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Two medicines, side by side

Allopurinol vs aspirin

Allopurinol is labeled for gout; aspirin for pain, cough and cold and fever. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of allopurinol since 1966 and of aspirin since 1965. Pharmacies paid $0.0315 per allopurinol 100 mg tablet and $0.0142 per aspirin ec 81 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the allopurinol FDA label on DailyMed (effective May 21, 2026); the aspirin FDA label on DailyMed (effective September 9, 2025).

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

Highlights of the aspirin record

Aspirin (Measurin) · label of September 9, 2025

Used for

From the label: indications

Temporarily relieves headache toothache pain and fever of colds muscle pain menstrual pain minor pain of arthritis

On the market

Earliest approval on file
June 25, 1965
Generic labelers
none listed
Pharmacy cost
$0.0142 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
1

Source: FDA drug labels via openFDA (Allopurinol label of May 21, 2026, Aspirin label of September 9, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do allopurinol and aspirin differ on the record?

Generics: allopurinol since 1985; aspirin none approved (Drugs@FDA).

AllopurinolAspirin
Labeled forGoutPain, Cough and cold, Fever
Pharmacologic classXanthine Oxidase Inhibitorn/a
How it works (label)Allopurinol is a structural analogue of the natural purine base, hypoxanthine. Allopurinol acts on purine catabolism, without disrupting the biosynthesis of purines.n/a
Half-life (label)Elimination The half-life of allopurinol and oxipurinol are approximately 1 hour to 2 hours and 15 hours following oral dose of allopurinol, respectively.n/a
Earliest approval on file (Drugs@FDA)August 19, 1966June 25, 1965
First generic approvedDecember 10, 1985none
Generic labelers (NDC)44 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0315 per tablet (Allopurinol 100 mg tablet)$0.0142 per tablet (Aspirin ec 81 mg tablet)
12-month price change-20%-2%
Boxed warningNoNo
Shortage nowA presentation being discontinuedA presentation being discontinued
Recalls recorded61
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)155,998534,208
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?

Alternatives to allopurinol
every medicine labeled for the same conditions