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What the FDA labels say about taking them together

Allopurinol and fluorouracil

Allopurinol's FDA label of May 21, 2026 names fluorouracil in its drug interactions section; the fluorouracil labels PlainMeds reads (4) do not name allopurinol. The allopurinol label: “Fluorouracil Clinical Impact Based on non-clinical data, allopurinol may decrease anti-tumor activity due to suppression of phosphorylation of 5-fluorouracil. …”

Check it at the source: the allopurinol FDA label on DailyMed (effective May 21, 2026, Rising Pharma Holdings, Inc.); the fluorouracil FDA label on DailyMed (effective January 19, 2026, Eugia US LLC).

What does the allopurinol label say about fluorouracil?

Allopurinol label, drug interactions

Fluorouracil Clinical Impact Based on non-clinical data, allopurinol may decrease anti-tumor activity due to suppression of phosphorylation of 5-fluorouracil. Intervention Concomitant administration with fluorouracil should be avoided.

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 fluorouracil label say about allopurinol?

Fluorouracil's label (effective January 19, 2026) and its 3 other brand-application labels do not name allopurinol in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (FLUOROURACIL), Eugia US LLC, effective January 19, 2026 (SPL set 697816ce-dc05-4943-b7f0-2f0b125e93b7), 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
18Fluorouracil generic labelers
AllopurinolFluorouracil
Labeled forGoutColorectal cancer
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0315 per tablet 100 mg tablet$0.616 per gram 5% cream
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)

What next?