Doctor insights on:
Yes, rarely: There are two different 'kidney' concerns with allopurinol. There are some people who have an allergic reaction to this medication at the kidney level but not necessarily any other symptoms... This is called interstitial nephritis. It is also a medication that is cleaned out of the body by the kidneys and therefore as the kidney function becomes less, the dosing needs to be decreased. ...Read more
Very!: Allopurinol has been around for some time is is really quite safe. Rare side-effects do occur, but I have not seen them. When Allopurinol is started (or uloric) start at a low dose and work up. Lowering uric acid in the blood to0 quickly will precipate a gout attack, which is a major reason for using pre-dose Colchicine and/or an anti-inflammatory drug. Used properly, gouty arthritis need not be! ...Read more
Rash top problem: Allopurinol is very effective in controlling the level of uric acid and we use it to help treat gout by lowering the uric acid level and help to prevent gout attacks. All medications have side effects. The Allopurinol can interact with certain drugs and can have side effects: we look at the skin, liver, kidney and other as sites to monitor. ...Read more
Yes: Yes.Get a more detailed answer ›
Yes...: It is often recommended that one avoid anti-inflammatory drugs which may affect blood clotting before GI endoscopic procedures such as colonoscopy. But while allopurinol is taken for gout, it is not an anti-inflammatory drug. It reduces the production of uric acid, the substance responsible for gout inflammatory symptoms. You can continue taking allopurinol during your prep. Good luck! ...Read more
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. ...Read more
In most cases it is very well tolerated and controls the production of uric acid reducing the frequency of gouty attacks and eliminating urate deposits around joints called tophy.
It can however cause a severe allergic reaction to the point of causing the outer skin to peel off as in severe burn so at first sign of a rash it should be stopped. This is a rare disorder but important to know. ...Read more
In an acute gout attack, should Allopurinol "previously prescribed" be stopped until the attack has resolved.
Still attack by accute gout even I take Allopurinol everyday and control my diet. Why? What should I do next?
Chronic gout: Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. And avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 liters per day. Add colchicine / d ...Read more
Allopurinol - if you take it regularly for gout (say years), then you have a flare up, should I stop taking it?
If you're already taking Allopurinol and you get a gout attack, as long as the acute attack is treated you don't need to stop taking allopurinol. Just don't start Allopurinol during an acute attack.
If you stop taking Allopurinol during an attack, you run the risk of getting a new attack when you restart it again. ...Read more
I've tried limiting purines from a diet perspective. Is there anything anyone has tried before I take allopurinol?
Just got prescribed allopurinol. Side effects list worries me. In your experience how often do bad side effects occur? Thanks!
There are multiple: Serious and common side effects as there are with almost every prescriptive medication, however in practice if the medication interactions and contraindicating medical problems such as kidney disease are avoided the side effects have not been prevalent enough to avoid using. ...Read more
I have done and they gave me allopurinol, but can't take until uric levels have completely back to normal, which is why I would like to know the longest time for a flair up? Thanks
Don't understand: I'm uncertain why you've been told that you can take Philip her own now. I don't know what druther therapy has been. But the idea is to control the attack and then go ahead and continue your Allopurinol at all. If you already were on allopurinol you should not stop it with an attack. There maybe some other medications that are involved here which might help clarify. You can ask your physician ...Read more
Lowers uric acid!: Gouty arthritis is not only arthritis, but the potential to damage kidneys and other tissue. Lowering uric acid is the key, not only for gout, but hyperuricemia. Allopurinol is a xanthine oxidase inhibitor, which decreases the formation of uric acid. It, or the newer uloric, are the long term solutions for increased uric acid with it's consequences. ...Read more