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Prescription requiredMacleods Pharmaceuticals Pvt LtdPAIN ANALGESICS

Topimac 20

Topiroxostat (20mg)

Topimac 20 is used for gout.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

₹94
Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Topiroxostat (20mg)
Available variants: NA 10`S
Best price: ₹94
Prescription: Required
Manufacturer: MACLEODS PHARMACEUTICALS LTD

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Topimac 20

Topimac 20 contains Topiroxostat (20mg). It belongs to the Enzyme / disease-modifying anti-rheumatic agent class of medicines.

Uses of Topimac 20

Gout

Key benefits

  • In Gout Topimac 20 Tablet is used to prevent and treat gout. Gout is caused by too much uric acid in your body. When the level becomes too high
  • crystals may form in and around certain joints and your kidneys. This can cause sudden and severe pain
  • redness
  • warmth
  • and swelling. This medicine works by reducing the levels of uric acid in your blood. This makes it less likely that you will suffer the symptoms and make them milder if you do have them. It is usually for long-term treatment and should be taken regularly until the dose is completed.

How Topimac 20 works

Gout occurs due to increased blood uric acid levels. Topimac 20 Tablet reduces the synthesis of uric acid by inhibiting the enzyme involved in it.

How to take Topimac 20

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Topimac 20 Tablet may be taken with or without food.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

If you miss a dose of Topimac 20 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

If you take too much

An overdose of this medicine can seriously suppress the bone marrow and damage the liver. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Topimac 20

Most side effects of Topimac are mild and settle as the body adjusts. Reported side effects include:

  • Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Topimac 20

PregnancyPregnancy CONSULT YOUR DOCTOR
BreastfeedingBreast feeding CONSULT YOUR DOCTOR
AlcoholAlcohol CONSULT YOUR DOCTOR
DrivingDriving UNSAFE
KidneyKidney CAUTION
LiverLiver CONSULT YOUR DOCTOR
Habit formingNo

Warnings and precautions

Medicines that suppress the immune system need regular blood tests — do not miss them. Report fever, sore throat, mouth ulcers or unusual bruising promptly if you are on an immune-suppressing medicine. Tell your doctor about any infection, and before any vaccination. Methotrexate for arthritis is taken ONCE A WEEK. Taking it daily by mistake is dangerous — check the day on your pack.

Do not take Topimac if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an active serious infection, or with severe liver or bone-marrow disease. Several of these medicines must not be used in pregnancy.

Interactions with other medicines

Tell your doctor about all other medicines, especially anti-inflammatory painkillers and antibiotics. Live vaccines are generally avoided while on immune-suppressing treatment.

How to store Topimac 20

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Topimac 20

Take adequate water or fluids while taking Topimac 20 Tablet to prevent kidney stones. Treatment with this medicine should not be started during a sudden/severe gout attack. Wait until your current attack is over before starting this medication. Consult your doctor before taking it if you have or ever had kidney stones, stomach ulcers, peptic ulcers, diabetes, liver disorders or blood disorders. Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Take adequate water or fluids while taking Topimac 20 Tablet to prevent kidney stones. Treatment with this medicine should not be started during a sudden/severe gout attack. Wait until your current attack is over before starting this medication. Consult your doctor before taking it if you have or ever had kidney stones, stomach ulcers, peptic ulcers, diabetes, liver disorders or blood disorders. Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

Manufacturer and class

Manufacturer:
MACLEODS PHARMACEUTICALS LTD
Therapeutic class:
PAIN ANALGESICS
Drug class:
Enzyme / disease-modifying anti-rheumatic agent
Chemical class:
Pyridyl- 1,2,4- triazoles

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Topimac 20 FAQs

What is Topimac 20 used for?
Topimac 20 is commonly used for Gout. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Topimac 20?
Topimac 20 contains Topiroxostat (20mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Topimac 20?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Topimac 20 work?
Gout occurs due to increased blood uric acid levels.
Is Topimac 20 a prescription medicine?
Yes. Topimac 20 is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Topimac 20?
The side effects reported most often with Topimac are Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Topimac 20 be taken during pregnancy?
Pregnancy CONSULT YOUR DOCTOR Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Topimac.
Can I drink alcohol while taking Topimac 20?
Alcohol CONSULT YOUR DOCTOR
What if I miss a dose of Topimac 20?
If you miss a dose of Topimac 20 Tablet, take it as soon as possible.
Is Topimac 20 habit forming?
No. Topimac 20 is not known to be habit forming when taken as prescribed.
How much does Topimac 20 cost on PingMeDoc Pharmacy?
Topimac 20 starts at ₹94 on PingMeDoc Pharmacy. Available in NA 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Topimac 20?
Topimac 20 is manufactured by MACLEODS PHARMACEUTICALS LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Topimac 20 delivered?
Topimac 20 is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Topimac 20, Quick facts

Salt
Topiroxostat (20mg)
Best price
₹94
Prescription
Required (Rx)
Brand
Macleods Pharmaceuticals Pvt Ltd
Manufacturer
MACLEODS PHARMACEUTICALS LTD
Therapeutic class
PAIN ANALGESICS
Drug class
Enzyme / disease-modifying anti-rheumatic agent
Chemical class
Pyridyl- 1,2,4- triazoles
Action class
Xanthine Oxidase Inhibitors
Habit forming
No
Variants
NA 10`S
Delivery
Standard across India

References

The information on Topimac 20 is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Topimac 20.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.