other medications (azathioprine or mercaptopurine). Some people taking it have experienced heart problems, even sudden death, more often than those taking a similar medicine called allopurinol. 

Those with severe hepatic impairment or a history of serious hypersensitivity to Boxstar 40 tablet

​There's also a risk of liver problems and severe skin reactions, even death in some cases. When you first start taking it, you'll likely have gout attacks, so your doctor will give you medicine to prevent that for about six months.

 

Can I take Boxstar 40 tablet with vitamins or supplements?

Boxstar 40 tablet may interact with supplements that increase uric acid levels (e.g., high-dose niacin). Consult your doctor before combining them.

Can I take Boxstar 40 tablet with other prescription drugs?

Boxstar 40 tablet is a medicine that works by affecting a body process involving xanthine oxidase (XO). Some other medicines also use this process, and taking them with Boxstar 40 tablet can cause problems. Specifically, it's very dangerous to take Boxstar 40 tablet with azathioprine or mercaptopurine because it can make those medicines much more powerful, leading to harmful side effects. Taking Boxstar 40 tablet with theophylline might change how the body processes theophylline, but the long-term effects aren't fully known. However, Boxstar 40 tablet seems safe to take with colchicine or naproxen.

Can Boxstar 40 tablet be taken safely while pregnant?

There's not enough information on how Boxstar 40 tablet affects pregnancies in humans. Limited data suggests no significant risk, but use only if clearly needed after consulting a doctor.
 

Can Boxstar 40 tablet be taken safely while breastfeeding?

It's not known for sure if the medicine Boxstar 40 tablet gets into breast milk. Doctors and mothers need to discuss whether it's safe to take while breastfeeding. 

Is Boxstar 40 tablet safe for the elderly?

This medicine works the same in older adults (65 and up) as it does in younger people. The amount of medicine in their bodies is similar. However, some older people might be more sensitive to it, even though most aren't.

How should I store Boxstar 40 tablet?

Keep the Boxstar 40 tablet pills in a cool, dark place. The best temperature is between 68 and 77 degrees Fahrenheit (or 20 to 25 degrees Celsius). Don't let sunlight shine on them.

Does Boxstar 40 tablet make people tired or drowsy?

Drowsiness is not common. If experienced, avoid activities like driving and inform your doctor.

Does Boxstar 40 tablet cause stomach upset?

Nausea may occur in 1% of users. Taking Boxstar 40 tablet with food may help minimize this side effect.

Does Boxstar 40 tablet affect sleep?

No significant effects on sleep have been reported. If changes occur, consult your doctor.

Does Boxstar 40 tablet make it hard to think or concentrate?

Dizziness is infrequent. If you feel impaired, avoid activities requiring mental alertness and discuss with your doctor.

Does Boxstar 40 tablet affect mood?

Anxiety and depression have been rarely reported. Notify your doctor if mood changes occur.

Does Boxstar 40 tablet interfere with sexual function?

Sexual side effects are rare, including decreased libido. Inform your healthcare provider if this impacts you.

Does Boxstar 40 tablet affect appetite?

Changes in appetite or weight are uncommon but have been reported in some cases. Monitor for significant changes.

Does Boxstar 40 tablet cause weight gain?

Changes in Weight are uncommon but have been reported in some cases. Monitor for significant changes.

Does Boxstar 40 tablet cause headaches?

Boxstar 40 tablet usually doesn't cause headaches. But, it's important to know it can sometimes cause serious problems like heart trouble or bad skin reactions. If you get chest pain, trouble breathing, a rash, or any severe skin problem, go to the doctor or emergency room right away.

Does Boxstar 40 tablet limit driving?

Boxstar 40 tablet does not typically impair driving. If dizziness occurs, avoid driving until symptoms resolve.

Is it safe to drink alcohol while taking Boxstar 40 tablet?

Moderate alcohol intake may increase uric acid levels, counteracting Boxstar 40 tablet’s effects. Minimize alcohol consumption.

Is it safe to drink coffee or tea while taking Boxstar 40 tablet?

Caffeinated beverages do not significantly interact with Boxstar 40 tablet, but excessive intake may increase uric acid.

Is it safe to exercise while taking Boxstar 40 tablet?

Exercise is generally safe. Ensure hydration to prevent gout attacks during strenuous activities.

What are Boxstar 40 tablet possible harms and risks?

Boxstar 40 tablet can cause some common problems like liver enzyme changes showing up in blood tests, joint pain, upset stomach, and skin rash. Rare but serious side effects include heart issues, sudden worsening of gout, and severe liver damage that could be life-threatening. Very serious skin reactions are also possible. If your liver is hurt because of this medicine (and there's no other reason), you must stop taking it forever.