Applicant/PHRC: Hetero Drugs South Africa (Pty) Ltd
Product proprietary name: BEXACOS 100 & 300
Dosage form and strength: Tablet contains allopurinol 100 mg and 300 mg
dosage reduction should be considered in these cases. Skin reactions are the most common and
may occur anytime during treatment. They may be pruritic, maculopapular, sometimes scaly,
sometimes purpuric and rarely exfoliative. As severe skin reactions may occur, BEXACOS should
be withdrawn IMMEDIATELY should such reactions occur. After recovery from mild reactions
BEXACOS may, if desired, be reintroduced at a small dose (e.g. 50 mg per day) and gradually
increased. If the rash recurs, BEXACOS should be PERMANENTLY withdrawn. Skin reactions
associated with exfoliation, fever, lymphadenopathy, arthralgia and/or eosinophilia resembling
Stevens-Johnson and/or Lyell Syndrome occur rarely.
Associated vasculitis and tissue response may be manifested in various ways including hepatitis,
interstitial nephritis and very rarely, epilepsy. If such reactions do occur, BEXACOS should be
withdrawn IMMEDIATELY AND PERMANENTLY.
Nausea and vomiting have been reported. Recurrent haematemesis and steatorrhoea are
extremely rare occurences. Angio-immunoblastic lymphadenopathy, following biopsy of a
generalised lymphadenopathy, and granulomatous hepatitis rarely occur and appear to be
reversible on withdrawal of BEXACOS. Occasional reports have been received of
thrombocytopaenia, agranulocytosis and aplastic anaemia, particularly in individuals with impaired
renal function.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicine is important. It allows
continued monitoring of the benefit/risk balance of the medicine. Health care providers are
requested to report any suspected adverse reactions to SAHPRA via the Med Safety APP
(Medsafety X SAHPRA) and eReporting platform (who-umc.org) found on SAHPRA website or to
4.9 Overdose
Massive absorption of BEXACOS may lead to considerable inhibition of xanthine oxidase activity,
28 November 2025
Initial…MU…….
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