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Illustration of Allopurinol 100 mg Tablet

Allopurinol 100 mg Tablet

Prescription requiredSchedule HGenericBone & Joint

Salt composition
Allopurinol 100 mg
Form
Tablet
Storage
Store below 30°C, away from light and moisture, out of children's reach

Schedule H drug — Warning: To be sold by retail on the prescription of a Registered Medical Practitioner only.

About Allopurinol 100 mg Tablet

Allopurinol 100 mg Tablet contains Allopurinol 100 mg. Allopurinol lowers the level of uric acid in the blood. It is used for long-term prevention of gout attacks and of some kidney stones. It does not treat a gout attack that has already started. It is usually taken once a day after food, with plenty of water.

Uses of Allopurinol 100 mg Tablet

  • Long-term prevention of gout attacks
  • Prevention of uric acid and some calcium kidney stones
  • Prevention of high uric acid during some cancer treatments

Benefits

In gout

Taken every day, it lowers uric acid so crystals do not form in the joints. Over time this reduces the number of gout attacks and can help prevent joint damage.

In kidney stones

Lowering uric acid can reduce the chance of certain types of kidney stones forming.

Side effects

A skin rash can be the first sign of a serious reaction, especially in the first few months. Stop the medicine and see your doctor if you get any rash.

Common

  • Skin rash
  • Nausea
  • Diarrhoea
  • Gout flare in the first months of treatment

Get medical help if you notice

  • Any skin rash, especially with fever, blisters, peeling skin, mouth sores or sore eyes — stop and contact your doctor straight away
  • Fever, swollen glands and feeling very unwell — seek medical help
  • Yellow eyes or skin, dark urine (possible liver problems) — contact your doctor
  • Unusual bruising, bleeding, sore throat or frequent infections — contact your doctor
  • Allergic reaction: swelling of the face or lips, difficulty breathing — seek emergency care

How to use

Take it exactly as your doctor prescribed, after food. Swallow the tablet with a full glass of water. Drink plenty of fluids during the day. Keep taking it every day, even when you have no gout pain.

How it works

It blocks an enzyme called xanthine oxidase, which the body uses to make uric acid. Less uric acid is made, so levels in the blood fall.

Safety advice

Alcohol Caution

Alcohol raises uric acid levels and can trigger gout attacks. Limit alcohol, especially beer.

Pregnancy Consult your doctor

Use only if your doctor advises it. Tell your doctor if you are pregnant or planning a pregnancy.

Breastfeeding Consult your doctor

It passes into breast milk. Ask your doctor before using it while breastfeeding.

Driving Caution

It can cause drowsiness, dizziness or unsteadiness. Do not drive if you feel affected.

Kidney Caution

Your doctor will usually start with a lower dose in kidney disease, as the risk of side effects is higher.

Liver Caution

Your doctor may lower the dose and check liver tests if you have liver disease.

If you miss a dose

If you miss a dose, take it when you remember the same day. If it is nearly time for the next dose, skip the missed one. Do not take two doses together.

Quick tips

  • Stop and see your doctor at the first sign of any skin rash.
  • Keep taking it during a gout attack if you are already on it, unless your doctor says otherwise.
  • Drink plenty of water every day.
  • Your doctor may give another medicine to prevent gout flares in the first months.

Substitutes

Same salts in the same strength from other makers. Only switch brands on your doctor's or pharmacist's advice; our pharmacist checks every order against the prescription.

Fact box

Chemical class
Purine analogue
Therapeutic class
Musculoskeletal / anti-gout
Action class
Xanthine oxidase inhibitor
Habit forming
No
Prescription
Required

Interactions with other medicines

Tell your doctor and pharmacist about every medicine, vitamin and herbal product you take.

MedicineWhat can happen
Azathioprine and mercaptopurineTheir levels rise a lot, which can cause serious blood problems; doses must be greatly reduced
Amoxicillin and ampicillinHigher chance of skin rash
Blood thinners such as warfarinMay increase the risk of bleeding
Water tablets and ACE inhibitors (especially in kidney disease)Higher risk of allergic reactions
Theophylline and ciclosporinTheir levels may rise

This page is general information to help you understand your medicine. It is not a substitute for advice from your doctor or pharmacist. Do not start, stop or change a medicine on your own.

Written by the Asthra Health Care team from the approved prescribing information (Allopurinol prescribing information (CDSCO-approved labelling); EMC SmPC: allopurinol; NICE BNF: allopurinol). Pharmacist review pending.

Questions

Frequently asked

Why did my gout get worse after starting it?

Gout flares can happen in the first months as uric acid levels change. Do not stop; talk to your doctor.

Can I take it during a gout attack?

Do not start it during an attack. If you already take it, usually keep taking it. Ask your doctor.

How long will I need it?

It is usually taken long term to keep uric acid low.

Do I need blood tests?

Yes. Your doctor will check uric acid, and may check kidney and liver function.

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