Foot and Ankle International
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Wheeless' Textbook of Orthopaedics

Allopurinol Interactions and Toxicities


- Hypersensitivity - Decrease dose with renal insufficiency - Interaction w/ Dicumarol (prolonged PT) - Thiazide diruretics (increased allopurinol toxicity) - Ampicillin/amoxicillin (skin rashes) - Chlorpropamide (increased hypoglycemia) - Cyclophosphamide and other cytotoxic agents (bone marrow suppression); - the allopurinol hypersensitivity syndrome is characterized by fever, eosinophilia, leukocytosis, impaired renal function, hepatocellular injury and rash; - these reactions are severe and may be fatal; - allopurinol should be used carefully with those w/ renal insufficiency, a h/o uric acid stones and those with a 24 hour urinary acid excretion over 1,100 mg;



Original Text by Clifford R. Wheeless, III, MD.