4 doctors weighed in:

Which gout treatments really work long term?

4 doctors weighed in
Dr. Ahmad M Hadied
Orthopedic Surgery
2 doctors agree

In brief: There are many

Probenecid (benemid, probalan) and sulfinpyrazone (anturane) are the standard uricosurics.
A more potent uricosuric, benzbromarone, may work for people with severe tophaceous gout and kidney impairment when other drugs do not. In some studies, benzbromarone was equal to or even more effective than allopurinol, another type of antihyperuricemic drug.

In brief: There are many

Probenecid (benemid, probalan) and sulfinpyrazone (anturane) are the standard uricosurics.
A more potent uricosuric, benzbromarone, may work for people with severe tophaceous gout and kidney impairment when other drugs do not. In some studies, benzbromarone was equal to or even more effective than allopurinol, another type of antihyperuricemic drug.
Dr. Ahmad M Hadied
Dr. Ahmad M Hadied
Thank
Dr. Angus Worthing
Internal Medicine
1 doctor agrees

In brief: Allopurinol common

Allopurinol is widely used to reduce uric acid long term. Febuxostat is a better choice for people with kidney problems, or those who take warfarin.
Uricosurics are contraindicated in renal insufficiency and people with history of kidney stones. New data suggests that very long term use may not be required if uric acid can be maintained below 7mg/dl after 5 years of control below 6.

In brief: Allopurinol common

Allopurinol is widely used to reduce uric acid long term. Febuxostat is a better choice for people with kidney problems, or those who take warfarin.
Uricosurics are contraindicated in renal insufficiency and people with history of kidney stones. New data suggests that very long term use may not be required if uric acid can be maintained below 7mg/dl after 5 years of control below 6.
Dr. Angus Worthing
Dr. Angus Worthing
Thank
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