What are the recommended doses and duration of Febuxostat therapy?

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Last updated: February 17, 2025View editorial policy

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From the Guidelines

The recommended dose of febuxostat is 40mg daily administered orally once daily, as it is equally effective at decreasing serum urate levels as allopurinol 1.

Key Considerations

  • For patients with moderate renal impairment, a dose of 40mg daily is recommended, while those with severe renal impairment should receive a lower dose, although the exact dose is not specified in the provided evidence.
  • The duration of treatment with febuxostat is typically long-term, and may be continued indefinitely in patients with gout, as it is used to prevent future gout attacks and reduce serum urate levels 1.

Important Points to Note

  • Urate-lowering therapy, including febuxostat, is not necessary in cases where the patient would have no or infrequent recurrences of gout attacks 1.
  • Patients who decide not to initiate urate-lowering therapy can revisit their decision if they have multiple recurrences of acute gout 1.
  • High-quality evidence showed that prophylactic therapy with low-dose colchicine or low-dose NSAIDs reduces the risk for acute gout attacks in patients initiating urate-lowering therapy, including febuxostat 1.

Adverse Effects

  • Febuxostat is associated with adverse effects, including abdominal pain, diarrhea, and musculoskeletal pain 1.

From the FDA Drug Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL Febuxostat Tablets, 40 mg – 30's count NDC- 70771-1552-3 Febuxostat Tablets, 80 mg – 30's count NDC- 70771-1553-3 The FDA drug label does not answer the question.

From the Research

Recommended Doses of Febuxostat

  • The recommended starting dosage of febuxostat is 40 mg orally once daily 2
  • If serum uric acid concentrations are not less than 6 mg/dL after two weeks, the dosage can be increased to 80 mg orally once daily 2
  • Dosage adjustments are not needed in elderly patients or patients with mild or moderate renal or hepatic impairment 2

Duration of Febuxostat Therapy

  • Febuxostat is administered once daily, with no significant accumulation of the drug during multiple dose administration 3
  • The duration of febuxostat therapy can be up to 12 months, as shown in a multicenter, randomized, double-blind, placebo-controlled study 4
  • Long-term extension studies have confirmed the efficacy and tolerability of febuxostat for up to 3-5 years 5, 6

Special Considerations

  • No dose adjustment is required in mild-to-moderate renal impairment 2, 5, 6
  • Febuxostat is extensively metabolized by oxidation and acyl glucuronidation, and its metabolites are cleared by the kidney 3
  • Patients should be monitored for signs and symptoms of myocardial infarction and stroke, as more cardiovascular thromboembolic events occurred in randomized trials in patients treated with febuxostat 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Febuxostat for treatment of chronic gout.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2011

Research

Febuxostat: a new treatment for hyperuricaemia in gout.

Rheumatology (Oxford, England), 2009

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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