Doctor insights on:
Zyloprim Gout Agent
I'm taking allopurinol together with colchicine.if no more flare,can i drop colchicine but continously take allopurinol?will gout attack reoccur?
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
Yes: Uloric is a prescription medicine called a xanthine oxidase inhibitor that reduces the production of uric acid in your body. Uric acid buildup can lead to gout or kidney stones. Uloric is used to treat high blood concentrations of uric acid in patients with gout. ...Read moreSee 1 more doctor answer
Depends: It is not used in all cases of gout. When one has gout a 24 hr urine can be done to determine if one is an overproducer or underexcretor of Uric acid. If an underexcretor than probenecid could be given. It is usualy not given for an overproducer of Uric acid. Some will even given allopurinol to an underexcretor as they feel it is safer than the probenecid. There are other meds now like Uloric. ...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
Which anti-inflammatory is more effective for hallux pain - voltaren, exxiv (etoricoxib), ipobrufen, arthrotec, (diclofenac and misoprostol) other? Uric acid is normal, no swell.
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
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