40 mg or 80 mg once daily. Starting dose: 40 mg once daily. Patient who does not achieve serum uric acid <6 mg/dL after 2 wk w/ 40 mg 80 mg once daily. Severe renal impairment Limit dose to 40 mg once daily.
Not recommended for asymptomatic hyperuricemia. Increased gout flares during initiation of treatment. Prophylactic therapy (ie, NSAID or colchicine upon initiation of treatment) may be beneficial for up to 6 mth in case of gout flares. Monitor for signs & symptoms of MI & stroke. Limited available data w/ use during pregnancy. No data on presence in human milk. Safety & effectiveness have not been established in ped patients.