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Griseofulvin tablet composition ) The following dosage unit is provided for the treatment of gout (see also DOSAGE AND ADMINISTRATION) TABLE 1 Formulations, Standard (Sodium Phosphate, Phosphorus Diphosphate, Potassium Magnesium Sulfate) and Formulations, Extended (Potassium Phosphate, Phosphorus Diphosphate, Magnesium Sulfate, Biosulfate, MgBiosulfate, Calcium Phosphate) Table of Contents Author's Reprint No. Form of formulation, formulation for fluconazole 150mg capsules dpf injection, or of a solution Form and strength of compound in milligrams or milligram equivalents Concentration of the agent and solution Compound to be administered, e.g. for injection or infusion alone, a combination thereof Note: It has been determined from clinical experience that intravenous administration of magnesium sulfate is beneficial in the treatment of patients with gout in a dose of between 3 and 10 g/day generally results in a reduction of the number urates. For treatment of gout, an exact absorption the drug through skin is essential but, on a body surface area basis, the absorption of magnesium sulfate is not greater than that from a single intravenous administration of sodium sulfate. [See INDICATIONS AND USAGE INTRAMUSCULAR, ACUTE (IC) RELATED, ADAPTATIONS AND CLINICAL EVALUATION.] Cautions Pregnancy Teratogenic Effects A study was conducted to assess whether magnesium sulfate was teratogenic. The authors concluded that a study in which pregnant rats were fed 2,000 mg/kg of intravenously administered magnesium sulfate during the period of organogenesis to day-of-gestation was not likely affect the number of live fetuses that developed from group. A study was conducted at several hospitals evaluating the efficacy and long-term effects of a magnesium sulfate-containing oral antiseptic against gout. It is concluded, on a total of five studies involving a total of 2473 patients, that the use of intravenously administered magnesium sulfate has a beneficial effect in preventing recurrence of gout flares but does not provide any beneficial effect against secondary and tertiary inflammatory conditions of the lower extremities in this population. [See CLINICAL TRIALS.] Renal and Hepatic Toxicity Carcinogenesis: In an vitro test with mice and rats, no evidence of carcinogenicity was detected. In a study from the American Cancer Society (1984) of the impact magnesium sulfate or chloride treatment of kidney tumors, magnesium sulfate at doses up to 3mg/kg daily was non-toxic. No adverse effects were identified at these doses. A study published in the "Pharmacological Bulletin" from 1983, on clinical effects of fluconazole capsules 150mg magnesium sulfate used for treatment of gout, concludes: "It is stated that in a small proportion magnesium sulfate may produce a slight stimulation in the urinary excretion of calcium carbonate but not in that of magnesium phosphate. This fact, however, is not relevant to the treatment in most people. However, patients with mild renal insufficiency or in those on reduced intake of calcium, it could be relevant. In these latter cases supplemental magnesium sulfate or combined with carbonate could be considered as a further strategy for the diagnosis and treatment of gout. "An additional feature of the treatment is improvement in gout, with a marked improvement observed in the frequency, severity and duration of the attacks." An observational study from the U.K. in 1982 found a slight increase in the Cialis perth western australia urinary calcium excretion following intravenous magnesium sulfate treatment of patients with gout. [EUROPHARMACOLOGICAL REPORT, J.M.M, OUPHARMACOLOGY, 1980-8, Volume 2, Issue 18 (February, 1982).] In animal tests, ingestion of magnesium sulfate reduced calcium levels in the kidney, which would theoretically increase urinary calcium excretion. There were cases of renal stones (see WARNINGS), but the majority of cases were stones formed spontaneously or the result of treatment with antacids, calcium carbonate, or potassium salts in the treatment for other diseases, or from a dietary change. There were no reports of kidney stones resulting from a short course of intravenous magnesium sulfate. [See WARNINGS.] Hematologic Toxicity: Deterioration of hematologic functions has been reported after treatment with a magnesium sulfate-based laxative. [See WARNINGS AND]

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