Allopurinol Side Effects

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Worried about allopurinol side effects? Allopurinol is a powerful drug, so perhaps it is not surprising that many people worry. Stop worrying and learn how this medication really helps gout, as long as you use it correctly.

I list the standard allopurinol side effects below, but before you look at these, you need to know about one side effect that is rarely explained properly.

This is not a side effect of allopurinol as such, as it applies to all uric acid lowering therapies. When you lower uric acid properly, to a level that gets rid of old uric acid crystals, the melting uric acid crystals can trigger a gout flare. This is a necessary, though sometimes painful consequence of proper treatment.

Don't avoid allopurinol just because it might trigger a painful flare. This is one side effect that you should welcome, as it indicates that you are getting better. This effect will diminish, as long as you continue taking allopurinol daily and get your uric acid level checked frequently.

See below for More Allopurinol Information including more on the most common, but least discussed of allopurinol side effects: pain.

Allopurinol Side Effects

Note that the side effects listed below are not experienced by everyone. Some are common, others rare, some people have no side-effects, or are happy to accept a little discomfort in exchange for the permanent relief from acute gout attacks. As with all treatments, you must decide what is best for you in your particular circumstances and you must discuss side-effects fully with your doctor before you start to take any drug and whenever you experience any adverse effects.

The following list may not be complete - if you experience any other problem that you think may be related to taking the drug, then you must consult your doctor.

Minor side effects that may go away
You only need consult your doctor if these become severe
  • Indigestion
  • Drowsiness
  • Headache
  • Stomach pain
  • Unusual hair loss
  • Diarrhea
  • Nausea, unless with skin rash - this is serious - see below

Serious side effects
The most serious side effect is known as allopurinol hypersensitivity syndrome which effects 1 in 1000 patients. The risk of this increases with age. You must stop taking the drug and consult your doctor if you have any of the following
  • Aching or painful muscles
  • Blood in stools
  • Blood in urine
  • Breathing troubled or short
  • Bruising or bleeding without obvious cause
  • Chest tight or wheezing
  • Chills
  • Eyes irritated or red or yellow
  • Fever
  • Fingernails loose
  • Glands swollen or painful
  • Hands or feet numb, tingling, painful or weak
  • Hives
  • Itching
  • Lethargy (tiredness or weakness without obvious cause)
  • Lower back or side pain
  • Mouth or lips sore, ulcerated or showing white spots
  • Painful or difficult urination
  • Rapid weight gain
  • Rash, especially with vomtting or nausea
  • Red pinpoint skin spots
  • Skin red, tender, burning or peeling
  • Skin sores
  • Skin thickened or scaly
  • Skin yellow
  • Sore, bleeding lips
  • Swelling of face, feet, fingers, lower legs or stomach
  • Tarry, black stools
  • Throat sore and feverish
  • Urine suddenly decreases in amount

More Allopurinol Information

Read more vital allopurinol information:
Are Allopurinol Side Effects Serious?
Allopurinol side effects worry many people, so just how serious are they?
3 Vital Allopurinol Dosage Rules
Allopurinol dosage needs to be planned, measured and adjusted for different treatment phases. A standard 300mg dose might be just what you need - but make sure that it is set by diagnosis and judgment, not by dangerous guesswork.
Allopurinol For Gout Control
In-depth look at the management of gout using allopurinol.
Allopurinol Drug Not Just For Gout
Though mostly used in gouty arthritis, the allopurinol drug has found to be useful for other conditions.

Allopurinol Drug Spelling

The allopurinol drug is often spelled differently, especially with an "al" ending. The spellings I have noticed include:
  • alipurinal
  • alipurinol
  • allipurinal
  • allopurino
  • alopurenol
  • alopurinal

All these refer to the allopurinol gout drug.



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