Can I take Allopurinol and Rosuvastatin together?
Drug interaction guide
Originally published 25 Jan 2026
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There is no known direct interaction between allopurinol and rosuvastatin. Both medications are generally safe to take together. However, both drugs can rarely affect the liver or cause muscle-related side effects, so it is important to be aware of any new symptoms.
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Why this happens
Allopurinol (used for gout) and rosuvastatin (a statin for cholesterol) are processed by different pathways in the body. Allopurinol is primarily cleared by the kidneys, while rosuvastatin is processed by the liver and excreted through bile. Because they do not compete for the same enzymes or transport systems, they do not interfere with each other's levels in the blood.
What you should do
Back to contentsYou can continue taking both medications as prescribed. As with any statin, you should contact your doctor if you experience unexplained muscle pain, tenderness, or weakness. It is also standard practice for your doctor to monitor your liver function through routine blood tests while you are on these medications.
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Important precautions
Back to contentsSevere skin reactions (SCARs)
Stop taking allopurinol immediately and seek urgent medical help if you develop a skin rash, peeling skin, mouth sores, or a high temperature. These can be signs of a rare but life-threatening allergic reaction.
Unexplained muscle pain - rosuvastatin
Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness. In rare cases, this can lead to serious kidney damage.
Pregnancy
Do not take rosuvastatin if you are pregnant or planning to become pregnant, as it may harm the developing baby. Use effective contraception while taking this medicine.
Food and drink warnings
Back to contentsAlcohol
You should limit the amount of alcohol you drink while taking rosuvastatin. Drinking large amounts of alcohol regularly (binge drinking or chronic heavy use) can increase the risk of serious liver problems and muscle damage (myopathy).
Caffeine
High intake of caffeine may interfere with how allopurinol works to lower uric acid levels. While moderate consumption is usually fine, try to keep your caffeine intake consistent.
Purine-rich foods (e.g., red meat, seafood)
While not a direct drug interaction, allopurinol is used to treat gout. Eating foods high in purines can increase uric acid levels and trigger attacks, potentially counteracting the benefits of the medication.
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Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
25 Jan 2026 | Originally published

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