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Two medicines, side by side

Acebutolol vs allopurinol

Acebutolol is labeled for high blood pressure; allopurinol for gout. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of acebutolol since 1984 and of allopurinol since 1966. Pharmacies paid $0.615 per acebutolol 200 mg capsule and $0.0315 per allopurinol 100 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, acebutolol is a beta-adrenergic blocker and allopurinol a xanthine oxidase inhibitor.

Check it at the source: the acebutolol FDA label on DailyMed (effective December 11, 2024); the allopurinol FDA label on DailyMed (effective May 21, 2026).

Highlights of the acebutolol record

Acebutolol (Sectral) · label of December 11, 2024

Used for

From the label: indications

Hypertension Acebutolol hydrochloride capsules are indicated for the management of hypertension in adults. It may be used alone or in combination with other antihypertensive agents, especially thiazide-type diuretics. […]

On the market

Earliest approval on file
December 28, 1984
Generic labelers
6 labelers
Pharmacy cost
$0.615 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the allopurinol record

Allopurinol (Zyloprim) · label of May 21, 2026

Used for

From the label: indications

Allopurinol tablet is indicated for: The management of adults with signs and symptoms of primary or secondary gout (acute attacks, tophi, joint destruction, uric acid lithiasis, and/or nephropathy) The management of adult and pediatric patients with leukemia, lymphoma and solid tumor malignancies who are receiving cancer therapy which causes elevations of serum and urinary uric acid levels The management of adult […]

On the market

Earliest approval on file
August 19, 1966
Generic labelers
44 labelers
Pharmacy cost
$0.0315 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
6

Source: FDA drug labels via openFDA (Acebutolol label of December 11, 2024, Allopurinol label of May 21, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do acebutolol and allopurinol differ on the record?

In FDA's classes, acebutolol is a beta-adrenergic blocker and allopurinol a xanthine oxidase inhibitor.

Half-life, in each label's words: Acebutolol, “The plasma elimination half-life of acebutolol is approximately 3 to 4 hours, while that of its metabolite, diacetolol …”; Allopurinol, “Elimination The half-life of allopurinol and oxipurinol are approximately 1 hour to 2 hours and 15 hours following oral …”

Generics: acebutolol since 1995; allopurinol since 1985 (Drugs@FDA).

AcebutololAllopurinol
Labeled forHigh blood pressureGout
Pharmacologic classbeta-Adrenergic BlockerXanthine Oxidase Inhibitor
How it works (label)n/aAllopurinol is a structural analogue of the natural purine base, hypoxanthine. Allopurinol acts on purine catabolism, without disrupting the biosynthesis of purines.
Half-life (label)The plasma elimination half-life of acebutolol is approximately 3 to 4 hours, while that of its metabolite, diacetolol, is 8 to 13 hours.Elimination The half-life of allopurinol and oxipurinol are approximately 1 hour to 2 hours and 15 hours following oral dose of allopurinol, respectively.
Earliest approval on file (Drugs@FDA)December 28, 1984August 19, 1966
First generic approvedApril 24, 1995December 10, 1985
Generic labelers (NDC)6 labelers44 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.615 per capsule (Acebutolol 200 mg capsule)$0.0315 per tablet (Allopurinol 100 mg tablet)
12-month price change-0.3%-20%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded06
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)1,258155,998
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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