[Charles George]

I had 2 attacks a month apart 2 yrs. ago and then did natural remedies & lifestyle changes–but I got out of my good habits over the past 6 months or so. I’m not on allo so I’ll have to see if natural remedies & lifestyle changes will work or if I’ll have to go on allo. Are you on Allo?

Is there an official Gout Pain Scale?

Just to summarize, is this your protocol?:
* Pain levels under 5: No colchicine, but monitor to see if true attack.
* Pain levels 5-6–“flare” dosage: 2 – 60mg pills at first sign it’s a true attack, another a few hours later, and then one a day for the next couple of days.
* Pain level 7+–aggressive “attack” dosage.: Same as 5-6 but also take 500mg Naproxen

[Charles George]

Medrol 1/2 dose for gout attack

I’ve got an attack that is classic rt. Big toe. I just did a quick appt. with MDLive and they prescribed Medrol 4mg dose pak but I’m concerned about having an adverse reaction as I’ve never taken it before. I’m thinking it would be good to do just a half a pill instead of a full pill for each dose.

It’s been a week since my attack started and my pain level has gone down from the 6-7 range to now in the 3-4 range. So, at this point I’m more concerned with an adverse event than I am with fully resolving the attack as it is getting better. Also, it would be good to know if I can tolerate it well in case I have any future attacks.

Any thoughts on this hopefully safer approach?

[Author]

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