is this normal after taking uric acid lowering drug

hello jx thanks but the only thing which is 2-3 is my wrist my right feet when there is a flare is 10 it is sorted out now the only issue i have is my big toe the ball on the sole is still stiff and has quite pain when i walk to long like 1 hr or so. my wrist pain only started when i started taking febuxostat.

Your experience of gout flares may be intensely painful. It isn’t universal. Furthermore these pains are flares caused by the flushing of the mono sodium urate crystals. I experienced exactly the same pains, but in my thumbs rather than wrist. One is liable to get these pains in any small joints. 

As for pseudo gout, at 26 it is extremely unlikely. Pseudo gout is a malady of the old and very old. 

iam taking right now methylpredebisone which sort out an empending flare i take 1 16 mg tablet then the next day it is almost painless but the problem is the big toe the ball on its sole is still painfull and stiff when i walk for long periods of time like 1 hr. also the wrist pain started when i started taking febuxostat. i told my doctor and he said it is normal as the crystals are starting to dissolve.

but i want to ask if others experience this when they started their uric acid lowering theraphy.

btw i have been drinkibg lots of water. iam also not eating meat, alcohol or lebtils for thw past 7 weekz

Your doctor is correct. You should definitely avoid high fructose corn syrup. Drinking water is good. Most dietary restriction are unnecessary once your urate is under control. 

thanks mate yup iam still taking it and will not stop like everyone is telling. do u have any other advice about home remedies i could add with ny medication in your experience

I’m afraid that I just take the allopurinol and get on with life. I drink very little alcohol, and I avoid HFCS anyway. I try to keep to BMI under 27 (25 would be better). I am aware that onion has an impact on inflammatory illnesses and I eat it anyway- there are other things, but the allopurinol keeps my blood urate at about 2.7 so I’ve no need for anything else. 

I forgot - I always have a supply of colchicine and on the rare occasion I get a twinge I’ll pop one which sorts it. 

when you first started allupunirol how many months or years did you take it before almost no attacks of gout?

It’s been a few years Mark, but the colchicine really helped. I used lots of the colchicine in the first few months, less after that for a probably another 3 months. Now I use it rarely. If I do get a problem it’ll be in my thumbs.

I have read research though that it takes 3 to 60 months for the attacks to decline, with most in the 3 months or under 1 year catagory.  As long as the drug is bringing your blood urate to under 3 (or even 4) the crystals will be removed. As you are young you’ve not been depositing them for years as I probably was, which suggests it’ll be sooner rather than later.

I’m sure that like everyone who sticks to the therapy it will work until in six months you’ll suddenly notice you’ve not had an attack for ages. 

At the beginning you need regular appointments to check your blood and to see the dose is high enough. After that annually should be fine.

Good health!

thanks rusty before you took the drug have u experience reoccuring gout like every week for a month? i am not taking colchicine as i get very sick and it doesnt seem to calm my attack as i already have it. i replace it with methlypedenisone 1s a day but if my feet is good i stop it. i also have colchicine if i ever sorth out this attack ill try colchicine again for impending attack

I didn’t get gout constantly, indeed I only once had a toe gout attack I’d say was agony. 

The symptoms I had most were tingling ninny arms and fingers and then I got tophi. Both were sorted quickly (the tingling in weeks). 

As for colchicine- if it gives you diarrhoea then I read some research that showed the way forward is to cut the tabs in half (why do they make they stupidly small??) and take the 1/2 tab every 6 hours. The trouble with them is the perfect dose varies for everyone, and the difference between the perfect dose and a trip to the toilet is very close! The good thing is though that just because it gave you diarrhoea, you can stop and start again with a lower dose 3 days later and you won’t automatically trot off again. 

I would say (as I’m sure you know because I get the impression your doc is on the ball), you’re under 30 and you need your heart for another 50 years, so need to get this sorted. I’m in my 50s, so ultimately I might drop dead of something else tomorrow anyway; older folk can afford to ignore it’s long term consequences: you on the other hand can’t. It may be sensible for you to get your heart checked out every 5 years. 

But - we probably all worry about gout at first. I assure you, stick to the gout lowering therapy and it is inevitable that every month you’ll have slightly less attacks than the previous month - putting attacks in your diary may reassure you are going in the right direction.  In 12 months and probably 3 or 4 gout will just be a tab you take as thoughtlessly as a woman takes a birth control pill.

NB I in know way intended to imply that Febuxostat will stop you getting pregnant nor stop you getting someone else pregnant.