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Hi, I am new, would like to participate too!!
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Kaplan Qbank USMLE



Author5 Posts
  #1

Allopurinol, is contraindicated in Lesch Nyhan patients ? Why

  #2

probably because it would result in built of Inosine monophosphate which offcourse is not being salvaged and you give allopurinol and it would not even be degraded.

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In Life there are neither rewards nor punishments, just consequences.

  #3

ya, you are right. There is another story to it. Allopurinol is an analog of purine, it requires the enzyme PR Transferase, so that it can form (Phospate+Ribose+ allopurinol )and that way it can inhibit the denovo synthesis of the purines.

Of course it also acts at xanthine oxidase.

What do you think?


  #4

which drug when co-administered with allopurinol requires dose reduction?

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  #5

which offcourse is metabolised by Xanthine Oxidase confused 6 Mercaptopurine ?

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