Allopurinol 300 mg is a xanthine oxidase inhibitor used to reduce uric acid production, effectively preventing gout flares, certain kidney stones, and managing high uric levels due to chemotherapy or in inherited enzyme disorders.
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Mechanism & Uses
Allopurinol works by blocking the enzyme xanthine oxidase, lowering uric acid synthesis to prevent gout, kidney stones, tumor lysis syndrome, and conditions like Lesch-Nyhan syndrome.
Medicines.org.uk
Drugs.com
Wikipedia
Dosage
Typical adult dosage ranges from 100–900 mg daily, starting at 100–300 mg and increasing as needed.
patient-info.co.uk
Mayo Clinic
In kidney impairment, dose adjustments and close monitoring are required.
Medicines.org.uk
patient-info.co.uk
Takes weeks to months for full therapeutic effect.
Medicover Hospitals
Drugs.com
Side Effects & Precautions
Common: rash, nausea, diarrhea, drowsiness.
Apollo Hospitals
Drugs.com
Wikipedia
Severe risks include hypersensitivity syndrome (DRESS), Stevens–Johnson Syndrome, TEN—mortality rates 20–25%, especially in renal-compromised or HLA-B*5801 allele carriers.
Wikipedia
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Regular blood, liver, and kidney monitoring recommended; discontinue at first sign of rash or flu-like symptoms.
Drugs.com
MedBroadcast
Wikipedia
Patient Perspective (Reddit Insights)
“Starting with 100 mg and titrating up helps minimize flares.” — supports the “low-and-slow” start approach
Reddit
“First few weeks can feel like pins and needles, then relief follows.” — acknowledges transient discomfort early in therapy