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Prevalence of the metabolic Syndrome in patients with gout. A critical reappraisal of allopurinol dosing, safe-. Nonostante il fatto che la colica renale sia un'emergenza medica tra le più frequenti. Prevalence of chronic renal insufficiency in the course of idiopathic recurrent. of calcium nephrolithiasis with low-dose thiazide, amiloride and allopurinol. The kidneys excrete uric acid, predisposing CKD patients to hyperuricemia. For any patient, the initial dose of allopurinol should be <100. dialysis, Oral: [>80 Usual dose [60 - 80]: 200-250 mg daily [40 - 60]: 150 - 200mg daily [20 - 40]: 100 - 150mg daily [10 - 20]: 100mg q24 Whether the dosage of allopurinol should be lower in patients with CKD remains controversial. 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