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Doctor insights on: I Have Gout How Long Do I Have To Wait From Last Flare To Start Alopurinol

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I have gout. How long do I have to wait from last flare to start alopurinol?

I have gout.  How long do I have to wait from last flare to start alopurinol?

Not long: Some doctors wait 2-4 weeks but if you take Colchicine to prevent gout recurrences, your doctor may only wait a week to start allopurinol. ...Read more

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Dr. Pierre Moeser
862 doctors shared insights

Gout (Definition)

Gout is when too much uric acid gets deposited in a joint. The classic one is the big toe although others can be affected. Lifestyle factors like red meat and alcohol ...Read more


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Allopurinol - if you take it regularly for gout (say years) , then you have a flare up, should I stop taking it?

No: 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

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I'm taking allopurinol together with colchicine.if no more flare,can i drop colchicine but continously take allopurinol?will gout attack reoccur?

I'm taking allopurinol together with colchicine.if no more flare,can i drop colchicine but continously take allopurinol?will gout attack reoccur?

Yes; possibly: You can stop Colchicine and use Allopurinol alone to prevent recurrent attacks. Keeping your Uric Acid level below 6 with Allopurinol and a low purine diet can reduce your likelihood of attacks in the future. ...Read more

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With a flare up from gout, my doctor got me taking allopurinol. Does this make it worse since its already flared up?

With a flare up from gout, my doctor got me taking allopurinol. Does this make it worse since its already flared up?

Not for acute attack: Allopurinol is used to ocntrol the uric acid level. It is not initiated for an attack, nor is it stopped if you have an attack and you already are on it. It used for long term control of the uric level level -to keep it below 6 as dr villaplana states. For the acute attack therapy includes, aspiration of the joint and inejction, oral colchicine, nsaids or even corticosteroid. ...Read more

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2nd gout flare is now in ankles on 200mg allopurinol & indomethacin.going on 5 weeks and not getting better. What do I do?

If indeed the : Diagnosis is correct which is made by "tapping" the joint and revealing mono sodium ur ate crystals under polarized microscopy then other mess should be tried like possibly uloric. Allopurinol is for an overproducer of Uris acid, perhaps you are an underexcretor of Uris acid. This can be found out from a 24 hour urine test. ...Read more

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Should anything be taken with allopurinol to prevent the gout attack?

Should anything be taken with allopurinol  to prevent the gout attack?

Yes.: Lowering uric acid too quickly can cause gout attacks. I usually have patients start with Colchicine 0.6 2x/day, and an antiimflammatory nsaid, such as Meloxicam 15mg. I have patients take these two days before starting allopurinol. I usually drop the Colchicine to one a day after several weeks. Can lower, or diminish the use of nsaids. ...Read more

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Gout sufferer allergic on both allopurinol and probenecid; what's next?

Gout sufferer allergic on both allopurinol and probenecid; what's next?

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 more

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Should you start taking allopurinol during gout attack?

No: Allopurinol shouldn't be started(or changed at all) during a gout flare. It should be started after a flare resolves. ...Read more

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Dr. Kevin Moder
314 doctors shared insights

Allopurinol (Definition)

Allopurinol is a medicine used ...Read more