A member asked:

I've had a gout attack yesterday after 5 years & took allopurinol 2 x 100mg yesterday & 1 x 100 mg today. no relief. can i take colchicine also?

3 doctors weighed in across 2 answers

Wrong move: Allopurinol will prolong the attack. Stop it immediately. It is only used on a daily basis to prevent future attacks. Colchicine is not very effective unless it is started very early in the attack. Use an NSAID such as naproxen or indomethacin.

Answered 9/9/2016

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Treat gout: Yes. You must take colchicine. Allopurinol can make an acute gout attack last longer. Take colchicine one tab every 1-2 hours x 4 tabs, then 1 tab twice daily x 4 days, then one tab daily. Take only 100 mg allopurinol per day, no more. Rest. Keep gout area warm. Adjust diet.

Answered 5/2/2017

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