GlobalRPh Renal Dosing Masterv6.6
Source review / handoff

Febuxostat (ULORIC, adults)

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

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Febuxostat - ULORIC official renal restrictions

Product / population
Adults with gout when maximally titrated allopurinol is inadequate, not tolerated or not advisable.
Renal method
Creatinine clearance, mL/min.
Source revision
4/2023
Retrieved
2026-09-10
Local review status
Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Before use: Febuxostat (ULORIC, adults)

Fresh official labeling adds the renal cap together with the cardiovascular and treatment-selection restrictions; the earlier RX source remains separately dated.

What to reconcile: Check the allopurinol treatment history, cardiovascular risk, renal range and interacting medicines before applying the renal limit.

Source-specific interpretation; independent clinician adjudication pending.

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Official

Febuxostat - ULORIC official renal restrictions

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DailyMed / NLM exact product labeling · Adults with gout when maximally titrated allopurinol is inadequate, not tolerated or not advisable.

Renal method: Creatinine clearance, mL/min.
Source date: 4/2023
Retrieved: 2026-09-10

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.
Before using this finding

Check the allopurinol treatment history, cardiovascular risk, renal range and interacting medicines before applying the renal limit.

Selected source sections stored locally. Not a complete monograph or independent clinical approval.

Renal guidance and important limits

Limits that apply to these rows

The cardiovascular-death boxed warning remains relevant; no-adjustment wording is not cardiovascular clearance.

Concomitant azathioprine or mercaptopurine is contraindicated. Do not apply this gout regimen to asymptomatic or secondary hyperuricemia.

ULORIC renal dose limit
CrCl (mL/min)Source-specific instruction
30-89No renal dose adjustment
15-29Limit to 40 mg once daily
ESRD on dialysisNot studied; no regimen established by the selected source
Read the retained text before reformatting

ULORIC renal dose limit

CrCl (mL/min)Source-specific instruction
30-89No renal dose adjustment
15-29Limit to 40 mg once daily
ESRD on dialysisNot studied; no regimen established by the selected source

The cardiovascular-death boxed warning remains relevant; no-adjustment wording is not cardiovascular clearance.

Concomitant azathioprine or mercaptopurine is contraindicated. Do not apply this gout regimen to asymptomatic or secondary hyperuricemia.

RDM64-official-febuxostat-uloric-67fd73deaf-C1 · Source locator: Boxed warning; sections 1, 2.2, 4, 8.6 and 12.3.

Source-specific limits

The cardiovascular-death boxed warning remains relevant; no-adjustment wording is not cardiovascular clearance.

Concomitant azathioprine or mercaptopurine is contraindicated. Do not apply this gout regimen to asymptomatic or secondary hyperuricemia.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=54de10ef-fe5f-4930-b91d-6bbb04c664bd
Retrieved
2026-09-10
Exact label title
Febuxostat - ULORIC official renal restrictions
DailyMed Set ID
54de10ef-fe5f-4930-b91d-6bbb04c664bd
Label revision
4/2023
Renal-function method
Creatinine clearance, mL/min.
Source date/version
4/2023
Hash meaning
Local authored summary, not source HTML/XML/PDF bytes
Local summary SHA-256
321ec05791fbe523d3c054a4270537b0257533bdb2000d253d32910a86d54465

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=febuxostat-uloric&s1=RDM64-official-febuxostat-uloric-67fd73deaf&h1=39d7f33a7e781d38f574a5918e31485eb0ed2d473313dfdba71afff132f0420e