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pcbrawner

New User, Becoming EHEALTHy
Joined: 26 Feb 2006
Posts: 22
Location: Missouri
Fully Recovered?
Posted: 02-27-06 14:54pm

I posted a message for the forum that has been accessed 27 times and no one has left any response so perhaps its too hard a question for forum participants to answer. I want to start allopurinal as soon as it is practical to do so but I have read several times not to start it until fully recovered. I am mostly recovered but still not totally asymptomatic. Should I start or would I risk a flare up of gout?

Please, answer....I need some input.
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JYY2

Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004
Posts: 227

Posted: 02-27-06 16:37pm

A paragrah in http://www.Icuredmygout.Org reads: "do not initiate allopurinol or probenecid during the gout attack. They will lower the blood uric acid level suddenly, and will worsen and prolong the attack. Start them gradually in increased dosages 4~6 weeks after gout attack is completely gone, preferably with indomethacin, colchicine, etc to avoid another gout attack. However, if they were initiated before the attack, do not stop and keep taking them."
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Michael_MacUser

New User, Becoming EHEALTHy
Joined: 20 Mar 2006
Posts: 4

Posted: 03-20-06 14:46pm

That's interesting because I have used allopurinol for over 10 years and only take it when I feel an attack coming on. A tenderness in my big toe or ball of the foot usually. It has always stopped the attack from getting worse. And in a day or so the tenderness is gone and i'm back to normal for months, years at a time. Before I was first diagnosed and given allopurinol my attacks were so severe it felt as if my foot was broken.
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JYY2

Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004
Posts: 227

Posted: 03-21-06 16:25pm

It's very interesting. May I ask what are your blood uric acid levels over these years? Thanks.
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Michael_MacUser

New User, Becoming EHEALTHy
Joined: 20 Mar 2006
Posts: 4

Posted: 03-21-06 17:27pm

jyy2 wrote:
it's very interesting. May I ask what are your blood uric acid levels over these years? Thanks.


sorry, but I have no idea. My doctor sent me for a blood test the first time I went to him with an attack. And he then diagnosed gout. But, I don't know what my u.A. Levels have been. I have no way of testing it myself. I haven't had a severe attack since I started taking allopurinal. But, even though they say you have to take everyday for the rest of your life I only take it when I start to feel a stiffness in my toe or ankle. Which is maybe once or twice a year.
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pcbrawner

New User, Becoming EHEALTHy
Joined: 26 Feb 2006
Posts: 22
Location: Missouri
Allopurinol Too Soon
Posted: 03-22-06 13:43pm

Well I decided to take one fourth of a 100mg allopurinol tab while I still had some twing left in my toe but it was mostly gone....And it really caused a major reaction in my toe. That was two days ago and I still have pain so i'm taking indocin and it controls it pretty well. I had hoped the nominal dose and the previous gentlemans (michael macuser) comments would enable me to finish off the little I had left but obviously it didnt. My advice is to believe it when they say don't take allopurinol until its totally gone. I was forewarned and didn't comply with the advice...
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