Allopurinol: Risk Groups

Pregnant women:
No teratogenic effects are known. Can be administered when indications are adequate.

Nursing mothers:
Allopurinol and oxypurinol have been detected in breast milk. Only administer when absolutely necessary.

Children:
Rarely indicated (enzyme disorders, cancer). Daily dose: 10 to 20 mg/kg, titrated according to uric acid level.

Elderly people:
No dose reduction is necessary if renal function is normal.

Renal failure:
Dose adjustment! Possible scheme: creatinine clearance less than 50 ml/min: 50% of the usual dose. Creatinine clearance less than 10 ml/min: 10 to 20% of the usual dose (alternative: greater intervals between doses).

Liver insufficiency:
Reduce dose when insufficiency is advanced.

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