5 doctors weighed in:

How can gouty tophi be dissolved?

5 doctors weighed in
Dr. Pierre Moeser
Internal Medicine - Rheumatology
3 doctors agree

In brief: Slowly

Diet and uric acid lowering drugs can make tophi dissolve but it is a very slow process.
There is one new drug, krystexxa, (pegloticase) which is given intravenously every two weeks if the standard drugs, Allopurinol and febuxostat, fail or are not tolerated. Krystexxa (pegloticase) is very effective but expensive and intravenous (as opposed to the oral medications).

In brief: Slowly

Diet and uric acid lowering drugs can make tophi dissolve but it is a very slow process.
There is one new drug, krystexxa, (pegloticase) which is given intravenously every two weeks if the standard drugs, Allopurinol and febuxostat, fail or are not tolerated. Krystexxa (pegloticase) is very effective but expensive and intravenous (as opposed to the oral medications).
Dr. Pierre Moeser
Dr. Pierre Moeser
Thank
Dr. Angus Worthing
Internal Medicine
2 doctors agree

In brief: Lower uric acid

Medicines & diet to lower the uric acid below 6mg/dl.
The lower the better.

In brief: Lower uric acid

Medicines & diet to lower the uric acid below 6mg/dl.
The lower the better.
Dr. Angus Worthing
Dr. Angus Worthing
Thank
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