Doctor insights on:
Colchicine Vs Allopurinol
I have been taking allopurinol for 1 week. I now have a gout attack. Can I take colchicine as well?
Wrong order!: Taking Allopurinol during an attack will worsen and prolong it. My regimen is this: establish diagnosis. You can start a 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
I started allopurinol 2 weeks ago and now have a gout attack should I stop and take colchicine or take both together?
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'm taking allopurinol together with colchicine.if no more flare, can I drop colchicine but continously take allopurinol?will gout attack reoccur?
I take colchicine with allopurinol for 3 months. If no gout attack I'll reduce the colchicine but continously take allopurinol. Do this regime is ok?
Gout rx: Perfect plan. Adjust diet. 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 /d ...Read more
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
Can I take colchicine alone as a preventative for gout? Will it lower uric acid levels or must I take with either Allopurinol or Uloric?
Colchicine: Colchicine alone is effective in diminishing gout. Yes. Allopurinol is not mandatory but of course helps. Also, avoid alcohol, animal fats, organ meats and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks. Add egg whites, quinoa, soy as protein. Eat lots of fruit and veggies. Drink 3 liters per day. ...Read more
Taking indomethacin & colchicines for gout, 10 years. Doctor recommends allopurinol. Says once I start allopurinol, I have to stay on it for life & that i cant stop taking it. Is this true?
Often: Often required, but dose can be tapered at intervals to determine minimal dose required. ...Read more
Which is more affective pain management of a gouty foot flare-up, Naproxen or Celebrex (celecoxib)? (along with Colchicine) Allipurinol already prescribed.
Probably naproxen: Naproxen has been used for many years to treat acute episodes of gout-colcichine has been used longer but has more side effects if pushed. Celebrex (celecoxib) is an N SAID too but used more for having less gastrointestinal side effects. So the person who knows best with your history is the prescribing. Doctor. ...Read more
I have a gouty athritis and my ALT is80, I take 50mg of diclofenac 3x aday, colchicne 3aday and 300mg alluprnol 3x aday, was my ALT is normal,?
Slightly high...: Your alanine transaminase (alt) was slightly high at 80. It should be less than 60. It is a sensitive but not a specific test of liver function. Talk to your doctor about what you ought to do and what might be causing the elevation. Also, talk to him about a low purine diet which may help you avoid having to take medications with potentially adverse liver effects. Colchicine also ought to be prn... ...Read more
Ectasy: Do not take ecstasy period! Dangerous drug! ...Read more
Yes......: However, there are other medicines that may be better. Treatment of an acute gouty flare is different that for prevention of these. See your primary care doctor to see what medicine or combinations of medicine is best for you. ...Read more
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
Not perfectly safe: Colchicine is a class c medication in pregnancy, meaning there are not human trials and that animal trials were either not done or showed harm. Risks and benefits of taking medications during pregnancy must be weighed in regard to the consequences of not taking the medications as both have risks. Discuss with your prescribing doctor and ob. ...Read more
Very!: Allopurinol has been around for some time 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
Nausea and vomiting: Nausea, vomiting, and stomach irritation are some side effects for a short term dosage. Long term dosing may have the added side effect of liver damage. Your doctor will monitor you when on this med. ...Read more