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Doctor insights on: Allopurinol And Colchicine Taken Together

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Dr. Thomas Namey
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Dr. Tony Willson
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Colchicine (Definition)

Colchicine is used to treat several inflammatory conditions. It is known best as a treatment for acute gout and prophylaxis for gout attacks. It is also used to treat less common conditions such as familial mediterranean fever, skin ...Read more


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For gout attack could i take : diclofenac 50mg , colchicine & allopurinol 100mg , all together ?

For gout attack could i take : diclofenac 50mg , colchicine & allopurinol 100mg , all together ?

Allopurinol Chronic: For acute gout Colchicine and diclofenac are reasonable. Do not exceed the recommended dose of Colchicine and stop immediately if diarrhea occurs. Allopurinol is to prevent chronic gout. Many patients starting Allopurinol will have an acute gout attack because attacks occur when uric acid levels go up or down. To prevent this some patients take Colchicine daily for up to 6 months. ...Read more

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Dr. Thomas Namey
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I have been taking allopurinol for 1 week. I now have a gout attack. Can i take colchicine as well? I

Wrong order!: Taking Allopurinol during an attack will worsen and prolong it. My regimen is this: establish diagnosis. You can start an nsaid, inject the affected joint(s) with steroids, start colchicine, bid is adequate with the other meds. After three days start Allopurinol 100mg x 1wk, 200mg x 1wk, and then the full dose. The cochicine can be cut back to once daily. ...Read more

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Dr. Thomas Namey
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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?

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?

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. ...Read more

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I have been put on a long term treatment for elevated uric acid with 1 tablet Colchicine and 100mg Allopurinol daily. Is the Colchicine necessary?

Usually not: Colchicine is usually reserved for an acute gout attack, not for preventative measures. Allopurinol should be stopped during an acute gout attack, and restarted once the pain has ressolved. Go see your doctor if you have questions about the meds he/she prescribed you. ...Read more

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Dr. Gary Sandler
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Dr. Thomas Namey
Board Certified, Rheumatology
42 years in practice
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