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...