Question 1

i suffering from gout on toe region and i am also taking alpurinol medicine.my serum uric acid test is 6 mg per dl.can i eat fish and chicken?others?

Accepted Answer

See details: Diet has little effect on serum uric acid so fish and chicken are fine. If you are still having breakthrough attacks on allopurinol, have your doctor add Colchicine 0.6 mg daily and this will stop the attacks.

Question 2

can a gout patient with uric acid level 5.8 eat tomato??and what all food items do you suggest??and what about chicken and fish,tea and coffee,etc..

Accepted Answer

Gout and diet: No particular food is prohibited with gout. Quantity and frequency matter.  Be modest with all meat sources. Keep portions small. Minimize red meats and organ meats. Maximize fruit, veggies, and whole grains. Drink plenty of fluid daily. Avoid alcohol. Tomato is fine. Uric acid comes principally from meat sources.

Question 3

is all protein like meats, seafood and chicken off limits during a gout flare up? i keep hearing conflicting answers. whats a person left to eat?

Accepted Answer

Gout: Avoid seafood, red meat, alcohol/red wine, hctz (hydrochlorothiazide) (type of blood pressure med). Obesity, Insulin resistance and HTN are risk factor for gout.  There is no a simple answer to your question. Noticed i said "avoid" . Do   everything in moderation.

Question 4

i've been taking allopurinol for gout for years now. two years ago they upped my mg by 100. now i am taking 200mg daily. i have noticed that my bilirubin is high. last year bilirubin was 1.2 and this year it is 2.0. should i stop allopurinol?

Accepted Answer

: High bilirubin alone is less likely a side effect of allopurinol and dose of 200 mg a day is still a below average dose if you do not have chronic kidney disease. High bilirubin can be due to Gilbert's syndrome. You can have bilirubin rechecked, not fasting. Do not stop allopurinol abruptly due to risk of acute gout attack.

Question 5

should you start taking allopurinol during gout attack?

Accepted Answer

NO !!: Wait until attack has subsided and slowly add Allopurinol to treatment.This drug mobilizes uric acid (so the kidneys can excrete it) and can bring on or worsen an attack.

Question 6

gout - can i take prednisone at the same time as i am taking allopurinol?

Accepted Answer

Yes.: I rarely use Prednisone for any period for gouty arthritis attacks. Sometimes i give steroids within the inflammed joints, which  works faster, or give one shot im of steroids . I do use Colchicine almost always, but instead of using Colcrys (the only colchicne that can be sold-ridiculously priced, I use probenecid/colchicine-much cheaper and generic.  I gradually start with 100mg Allopurinol & up.

Question 7

with a flare up from gout, my doctor got me taking allopurinol. does this make it worse since its already flared up?

Accepted Answer

?: During acute attacks you may not want to start it. Once acute attack resolved, it is a very effective drug to lower blood levels of utica acid, decreasing the frequency of attacks. Goal is to get level below 6.

Question 8

what is the normal amount of allopurinol to take for gout?

Accepted Answer

It depends: Your dosage is based on a number of variables: the medical condition being treated, the severity of your condition, how you respond to the medication, other medications you are taking, and other medical conditions you may have. Dosing can range from 100-800 mg/day. Talk to your doctor what is appropriate for you.

Question 9

how effective is  colchicine and/or allopurinol for gout?

Accepted Answer

They are: Both effective medications for gout.

Question 10

what are known reactions to colchicine and/or allopurinol for gout?

Accepted Answer

See below: Diarrhea, neuropathy, leukepenia, pancytopenia, nausea, cramping, fatigue, headache, etc.

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Doctor answers about:

Should chicken and fish be restricted while taking allopurinol for gout

A member asked:

I suffering from gout on toe region and i am also taking alpurinol medicine.my serum uric acid test is 6 mg per dl.can i eat fish and chicken?others?

A member asked:

Can a gout patient with uric acid level 5.8 eat tomato??and what all food items do you suggest??and what about chicken and fish,tea and coffee,etc..

A member asked:

Is all protein like meats, seafood and chicken off limits during a gout flare up? i keep hearing conflicting answers. whats a person left to eat?

A member asked:

I've been taking allopurinol for gout for years now. two years ago they upped my mg by 100. now i am taking 200mg daily. i have noticed that my bilirubin is high. last year bilirubin was 1.2 and this year it is 2.0. should i stop allopurinol?

A member asked:

Should you start taking allopurinol during gout attack?

A member asked:

Gout - can i take prednisone at the same time as i am taking allopurinol?

A member asked:

With a flare up from gout, my doctor got me taking allopurinol. does this make it worse since its already flared up?

A member asked:

What is the normal amount of allopurinol to take for gout?

A member asked:

How effective is colchicine and/or allopurinol for gout?

A member asked:

What are known reactions to colchicine and/or allopurinol for gout?

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