Please note: a valid prescription is required for all prescription medication.
Febuxostat Tablets for Gout
Stock up and Save - Get 20% off when you buy 3 or more of any one product. Use code SAVE20 at checkout.
Coupon code cannot be combined with other offers. Sale applies to all products originating from Canada. Maximum allowable quantity equal to a 90 day supply per single order.
Price range: $45.99 through $74.99
Secure Encrypted Payments
Febuxostat is a prescription medicine that lowers high uric acid in adults with gout. It works by reducing uric acid production to help prevent future flares and tophi. This page explains how the treatment is used, its safety profile, and access options for patients paying without insurance.
What Febuxostat Is and How It Works
This xanthine oxidase inhibitor lowers serum urate by blocking the enzyme that forms uric acid. That mechanism helps reduce flare frequency over time and supports long-term gout management. For patients in the United States, this product is available with US shipping from Canada through a licensed pharmacy channel.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
Initial therapy can sometimes trigger flares as deposits mobilize. Prescribers often add short-term flare prophylaxis at the start. The medicine is taken once daily and is not intended for acute attacks. It may be used in adults who cannot tolerate or did not respond adequately to other urate-lowering options. Follow your prescriber’s directions and the official label.
Who It’s For
This therapy is indicated for the chronic management of hyperuricemia in adults with gout. It is not for asymptomatic hyperuricemia. People with a history of major cardiovascular disease may require careful risk–benefit assessment. Those with severe liver impairment or known hypersensitivity should avoid use. Discuss your medical history, including heart conditions, prior gout flare patterns, and current medicines, with a healthcare professional before starting.
Dosage and Usage
Standard labeling describes once-daily dosing, with tablets taken at the same time each day. The treatment can be taken with or without food. Clinicians frequently start at a lower tablet strength, assess serum urate, and adjust if needed. Anti-inflammatory prophylaxis such as NSAIDs or colchicine is commonly used during initiation, per guidelines and label recommendations.
Febuxostat 80 mg appears on many prescriptions only after response and lab results are reviewed. Always rely on the official prescribing information and your prescriber’s instructions for dose selection and monitoring.
General administration tips:
- Daily schedule: take your tablet once per day
- Consistent timing: choose morning or evening and stick with it
- Food: may be taken with meals or on an empty stomach
- Monitoring: periodic serum urate and liver tests are commonly ordered
Strengths and Forms
This medicine is available as film-coated tablets. Common presentations include Febuxostat 40 mg and an alternative higher strength used when indicated by the prescriber.
Strength availability may vary by manufacturer. Packaging and tablet color can differ. Your prescription label will show the exact strength dispensed.
Missed Dose and Timing
If a dose is missed, take it when remembered the same day. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. Do not double up. Maintaining a steady daily routine helps support stable urate lowering.
Storage and Travel Basics
Store tablets in the original container, closed tightly, away from moisture. Keep at room temperature as directed on the package. Protect from excess heat and humidity, and keep out of reach of children and pets.
When traveling, carry your prescription and medicines in your hand luggage. Keep tablets in original labeled packaging for security checkpoints. A simple medication list can help during clinic visits away from home. If uncertain about storage temperatures for an itinerary, ask a pharmacist. For household organization, use reminders and a weekly routine to avoid missed doses.
Benefits
This therapy lowers uric acid to reduce the risk of gout flares and tophus growth. Once-daily dosing supports adherence. It can be taken without regard to meals. Regular lab monitoring helps clinicians tailor therapy and support long-term control. Compared with acute treatments, this maintenance approach targets the cause of crystal formation rather than immediate pain.
Side Effects and Safety
Common Febuxostat side effects include nausea, joint pain, rash, and abnormal liver tests. Early in therapy, gout flares may increase temporarily as crystals redistribute.
Serious risks have been reported, including cardiovascular events in certain patients. Severe hypersensitivity, liver injury, and rare severe skin reactions can occur. Seek urgent care for chest pain, shortness of breath, sudden weakness, severe rash, or swelling of the face or throat. Your prescriber may order liver function tests before and during treatment. Report persistent or worsening symptoms promptly.
- Common: nausea, rash, liver enzyme changes
- Less common: edema, dizziness, diarrhea
- Serious: cardiovascular events, severe skin reactions, liver injury
Drug Interactions and Cautions
Important interactions include azathioprine and mercaptopurine, which may lead to serious toxicity if combined. Theophylline levels can be affected. Warfarin monitoring may need attention. Review all prescription and nonprescription drugs, vitamins, and herbal products with a clinician or pharmacist.
Diuretics and certain hypertension therapies can influence uric acid levels. If you take a thiazide or loop diuretic, ask about alternative options. For background reading on blood pressure care, see Treat Hypertension. For pain management choices during flares, prescribers may consider NSAIDs such as Naproxen alongside gastroprotection when appropriate.
Always defer to the official label and your prescriber regarding interaction risks and monitoring.
