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What the FDA labels say about taking them together

Allopurinol and febuxostat

Febuxostat's FDA label of December 24, 2025 names allopurinol in its boxed warning section; the allopurinol labels PlainMeds reads (4) do not name febuxostat. The febuxostat label: “ULORIC should only be used in patients who have an inadequate response to a maximally titrated dose of allopurinol, who are intolerant to allopurinol, or for whom treatment with allopurinol is not advisable.”

Check it at the source: the allopurinol FDA label on DailyMed (effective May 21, 2026, Rising Pharma Holdings, Inc.); the febuxostat FDA label on DailyMed (effective December 24, 2025, Takeda Pharmaceuticals America, Inc.).

What does the allopurinol label say about febuxostat?

Allopurinol's label (effective May 21, 2026) and its 3 other brand-application labels do not name febuxostat in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Allopurinol), Rising Pharma Holdings, Inc., effective May 21, 2026 (SPL set 30ad5ba2-1cef-4933-b104-0597f6a2aaa2), via openFDA; the full label on DailyMed

What does the febuxostat label say about allopurinol?

Febuxostat label, boxed warning

ULORIC should only be used in patients who have an inadequate response to a maximally titrated dose of allopurinol, who are intolerant to allopurinol, or for whom treatment with allopurinol is not advisable [see Indications and Usage (1) ].

Febuxostat label, warnings and precautions

Because of the increased risk of CV death, ULORIC should only be used in patients who have an inadequate response to a maximally titrated dose of allopurinol, who are intolerant to allopurinol, or for whom treatment with allopurinol is not advisable [see Indications and Usage(1) ].

Source: FDA drug label (ULORIC), Takeda Pharmaceuticals America, Inc., effective December 24, 2025 (SPL set 54de10ef-fe5f-4930-b91d-6bbb04c664bd), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

44Allopurinol generic labelers
23Febuxostat generic labelers
AllopurinolFebuxostat
Labeled forGoutGout
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0315 per tablet 100 mg tablet$0.191 per tablet 40 mg tablet
Shortage nowA presentation being discontinuedNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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