Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 23 hours ago

Indications

Dotinurad is used to treat gout and hyperuricemia.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Dotinurad is a selective inhibitor of URAT1, a transporter that takes urate back into the body from the kidney. By blocking URAT1, dotinurad reduces urate reabsorption, so more urate leaves in the urine and serum urate levels fall.

It also has only weak effects on ABCG2, OAT1 and OAT3 (apart from URAT143,44). Because of this, it is expected to lower serum uric acid effectively without interfering with uric acid secretion through these transporters. Dotinurad is therefore called a selective urate reabsorption inhibitor (SURI). Its high selectivity for URAT1 means it blocks the reabsorption pathway mediated by URAT1 and leaves the secretion pathway mediated by ABCG2, OAT1 and OAT3 alone.

Pregnancy & Breastfeeding

Dotinurad should be used in pregnancy only when the doctor judges that the benefit to the mother outweighs the risk. The medicine passes into breast milk, so talk to your doctor before you breastfeed.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: The usual adult dose of Dotinurad is 0.5 mg, taken by mouth once a day. After that, the doctor raises the dose step by step as needed, checking the blood uric acid level along the way. The maintenance dose is usually 2 mg once a day. It may be adjusted according to the patient's condition, but the maximum is 4 mg once a day. Precautions related to dosage and administration In the early stages of treatment with urate-lowering drugs, a rapid fall in blood uric acid can bring on gouty arthritis (a gout attack). For this reason the dose is increased gradually, to 1 mg once a day after 2 weeks and to 2 mg once a day after 6 weeks. Patients should be watched carefully after each increase in dose. Missing dose If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed one and carry on with your regular schedule. Never take two doses at once. Don't stop taking this medicine unless your doctor advises it. Overdose If you accidentally take too much, consult your doctor or pharmacist.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.