Febuxostat & Allopurinol Price in Bangladesh

Gout is a sudden, very painful swelling of a joint — often the big toe, ankle or knee — caused by uric acid crystals. This shelf holds the medicines that prevent it: febuxostat and allopurinol, which lower uric acid over months, and colchicine, which calms an attack and protects against flares while uric acid is being lowered. The two jobs, treating an attack and preventing the next one, need different medicines.

Gout sits under Anti- Inflammatory & Anti-Rheumatic.

Attack Medicine or Prevention Medicine

Medicine	Job	Taken
Colchicine	Treats an attack; prevents flares early in treatment	Short courses, low doses
Allopurinol	Lowers uric acid	Daily, long term, dose built up
Febuxostat	Lowers uric acid	Daily, long term

During an Attack

Rest the joint, raise it, and apply a cold pack wrapped in cloth. Start treatment early: colchicine or an anti-inflammatory painkiller works far better when started in the first day. If you already take allopurinol or febuxostat, keep taking it during the attack; if you do not, doctors usually wait until the attack settles before starting. Strong short-term painkillers such as ketorolac are on Non-Opioid Analgesics.

Colchicine: Small Doses Only

Colchicine works at low doses, and higher doses mostly add diarrhoea, vomiting and stomach pain. Never take more than prescribed in a day. It interacts with clarithromycin, some antifungals and certain heart medicines, which can raise it to toxic levels, and it is reduced in kidney disease. Stop and call the doctor if severe diarrhoea develops.

Starting Uric Acid Lowering

Doctors usually start allopurinol at a low dose and increase it every few weeks until the uric acid blood level falls below the target. Flares are common in the first months, because crystals shift as levels drop; a low dose of colchicine for those months reduces them. This does not mean the tablet is failing — keep taking it.

A Rash on Allopurinol Needs Attention

Rarely, allopurinol causes a severe skin reaction, usually in the first two months, starting with fever, a spreading rash, mouth sores or peeling skin. Stop the tablet and get urgent care. The risk is higher with kidney disease and at high starting doses, which is why starting low matters.

Febuxostat

Febuxostat is an alternative when allopurinol is not tolerated or does not bring uric acid down enough. It needs no kidney dose adjustment in mild to moderate disease. People with established heart disease should discuss it with their doctor, as caution is advised in that group.

Food, Drink and Weight

• Cut down on red meat, organ meats such as liver and brain, and some seafood like shrimp.
• Avoid sugary drinks and fruit juice high in fructose.
• Avoid alcohol, especially beer.
• Drink water through the day; lose weight gradually.

Kidney Stones and Kidneys

Uric acid can also form kidney stones, and gout is more common in people with kidney disease, high blood pressure and diabetes. Lowering uric acid protects against stones, and good water intake helps both. Doses of allopurinol and colchicine are adjusted to kidney function, so a creatinine test is usually done before starting and repeated periodically.

High Uric Acid Without Gout

A raised uric acid level on a routine test, with no attacks and no stones, usually does not need tablets. Diet, weight and blood pressure control come first. Treatment starts after repeated attacks, visible lumps of crystals under the skin, or uric acid kidney stones.

Febuxostat Price in Bangladesh

Allopurinol and colchicine from local manufacturers cost little; febuxostat costs more, with the higher strength costing more than the lower.

Uric acid lowering is long term; stopping once attacks stop lets crystals rebuild and attacks return within months, so keep the blood-test appointments that confirm the dose is still right. Other joint painkillers are on Osteoarthritis, Rheumatoid Arthritis, NSAIDs.

Before You Order

• Keep uric acid tablets going during an attack.
• Never exceed the colchicine dose.
• Stop allopurinol and seek care for a spreading rash.
• Drink plenty of water.
• Check uric acid levels as advised.

Manufacturers Stocked Here

Makers of gout medicines listed on Arogga:

• Square Pharmaceuticals PLC. — Barif febuxostat, Esloric allopurinol, Colimax colchicine
• Renata Limited — Feburen
• ACI Limited — Febus
• Opsonin Pharma Limited — Febuxit, Duric allopurinol
• Beximco Pharmaceuticals Ltd. — Eburic

Popular Product Examples

Febuxostat, allopurinol and colchicine:

• Barif 40 Tablet
• Feburen 40 Tablet
• Esloric 100 Tablet
• Colimax Tablet

Frequently Asked Questions

Febuxostat or allopurinol?

Allopurinol is usually first; febuxostat is the alternative. Your doctor chooses.

Can I start allopurinol during an attack?

Usually after it settles; keep taking it if already started.

Why did I get more attacks after starting?

Common early on; colchicine cover helps.

How long do I take it?

Usually long term.

Can I eat dal with gout?

In normal amounts, usually yes; meat and sugary drinks matter more.

Is colchicine a painkiller?

It reduces gout inflammation rather than pain in general.