1. Community
  2. Bones, joints and muscles
  3. Gout and Pseudogout

Med increase?

Posted , 5 users are following.

andrea46312
andrea46312

Going through a painful attack right now.  Had uric level done today came back 6.7.  Doc said we might increase allopurinol  depending on Uric level.  Is there room for increasing with a level of 6.7?  I'm on 300mg a day right now.

0 likes, 9 replies

9 Replies

  • Sochima822
    Sochima822 andrea46312

    Posted

    Sorry to hear you're having it bad, but it's all dependant on your diet. Avoid the purines especially those found in bread, rye or pumpernickel, salmon, herring, spinach and organ meats. Also, no cream of wheat or farina. Drink Cherry juice which helps to neutralize the blood. That's what I drink, but also celery seed I hear works miracles for gout victims. Hope this helps.
  • kennyk2
    kennyk2 andrea46312

    Posted

    Andrea

    See my post lower down.  Tried all the pills, celerey seed, devil's claw, cherry capsules, but they never worked.  Eventually I had gout longer than being gout-free, over a 12 month period.  By eliminating the bad foods, taking 500mg of vitamin C/day and being meat-free Monday to Friday,  I haven't had an attack for 4 years.  I've never taken allopurinol to control it.  Gout is now a long and distant memory. 

    • andrea46312
      andrea46312 kennyk2

      Posted

      Kenny, I really like your idea of being meat free M-F.  Is the only protein you take in on weekends?
    • kennyk2
      kennyk2 andrea46312

      Posted

      Andrea

      Yes, it was for about 3 years.  Perhaps there is a gradual build up of uric acid over a long time period and this got it down to low levels.  Now I'm a 5-2 er which I think helps and I seem to be able to eat a bit more meat on weekdays with no reoccurance of the gout.

  • ChrisW
    ChrisW andrea46312

    Posted

    Hi

    Are you also taking Colchicine and an anti-inflammatory (indometacin or etoricoxib) to help with the attack? I think the max dose of Allupurinol per day is 800mg but I can't cope with more than 100mg so take Benzbromarone as well

    If I was you I would look for an alternative to Allupurinol like Sulfinpyrazone, Febuxostat or Benzbromarone. I found these to me to have less impact on your gut

    If things get really bad your GP can administer a steroid injection which will clear up an attack in less than 12 hours

    Good luck

    Thanks

    • andrea46312
      andrea46312 ChrisW

      Posted

      Chris,

      I tried Colchicine one time and it didn't work.  I have been on Allopurinol for many years now.  Was DX'd with Gout in 2002.  Went on Allopurinol shortly after.  It has worked wonderfully until the last few months.  What happened to you when you reached 100mg?  I will ask my doctor about the other meds.  Thanks

    • ChrisW
      ChrisW andrea46312

      Posted

      Colchicine should work, other than steroid tablets or an injection it is the only way I have found to successfully treat a gout attack, however if I take it for too long it does make me ill

      As for Allopurinol anything above 100mg gave me stomach cramps and diarrhoea, so fairly unpleasant

       

  • 21Dewsbury
    21Dewsbury andrea46312

    Posted

    Hi,

    I am on 300mg and I believe that a higher dose is not unusual.

    Note that my understanding is that Allopurinol takes some time (several months+) to become effective.  It is a longer term fix and may no produce results in the short term.

    I have taken it for about 3 years and am gout free.

    • andrea46312
      andrea46312 21Dewsbury

      Posted

      21,

      Thank you for taking time to reply.

      I'm sorry I should have went into more detail.  I have been on Allopurinol for about 14 years now.  Doc said yesterday morning that an increase in Allo. may be needed but I just got the results yesterday afternoon of 6.7.  Have not spoke with the Doc yet on the next step.  Just wanted to inquire to see if anyone else was on a higher dose than 300mg daily.

Back to top

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.