First of all, you may like to call your doctor to ask for his advice. Fyi:

** do not stop taking allopurinol. It may trigger gout attacks when you re-start it later.
** treat the current attack just like another attack. "emergency gout treatments" section in http://www.Icuredmygout.Org describes what to do in such situation.
** allopurinol can lower the blood uric acid level and reduce the frequency and severity of gout attacks. But it does not always immune one from having further attacks. A study shows gout patients who had been on allopurinol for months and years still had msu crystals in their joints. When the crystal coatings are shed to expose the raw crystals, they trigger the attacks. You may like to track down what trigger the attack this time so you can prevent another attack later.

After treating the current acute attack with conventional management , is I justified to increase the allopurinol dose (>300mg/day)?

Please solve this problem.Thanks advance.

I suggest you talk to your doctor about allopurinol dosage. Fyi: the typical allopurinol dosages are:
** mild gout: 200~300 mg, once daily.
** moderate to sever gout: 400~600 mg, once daily.
I would think your gout is mild because you had only one attack in 2 years.

Baking soda in water is not a conventional treatment for gout. I just accidentally found it to be extremely useful. It seems to have worked well for many other gout patients, too. Read the warning and possible side effect described in the webpage before trying. Good luck.

Thanks a lot.

Hey lalu0005, how are you doing?

Not trying to confuse you, but according to zyloprim drug information,
you should:

stop taking this medicine and check with your doctor immediately if any of the following side effects occur:

* more common
o skin rash or sores, hives, or itching

* rare
o black, tarry stools; bleeding sores on lips; blood in urine or stools; chills, fever, muscle aches or pains, nausea, or vomiting—especially if occurring with or shortly after a skin rash; difficult or painful urination; pinpoint red spots on skin; redness, tenderness, burning, or peeling of skin; red and/or irritated eyes; red, thickened, or scaly skin; shortness of breath, troubled breathing, tightness in chest, or wheezing; sores, ulcers, or white spots in mouth or on lips; sore throat and fever; sudden decrease in amount of urine; swelling in upper abdominal (stomach) area; swelling of face, fingers, feet, or lower legs ; swollen and/or painful glands; unusual bleeding or bruising; unusual tiredness or weakness; weight gain (rapid); yellow eyes or skin

for more information on allopurinol (systemic) side effects and precautions, please vist national library of medicine (www.Nlm.Nih.Gov).

Best wishes,