Allopurinol

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Allopurinol

1,5-Dihydro-4H-pyrazolo(3,4-d)
pyrimidin-4-one (9CI)
CAS number
315-30-0
ATC code
M04AA01
Chemical formula C5H4N4O
Molecular weight 136.114
Bioavailability  ?
Metabolism  ?
Elimination half-life  ?
Excretion  ?
Pregnancy category C
Legal status Schedule 6 (USA)
Routes of administration tablet (100-300 mg), or by injection

Allopurinol is a white, powdery drug used to treat gout.

It is an isomer of hypoxanthine and inhibits the production of uric acid, the metabolite responsible for gout, by inhibiting the enzyme xanthine oxidase.

Allopurinol can also be given with some cancer treatments that increase uric acid (tumor lysis syndrome), as well as for kidney stones. These treatments result in large numbers of cells being disposed of by the body, which releases uric acid as part of the breakdown of DNA.

Allopurinol is an analog of the natural purines in the body, and is quickly metabolised to oxipurinol which is also a xanthine oxidase inhibitor.

The side effects of high levels of precursors are usually minor. A small percentage of people develope a rash and must discontinue this drug.



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