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febuxostat vs rosuvastatin

Side-by-side comparison of febuxostat and rosuvastatin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

major Known Drug Interaction

Febuxostat Clinical Impact: Febuxostat increased rosuvastatin exposure more than 1.9-fold. Intervention: In patients taking febuxostat, do not exceed a dose of rosuvastatin 20 mg once daily.

Recommendation: If you are taking both medications, your doctor should limit your rosuvastatin dose to a maximum of 20 mg per day.

Drug Class
febuxostat Xanthine Oxidase Inhibitor
rosuvastatin HMG-CoA Reductase Inhibitor (Statin)
Type
febuxostat Prescription
rosuvastatin Prescription
Summary
febuxostat

Febuxostat (Uloric) helps manage high uric acid levels in adults with gout. It is used when allopurinol doesn't work well, causes problems, or isn't a good option.

rosuvastatin

Rosuvastatin is a drug that lowers cholesterol. It helps to reduce the risk of heart problems and stroke.

What It Treats
febuxostat

Febuxostat treats high uric acid levels in adults who have gout. Gout is a type of arthritis that causes sudden, severe pain, swelling, and redness in your joints. This medicine is for people who can't take allopurinol, or for whom allopurinol doesn't work well enough.

rosuvastatin

Rosuvastatin is used to lower bad cholesterol (LDL) in adults and children. It can also slow down the hardening of arteries in adults. This medicine also treats high triglycerides and certain inherited cholesterol disorders.

How It Works
febuxostat

Febuxostat lowers uric acid levels in your body. It does this by blocking an enzyme called xanthine oxidase. This enzyme helps make uric acid, so blocking it reduces uric acid production.

rosuvastatin

Rosuvastatin belongs to a class of drugs called statins. It works by blocking a substance your body needs to make cholesterol. This helps to lower your cholesterol levels.

Common Side Effects
febuxostat
  • Abnormal liver function tests
  • Nausea
  • Joint pain
  • Rash
rosuvastatin
  • Headache
  • Nausea
  • Muscle pain
  • Weakness
  • Constipation
FAERS Reports
febuxostat
  • Diarrhea 849
  • Nausea 841
  • Sudden kidney damage 837
  • Rash 783
  • Gout 686
rosuvastatin
  • Tiredness 11,698
  • Feeling sick to your stomach 10,037
  • Difficulty breathing 9,212
  • Loose stools 9,199
  • Muscle pain 8,784
Serious Warnings
febuxostat

Febuxostat may increase the risk of death from heart problems in people with existing heart disease. Talk to your doctor about the risks and benefits of taking febuxostat. Febuxostat should only be used if allopurinol doesn't work well, causes problems, or isn't a good option for you.

rosuvastatin

Rosuvastatin can cause muscle problems, including muscle pain, tenderness, or weakness. Tell your doctor right away if you have these symptoms, especially if you also have a fever or feel sick. Rosuvastatin can also cause liver problems. Your doctor may do blood tests to check your liver before and during treatment.

Pregnancy
febuxostat

It is not known if febuxostat can harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if febuxostat passes into breast milk. Talk to your doctor about the best way to feed your baby if you are taking this medicine.

rosuvastatin

Do not take rosuvastatin if you are pregnant. It can harm your unborn baby. Talk to your doctor about other ways to control your cholesterol during pregnancy. Breastfeeding is not recommended while taking rosuvastatin.

Also Compare, Nearby Drugs

How to Read This febuxostat vs rosuvastatin Comparison

febuxostat is classified in the Xanthine Oxidase Inhibitor drug class, while rosuvastatin sits within the HMG-CoA Reductase Inhibitor (Statin) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, febuxostat has 3,996 submissions while rosuvastatin has 48,930. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known major interaction flagged in FDA labeling, attributed to febuxostat slows down how your body gets rid of rosuvastatin, causing the medicine to build up in your blood. this increase can make side effects more likely.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between febuxostat and rosuvastatin - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.