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Aurolate, Myochrysine, |Aurolate

Aurolate

Generic Name: gold sodium thiomalate (gold SO dee um thye OH ma late)
Brand Names: Aurolate, Myochrysine

What is gold sodium thiomalate?

Gold sodium thiomalate is a form of gold. Gold suppresses the inflammatory process.

Gold sodium thiomalate is used as an injection to treat adult and juvenile rheumatoid arthritis.

Gold sodium thiomalate may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about gold sodium thiomalate?

Contact your doctor immediately if you experience itching, a rash, a sore mouth, indigestion, a metallic taste in the mouth, severe or bloody diarrhea, easy bruising, or a nosebleed. These could be early signs of a toxic effect.

What should I discuss with my healthcare provider before taking gold sodium thiomalate?

Before taking gold sodium thiomalate, tell your doctor if you

• have ever had any type of reaction to a gold compound or to any other medication;

• have a history of bone marrow depression or blood problems;

• have kidney disease;
• have liver disease;

• have congestive heart failure, high blood pressure, or any other type of heart disease;

• have diabetes;

• have inflammatory bowel disease;

• have a rash; or

• have severe lung disease.

You may not be able to take gold sodium thiomalate, or you may require a dosage adjustment or special monitoring during your therapy if you have any of these conditions.

How should I take gold sodium thiomalate?

Gold sodium thiomalate is given by injection. Your doctor or nurse will administer your doses, usually on a weekly basis to begin with, then every other week to monthly, depending upon your response to the medication.

You may want to lie down after injections, and your doctor will want to monitor you for side effects for 10 to 15 minutes following each shot.

Gold sodium thiomalate can cause serious side effects involving white and red blood cells. Your doctor will want to test your blood and urine before each injection to monitor any changes before they become dangerous.

What happens if I miss a dose?

Doses are given on a weekly basis. You should receive the missed dose as soon as possible, but a double dose should not be injected to make up for a missed dose.

What happens if I overdose?

Symptoms of an gold sodium thiomalate overdose include blood in the urine, painful urination, fever, sores or ulcers in the mouth, nausea, vomiting, diarrhea, rash, and itching. A gold sodium thiomalate overdose can result in death.

What should I avoid while using gold sodium thiomalate?

Gold sodium thiomalate side effects

Rarely, other serious side effects may also occur. Call your doctor immediately if you experience any of the following:

• itching or a rash;

• a sore mouth, indigestion, or a metallic taste in the mouth;

• severe or bloody diarrhea;

• easy bruising or a nosebleed;

• yellow skin or eyes;

• abdominal pain;

• seizures;

• confusion or hallucinations;

• blood in vomit or stools;

• blood in the urine or painful urination; or

• shortness of breath; or

• weakness, dizziness, nausea, vomiting, sweating, fainting, and flushing shortly after an injection.

In addition, less serious side effects may be more likely to occur. Talk to your doctor if you experience any of the following:

• diarrhea or loose stools;

• nausea, stomach upset, decreased appetite;

• changes in taste; or

• sores or ulcers in the mouth.

Arthritic symptoms may appear to worsen for 1 to 2 days following an injection and should decrease with subsequent injections.

Gold sodium thiomalate can cause serious side effects involving white and red blood cells. Your doctor will want to test your blood and urine before each injection to monitor any changes before they become dangerous.

Side effects other than those listed here may also occur. Talk to your doctor about any that seem unusual or that are especially bothersome.

What other drugs will affect gold sodium thiomalate?

Before using gold sodium thiomalate, tell your doctor and pharmacist about all prescription and over-the-counter medicines that you take, including vitamins, minerals, and herbal products, so that your treatment can be monitored for interactions.

Where can I get more information?

• Your pharmacist has more information about gold sodium thiomalate written for health professionals that you may read.

What does my medication look like?

Gold sodium thiomalate is available with a prescription under the brand names Myochrysine and Aurolate in 25 mg per mL and 50 mg per mL injections. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.