What to Expect Over Time
With regular daily use, serum urate typically declines as the enzyme is inhibited. It may take ongoing therapy and monitoring to achieve target urate levels chosen by your clinician. Early flares can occur; do not stop the medicine unless instructed. Adherence, hydration, and lifestyle guidance from your care team can help optimize outcomes. Routine follow-up labs help evaluate response and tolerability.
Compare With Alternatives
Allopurinol is another xanthine oxidase inhibitor used widely for chronic urate lowering. Some patients start with Allopurinol, while others switch due to tolerability or response considerations. Colchicine is not a urate-lowering therapy but is often used for flare prevention during urate-lowering initiation. Learn more about Colchicine as a prophylactic option.
For additional reading about joint conditions, visit our condition guide: Gout. Broader context on related diagnoses appears here: Hyperuricemia. An overview of joint diseases is also available in this article: Common Forms Of Arthritis.
Pricing and Access
Canadian-sourced products can offer a different cash-pay structure compared with local retail. Check the Febuxostat price on our product page to compare options and review availability. If your prescriber supports multi-month fills, longer supplies may reduce per-tablet costs.
Orders include US delivery from Canada with transparent checkout and status updates. Looking for deals? See current offers on our Promotions page. Prescription required and verified before dispensing.
Availability and Substitutions
Supply can vary by manufacturer and strength. If a particular pack size is unavailable, a prescriber may recommend a therapeutically appropriate alternative or a different strength to meet your treatment plan. We do not publish restock dates; please check back or ask your prescriber about suitable options on your next refill.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults with gout who require urate lowering and who have been evaluated for cardiovascular risk. It may not suit those with severe hepatic impairment or significant prior hypersensitivity. People on interacting immunosuppressants generally require a different regimen.
- Multi-month fills: ask your prescriber about 60–90 day supplies
- Refill reminders: set calendar alerts to avoid lapses
- Lab coordination: align blood tests with refills for convenience
- Lifestyle support: hydration, diet guidance, and steady adherence
Questions to Ask Your Clinician
- Therapy goals: what urate target are we using?
- Flare plan: how should I manage early flares during initiation?
- Monitoring: how often will labs be checked?
- Interactions: are any of my current medicines a concern?
- Cardiovascular risk: how does my history affect treatment choice?
- Alternatives: when would we consider switching options?
Authoritative Sources
FDA DailyMed: Febuxostat Prescribing Information
Health Canada Drug Product Database: Febuxostat
FDA Labeling Update: Safety Information
Ready to proceed? Order from YouDrugstore with express shipping, and your prescription Ships from Canada to US. This information is not a substitute for professional medical advice; always follow your prescriber’s guidance and the official label.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How long does febuxostat take to work for gout?
Urate lowering begins as the medicine inhibits xanthine oxidase, but results vary. Clinicians often monitor serum urate and adjust therapy to reach an agreed target. Early flares can occur during initiation, so flare prophylaxis is commonly used. Continue therapy as directed unless your prescriber advises otherwise. Ask your healthcare professional how and when your response will be assessed, and what to do if you experience a flare while on treatment.
Can I take febuxostat with food or alcohol?
This medicine may be taken with or without food. Many clinicians advise moderating purine-rich foods and alcohol, especially beer and spirits, which can raise uric acid. Hydration and diet changes are supportive measures alongside therapy. If you drink alcohol, discuss limits with your prescriber based on your health status and medications. Always follow the official label and your clinician’s advice for individualized guidance.
What lab tests are recommended while taking febuxostat?
Prescribers typically order serum urate at intervals to check progress. Liver function tests are often done before and during therapy to watch for changes. If you take anticoagulants or other interacting medicines, additional monitoring may be considered. Your care team will set the schedule according to your history and response. Keep appointments and bring your medication list to each visit so results can be interpreted accurately.
Does febuxostat help during an acute gout flare?
It is not intended for immediate relief of acute flares. Starting or continuing urate-lowering therapy during a flare must be guided by a clinician. For flare pain, prescribers often recommend NSAIDs, colchicine, or corticosteroids when appropriate. Urate-lowering therapy aims to reduce future flares by lowering serum uric acid over time. Follow your clinician’s plan for flare management and long-term control.
Who should avoid febuxostat?
People with known hypersensitivity to the medicine should not use it. Those with severe liver impairment or a history of major cardiovascular disease require careful evaluation of risks and benefits. Patients on azathioprine or mercaptopurine should generally use an alternative due to serious interaction potential. Always review your medical history and full medication list with your prescriber before starting any new therapy.
What happens if I miss a dose of febuxostat?
If you miss a dose, take it when remembered the same day. If it is near the time of your next dose, skip the missed dose and resume your regular schedule. Do not take two doses at once. Consistent daily dosing helps keep uric acid controlled. If missed doses become frequent, talk with your healthcare professional about reminders or other adherence supports.
Is febuxostat safe for people with kidney problems?
Labeling indicates that dose adjustments may differ by renal function compared to some alternatives, but individual plans vary. Many clinicians consider this therapy in patients with reduced kidney function, guided by labs and overall risk assessment. Because other conditions and medicines can affect safety, only your prescriber can determine suitability. Follow the official label and ask how kidney status influences monitoring and dose choices.
