Some good news for a change

Posted , 4 users are following.

I suffered terrible gout about four times from Jan - July, took indomethacin, colchicine, you name it. I only got over the last lengthy attack after going on steroids for five days (highly recommended for a short period.) I finally started on allopurinol, 100mg for three weeks with colchicine, then 200mg for three weeks, then 300mg after which the colchicine stopped. I am now on allopurinol 300mgs a day. I have had my blood tested every month by my GP and my uric acid level is now well within "normal" levels. I am to continue taking 300mgs for the next three months and then have another blood test.

?Yes, I may get gout again and I realise I have hopefully found a treatment not a permanent solution BUT having had a clear few months after 6 months of terrible pain the message is do not despair - get over your current attack and if you can start allopurinol. So far it has worked for me - keep your fingers crossed for me!

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  • Posted

    Good news!

    ?Yes the treatments normally do work, eventually, on the attack and on the prevention.

    ?Do you have any idea what triggered it in the first place - could you trace any foods you ate that turned out to be on the "bad" list?

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    • Posted

      For me it seemed to be dehydration more than anything. If I exercised and didn't rehydrate gout usually followed! My diet was never high in purines, only the odd pint, but my dad and brother suffered from it as well so hereditary prone I guess. Incidentally, both on allopurinol for years without another attack.

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    • Posted

      The "odd pint" is pretty high up on the bad list, especially if it's like the Guinness Stout I like to drink when I have any at all.  Two or three a week and that could trigger something.  Unless you're on allopurinol.  Do your dad and brother have an odd pint, and get away with it?

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    • Posted

      As I said earlier, I am on allopurinol now but "the odd pint" was just that.... I am not a drinker...if I had five pints in a month it would be unusual. Have had a couple of nights out since starting allopurinol with no ill effects (touch wood). I am sure with me it was the dehydration combined with the steady build up of purines.. For about ten years  I could go 6 or 12 months without an attack, have one and it would clear in a few days while taking indomethacin. It was only the prolonged period of problems at the start of the year which convinced me to start taking allopurinol. My father and brother drink far more regularly but haven't had an attack since starting allopurinol years ago. Everyone responds differently to medication and I guess they are very lucky. Like I said, it may come back, the point of my message was just to give some hope to others who are in pain and worried.. I know I was for a long time.... And like I said, if you cant shake it with the usual meds, five days of steroids were miraculous for me after weeks of problems earlier this year.

      Incidentally,  I got in America once and saw a doctor on my insurance. He gave me v strong painkillers, steroids and said if it wasn't fixed in 5 days he would inject the joint. Half the problems here are GPs prescribing treatment X, then treatment Y, all of which can takes days to take effect.. if you get the chance, go nuclear!

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  • Posted

    See also advide from experts .... take the drug and be patient.

    [b]https://medlineplus.gov/druginfo/meds/a682673[b].html

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  • Posted

    I don’t understand why your doctor had you on any other drugs.

    The standard treatment is allopurinol (300mg usually works), for the rest of your life, with colchicine to stop any flares. 

    Over the first few years the excess monsodium urate stored in your body will be flushed out, leading to a possible reduction to a lower dose of allopurinol.

    In the meantime drink plenty of water and  not too much alcohol.

    Good health!

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