Allopurinol is indicated for gout, cancer therapy, treatment with diuretics, kidney stones, and certain skin conditions.
Allopurinol tablets contain 100 mg or 300 mg of the active ingredient allopurinol.
Excipients include: lactose, sodium starch glycolate, povidone, and magnesium stearate.
Allopurinol is used for the treatment or prevention of:
Gout
During cancer treatment and diuretic therapy
Kidney stones
Certain skin conditions
Specific enzyme disorders, such as Lesch-Nyhan syndrome
Tablets should be swallowed with water after meals.
The appropriate dose is determined by the prescribing physician.
The initial dose is typically 100 mg per day.
The doctor may gradually increase the dose by 100 mg at weekly intervals until a maintenance dose is achieved, usually 200–600 mg daily.
In severe cases, the dose may be increased to 700–900 mg per day.
If the patient is receiving cancer therapy, allopurinol should be started 2–3 days prior to treatment, at an initial dose of 200 mg three times daily.
At the beginning of treatment, your doctor may recommend taking colchicine or a non-steroidal anti-inflammatory drug (NSAID) to prevent acute gout attacks.
If the patient has liver or kidney disease, or is taking medications like mercaptopurine or azathioprine, a lower dose will be prescribed.
In patients undergoing kidney dialysis, the recommended dose is 300–400 mg after each dialysis session.
A minimum effective maintenance dose is selected by the doctor.
Usual daily dose: 10–20 mg per kg of body weight,
Maximum: 400 mg per day
Rash, hives, itching, peeling skin, burning sensation, blisters, scratching, redness, sensitivity, or purple spots on the skin
These may lead to more severe allergic reactions
Stop taking allopurinol and contact your doctor immediately if you experience any of the following:
Fever and chills
Headache, muscle pain, feeling unwell
Mouth, throat, nose, or genital ulcers
Red and swollen eyes
Widespread blisters or skin peeling
Severe hypersensitivity reactions including fever, skin rash, joint pain, abnormal liver and blood test results
Sudden wheezing, difficulty breathing, swelling of the lips, throat, tongue, or face, sometimes leading to collapse
Swollen lymph nodes (armpits, groin, or neck)
Nausea or vomiting
Changes in liver function
Diarrhea, muscle pain, back pain, sore throat, chills
Liver conditions includingjaundice(yellowing of the skin or eyes), abdominal pain, loss of appetite
Urinary issues
Tingling, numbness, or muscle weakness
Chest pain, high blood pressure, slow heart rate
Blood in the urine or vomit, fever, depression
Headache, dizziness, drowsiness
Diabetes, changes in vision orcataracts
Changes in taste, digestive issues, oily stools
Balance problems, numbness
Inability to move muscles or loss of consciousness
Bruising, bleeding under the skin, fatigue, pale skin, frequent infections
Painful infected hair follicles (boils)
High cholesterol levels
Fluid retention causing swelling
Hair loss or discoloration
Mouth ulcers
Male fertility issues, erectile dysfunction
Breast enlargement (gynecomastia) in men