Doctor insights on:
Colchicine Vs Allopurinol
I'm taking allopurinol together with colchicine.if no more flare,can i drop colchicine but continously take allopurinol?will gout attack reoccur?
Yes......: However there are other medicines that may be better. Treatment of an acute gouty flare is different that that for prevention of these. See your primary care doctor to see what medicine or combinations of medicine is best for you. ...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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Take propecia 1mg, methotrexate 25mg, arava (leflunomide) 20mg, enbrel weekly, B12 & folic acid..Which ones are most likely to cause high liver enzymes(ast&alt)?
Okay with caution.: if needed, Prilosec can be used with either or both of those medicines. However, in some instances Prilosec can increase cyclosporine blood levels and or decrease Cellcept (mycophenolate mofetil) levels. I would not use it unless I had cleared it with my doctors first, and if you are started on it by your doctor, be sure that your levels are monitored properly. Good luck. ...Read more
Two options: Colchicine may control the acute attacks while other medicines are started to lower uric acid levels which will ultimately prevent gout. One choice would be uloric which is a daily pill. If that fails, Krystexxa (pegloticase) is an an option. Krystexxa (pegloticase) is more powerful than other drugs but is given by intravenous infusion every two weeks. ...Read moreSee 2 more doctor answers
How dose such a small maintenance dose of prednisone 5 mg daily w/ plaquenil (hydroxychloroquine) prevent my lupus flares more than plaquenil (hydroxychloroquine) alone? It works great.
Can help!: While plaquenyl is a slow acting but effective drug, Prednisone is used in much higher doses in active sle. There are a number of reasons you might feel so much better on a low (5mg) dose: 1.Plaquenyl has not fully kicked in. 2. Arthritis (non-deforming) or arthralgias associated with the disease will have substantial pain relief with a dose this low. 3. You will get a modest energy boost at 5mg! ...Read more
Interaction between Xarelto and Colchicine.I read that Colchicine affects the platelets ,more likely to bleed?I take 3 Colchicine for gout flares.
Interaction: Your pharmacist can be very helpful in answering any questions related to your medications. If you're under effective treatment for gout, you shouldn't have any gout flares. If you do and only took colchicine for a few doses,I wouldn't expect a major problem because you also take xarelto daily. Your pharmacist can confirm this for you. ...Read more
It's u as much as Rx: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
It may be...: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
Is plaquenil (hydroxychloroquine) with methotrexate without prednisone an effective treatment for moderate to severe rheumatoid arthritis ?
Yes: The combination is often a very effective treatment. ...Read more
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Which anti-inflammatory is more effective for hallux pain - voltaren, exxiv (etoricoxib), ipobrufen, arthrotec, (diclofenac and misoprostol) other? Uric acid is normal, no swell.
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