8 doctors weighed in:
Should anything be taken with allopurinol to prevent the gout attack?
8 doctors weighed in

Dr. Thomas Namey
Internal Medicine - Rheumatology
6 doctors agree
In brief: 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.

In brief: 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.
Dr. Thomas Namey
Dr. Thomas Namey
Thank
1 comment
Dr. Larry Greenbaum
I usually prescribe colchicine 0.6mg daily for six months to prevent gout flare ups.
Dr. Michael Laccheo
Internal Medicine - Rheumatology
In brief: Can be
Colchicine and nsaids are sometimes used when starting Allopurinol to prevent flares that can occur with starting or increasing the dose of allopurinol.

In brief: Can be
Colchicine and nsaids are sometimes used when starting Allopurinol to prevent flares that can occur with starting or increasing the dose of allopurinol.
Dr. Michael Laccheo
Dr. Michael Laccheo
Thank
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