ATC Group: M04AA Preparations inhibiting uric acid production

The World Health Organization's ATC classification organizes medical drugs based on therapeutic properties, chemical composition, and anatomy. It helps make essential medicines readily available globally and is widely used in the pharmaceutical industry.

Position of M04AA in the ATC hierarchy

Level Code Title
1 M Musculo-skeletal system
2 M04 Antigout preparations
3 M04A Antigout preparations
4 M04AA Preparations inhibiting uric acid production

Group M04AA contents

Code Title
M04AA01 Allopurinol
M04AA02 Tisopurine
M04AA03 Febuxostat
M04AA51 Allopurinol, combinations

Active ingredients in M04AA

Active Ingredient

Allopurinol is a xanthine-oxidase inhibitor. Allopurinol and its main metabolite oxipurinol lower the level of uric acid in plasma and urine by inhibition of xanthine oxidase, the enzyme catalyzing the oxidation of hypoxanthine to xanthine and xanthine to uric acid.

Uric acid is the end product of purine metabolism in humans and is generated in the cascade of hypoxanthine → xanthine → uric acid. Both steps in the above transformations are catalyzed by xanthine oxidase (XO). Febuxostat is a 2-arylthiazole derivative that achieves its therapeutic effect of decreasing serum uric acid by selectively inhibiting XO.

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