Doctor insights on:
I Have Gout How Long Do I Have To Wait From Last Flare To Start Alopurinol
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 moreSee 1 more doctor answer
I'm taking allopurinol together with colchicine.if no more flare,can i drop colchicine but continously take allopurinol?will gout attack reoccur?
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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