Probenecid

 Risk Factor: C
 Class: MISCELLANEOUS

Contents of this page:

Fetal Risk Summary
Breast Feeding Summary
References
Questions and Answers

Fetal Risk Summary

No reports linking the use of probenecid with congenital defects have been located. Probenecid has been used during pregnancy without producing adverse effects in the fetus or in the infant (1,2 and 3). The manufacturer reports that the drug crosses the placenta and appears in cord blood (4).

In a surveillance study of Michigan Medicaid recipients involving 229,101 completed pregnancies conducted between 1985 and 1992, 339 newborns had been exposed to probenecid during the 1st trimester (F. Rosa, personal communication, FDA, 1993). A total of 17 (5.0%) major birth defects were observed (14 expected). Specific data were available for six defect categories, including (observed/expected) 5/3 cardiovascular defects, 1/1 oral clefts, 0/0 spina bifida, 1/1 polydactyly, 0/1 limb reduction defects, and 1/1 hypospadias. These data do not support an association between the drug and congenital defects.

Breast Feeding Summary

No reports describing the use of probenecid during lactation have been located. The molecular weight (about 286) is low enough, however, that excretion into breast milk should be expected. The effects on a nursing infant from exposure to the drug in breast milk are unknown.

References

1. Beidleman B. Treatment of chronic hypoparathyroidism with probenecid. Metabolism 1958;7:6908.
2. Lee FI, Loeffler FE. Gout and pregnancy. J Obstet Gynaecol Br Commonw 1962;69:299.
3. Batt RE, Cirksena WJ, Lebhertz TB. Gout and salt-wasting renal disease during pregnancy. Diagnosis, management and follow-up. JAMA 1963;186:8358.
4. Product information. Benemid. Merck, 2000.
   
   

Questions and Answers

If I have gonorrhea can I just take 2g of Amoxicillin with no probenecid?, And if not then why? What does probenecid do to help?

Yes. Probenecid is used to treat gout. No relationship.

is probenecid safe for long term use?,

I'm not sure what you mean by long term but I took it for about three years until my gout went away.

Which of the following medicines are over the counter?, Im doing a report on Gout and found a list of medicines that help treat gout, BUT the site didnt tell me which ones were over the counter. Here is the list:

-Acetaminophen
-NSAIDs
-Colchicine
-Corticosteroids
-Probenecid
-ColBenemid
-Allopurinol
-Losartan

Do you guys know which ones a person with gout can get over the counter?

Acetaminophen (tylenol) and NSAID's (such as advil, motrin, etc) are over the counter. The others are all prescription. You should also look into dietary modifications to help minimize the inflammation from your gout.

High blood pressure and Insomnia... Any sleeping medications that can mix with HB meds?, My father is on a cocktail of high blood pressure medications (Norvasc, Lisinopril, Terazosin, Triamterene, Probenecid, Atenolol, Amiodrarone and Coumadin) but also has, for years, had trouble sleeping through the night. In fact, he tends to only get about two to three hours of sleep.

He had been taking Tylenol PM to help him sleep, and it was working, but I pointed out that the active compound in that, (essentially benedryl) probably doesn't mix well with the meds that he is on. He's going to go visit his doctor soon to see about some sort of prescription that he could try, but does anyone have any suggestions for us? He's in desperate need of something...

Thanks for the help!

Here's the best, most natural and least harmful way to induce sleep that really works.

I don't think your father needs more medications, they won't be an effective and permanent cure anyway. What prevents us from sleeping is an overactive mind which we cannot switch off. Anyone can quickly learn meditation and mind calming and stilling techniques as taught by a yoga teacher. The best yoga for this is Siddha Yoga as taught by it's founder Swami Muktananda, a wonderful, inspired, and greatly respected yoga teacher. Siddha Yoga meditation centers are all over the world and you can find out more online and get some of the many books written by Muktananda that deal with this very subject. I quickly learned the technique in one attendance at a yoga session and the result was immediate, restful relaxing sleep. I urge you to try this natural and really beneficial solution. You will be glad you did. If you email me(see my profile) I can give you titles of publications by Swami Muktananda and more info about Siddha Yoga and about meditation centers near you. Incidentally, this yoga is one of the best methods of alleviating BP- it calms one down and relieves any stress.