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Molecule

Febuxostat

Xanthine Oxidase Inhibitor
Available on requestRheumatology
Presentations
6
Brands
1
Manufacturers
1
Available from stock
0

Febuxostat is a xanthine oxidase inhibitor indicated for the chronic management of hyperuricemia in adult patients with gout who have an inadequate response to a maximally titrated dose of allopurinol, among other approved uses. MedsAcross supplies Febuxostat for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Xanthine Oxidase Inhibitor, Xanthine Oxidase Inhibitors
ATC classification
M04AA03 Febuxostat · Antigout agent, subgroup M04AA
US FDA first approval
13 February 2009
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Oral film
Identifiers
UNII 101V0R1N2ERxCUI 73689CAS 144060-53-7DrugBank DB04854Q417296

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

ULORIC is a xanthine oxidase (XO) inhibitor indicated for the chronic management of hyperuricemia in adult patients with gout who have an inadequate response to a maximally titrated dose of allopurinol, who are intolerant to allopurinol, or for whom treatment with allopurinol is not advisable. Limitations of Use: ULORIC is not recommended for the treatment of asymptomatic hyperuricemia.

Source: US FDA prescribing information

How it works

ULORIC, a xanthine oxidase inhibitor, achieves its therapeutic effect by decreasing serum uric acid. ULORIC is not expected to inhibit other enzymes involved in purine and pyrimidine synthesis and metabolism at therapeutic concentrations.

Source: US FDA prescribing information

Dosing overview

Recommended dosage is 40 mg or 80 mg once daily. The recommended starting dosage is 40 mg once daily. For patients who do not achieve a serum uric acid (sUA) less than 6 mg/dL after 2 weeks, the recommended dosage is 80 mg once daily. Patients with severe renal impairment: Limit the dosage to 40 mg once daily. Flare prophylaxis is recommended upon initiation of ULORIC. Can be administered without regard to food or antacid use.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (cardiovascular death): Gout patients with established cardiovascular (CV) disease treated with ULORIC had a higher rate of CV death compared to those treated with allopurinol in a CV outcomes study. Consider the risks and benefits of ULORIC when deciding to prescribe or continue patients on ULORIC. Gout Flares: An increase in gout flares is frequently observed after initiation of ULORIC. If a gout flare occurs during treatment, ULORIC need not be discontinued. Prophylactic therapy (i.e., non-steroidal anti-inflammatory drug or colchicine) upon initiation of treatment may be beneficial for up to six months. Hepatic Effects: Cases of hepatic failure, some fatal, have been reported. If liver injury is detected, promptly interrupt ULORIC and treat cause, if possible, to resolution or stabilization.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described elsewhere in the prescribing information: Cardiovascular Death Hepatic Effects Serious Skin Reactions Adverse reactions in ≥ 1% of patients treated with ULORIC are liver function abnormalities, nausea, arthralgia, and rash.

Source: US FDA prescribing information

Interactions

Concomitant administration of ULORIC with XO substrate drugs, azathioprine or mercaptopurine could increase plasma concentrations of these drugs resulting in severe toxicity.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Febuxostat, sorted by availability.

MedicineManufacturerRegisterAvailability
Febuxostat 40 mg tabletOralGeneric name—US FDAAvailable on request
Febuxostat 80 mg tabletOralGeneric name—US FDAAvailable on request
Uloric 40 mg tabletOralTakeda PharmaceuticalsUS FDAAvailable on request
Uloric 80 mg tabletOralTakeda PharmaceuticalsUS FDAAvailable on request
Febuxostat 40 mg oral filmOralGeneric name—US FDAAvailable on request
Febuxostat 80 mg oral filmOralGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 13 February 2009Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Febuxostat in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Febuxostat available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Febuxostat and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Febuxostat have?

The catalogue lists 1 brand names for Febuxostat, including Uloric.

Is Febuxostat approved by the US FDA?

Yes. The US FDA first approved Febuxostat on 13 February 2009, according to Drugs@FDA.

Is Febuxostat authorised in the European Union?

Yes. Febuxostat has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Febuxostat need cold chain shipping?

No listed presentation of Febuxostat is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Febuxostat in?

Febuxostat is classified under ATC code M04AA03 (Febuxostat).

References

  1. ULORIC prescribing information (Takeda Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 24 December 2025
  2. Adenuric: European public assessment report (EPAR). European Medicines Agency. Retrieved 26 February 2026
  3. Febuxostat Krka: European public assessment report (EPAR). European Medicines Agency. Retrieved 27 March 2025

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