PT - JOURNAL ARTICLE AU - Stamp, Lisa K. AU - Dalbeth, Nicola TI - What Is Allopurinol Failure and What Should We Do About It? AID - 10.3899/jrheum.2024-0144 DP - 2024 Jun 01 TA - The Journal of Rheumatology PG - 556--562 VI - 51 IP - 6 4099 - http://www.jrheum.org/content/51/6/556.short 4100 - http://www.jrheum.org/content/51/6/556.full SO - J Rheumatol2024 Jun 01; 51 AB - Allopurinol is the most widely used urate-lowering medication worldwide. However, allopurinol failure is frequently observed in clinical practice. In this review, we provide a framework for assessing allopurinol failure, which includes failure of allopurinol to control serum urate concentrations, failure of allopurinol to control clinical symptoms, and failure of allopurinol due to an adverse drug reaction. Understanding the causes of allopurinol failure underpins the approach required to turn failure into success in gout management.