**Core Concept**
Allopurinol is a xanthine oxidase inhibitor used to treat gout and high levels of uric acid. It works by reducing the production of uric acid, which is a waste product in the body.
**Why the Correct Answer is Right**
Allopurinol potentiates the action of **aspirin** by increasing its antiplatelet effect. This is because aspirin also inhibits the production of thromboxane A2, a substance that promotes platelet aggregation. By reducing uric acid levels, allopurinol decreases the production of xanthine, which is converted to uric acid and then to allantoin. However, allopurinol also inhibits the conversion of xanthine to uric acid, thereby increasing the levels of xanthine. Xanthine then accumulates and is converted to uric acid, which in turn is converted to **allantoin**, which has a weaker antiplatelet effect compared to uric acid. Thus, by accumulating allantoin, allopurinol potentates the antiplatelet effect of aspirin.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to the action of allopurinol.
**Option B:** This option is not a correct interaction of allopurinol.
**Clinical Pearl / High-Yield Fact**
When prescribing allopurinol to a patient taking aspirin, be aware that the antiplatelet effect of aspirin may be potentiated, increasing the risk of bleeding.
**Correct Answer: C. Aspirin**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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