OpenClaim

Allopurinol Side Effects

The most commonly reported side effects of allopurinol include diarrhoea, fatigue, and acute kidney injury, based on 160,691 FDA adverse event reports from 2004 to 2025. 2.9% of reports found the drug to be ineffective.

Allopurinol side effects

Percentages show how often each reaction appears relative to total reports for allopurinol.

1
Diarrhoea4.8%7,669
2
Fatigue4.7%7,622
3
Acute Kidney Injury4.4%7,011
4
Dyspnoea4.3%6,930
5
Death4.1%6,574
6
Off Label Use4.1%6,570
7
Nausea3.9%6,276
8
Pyrexia3.2%5,185
9
Pneumonia3.2%5,097
10
Asthenia3.0%4,799
11
Drug Ineffective2.9%4,681
12
Anaemia2.9%4,620
13
Dizziness2.7%4,386
14
Fall2.6%4,191
15
Renal Failure2.4%3,872

These are voluntary reports and do not establish that allopurinol caused these reactions.

Report severity

82.5%Serious132,552 reports
49.4%Hospitalizations79,392 reports
14.1%Fatal22,641 reports

Seriousness is determined by the reporter, not by OpenClaim.

Allopurinol drug interactions

Other drugs that appear in adverse event reports alongside allopurinol. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Lenalidomide6.8%10,994
2
Venetoclax4.6%7,453
3
Rituximab3.9%6,267
4
Cyclophosphamide3.2%5,105
5
Ibrutinib2.9%4,701
6
Furosemide2.7%4,367
7
Dexamethasone2.7%4,312
8
Omeprazole2.6%4,235
9
Prednisone2.6%4,118
10
Pantoprazole-sodium2.3%3,747
11
Vincristine-sulfate2.3%3,746
12
Ruxolitinib2.3%3,717
13
Doxorubicin-hydrochloride2.2%3,552
14
Metformin2.2%3,508
15
Adalimumab2.1%3,442

Taken alongside

1
Aspirin20.7%33,294
2
Furosemide20.4%32,772
3
Acetaminophen16.6%26,738
4
Atorvastatin-calcium15.1%24,341
5
Amlodipine13.6%21,792
6
Metoprolol13.4%21,466
7
Omeprazole12.9%20,720
8
Levothyroxine-sodium12.4%19,998
9
Pantoprazole-sodium11.8%18,969
10
Ergocalciferol11.2%17,999
11
Acyclovir10.3%16,561
12
Metformin10.1%16,279
13
Simvastatin8.9%14,377
14
Lisinopril8.8%14,188
15
Ondansetron8.3%13,276

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports allopurinol side effects

32.6% of allopurinol adverse event reports involve female patients and 59.5% involve male patients. The largest age group is elderly at 66%. These figures reflect who reports side effects, not underlying risk.

Sex

Female32.6%
Male59.5%
Unknown7.9%

Age group

< 20.2%
2–110.5%
12–170.5%
18–6432.7%
65+66.2%

What is allopurinol used for

Conditions and purposes for which patients were taking allopurinol when the adverse event was reported.

Abdominal NeoplasmAccidental ExposureAccidental Exposure To ProductAccidental OverdoseAcid Base Balance AbnormalAcid Peptic DiseaseAcidosisAcquired Pyrimidine Metabolism DisorderAcute Kidney InjuryAcute LeukaemiaAcute Lymphocytic LeukaemiaAcute Lymphocytic Leukaemia RecurrentAcute Monocytic LeukaemiaAcute Myeloid LeukaemiaAcute Myocardial Infarction

Showing 15 of 954 indications

Allopurinol brand names and reporting trend

Allopurinol is sold under brand names including Duzallo, Aloprim.

Brand names

Duzallo164,499
Aloprim1,005

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking allopurinol with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.