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Well Keith, previously I have only taken over the counter paracetemol or anadin for the pain, so no real pain control before.
I am pleased with the way the colchicine has dealt with the last few episodes but I seem to have only a short time between those attacks. Last one was last Wednesday for a few days, the colchcine (2 x 0.5mg per day) worked well. The last couple of days though I am feeling twinges in both big toe joints with a bit of a burning sensation but its not making me limp. I am hoping its on its way out…..
Thanks Keith and other poster for such detailed replies,
I have asked the doctor for a referral to a Nephrologist on 2 occasions but been told they only deal with CKD stage 4 or 5. Mine is stage 3B but I think I am falling foul of NHS spending cuts. I have attended a Urologist clinic once since my op, I only saw the nurse not the consultant. Only advice I received about gout was not to eat game! I have been told that a urologist consultant is probably not the best to advise about gout anyway, so I am on the verge of paying to privately see a Nephrologist if my gout continues to cause me problems, from what you have said he should fill in the gaps that I have in my gout medication plan.
I will ring my medical centre to see if I can get a historic UA record. I remember a while ago the doctor saying that my blood test did not show gout but that it did not mean I have not got gout.
Thanks again for your adviceColchicine – As a course or adhoc?
Hi
I have Suffered with gout for about 5 years no medication taken but since an op to remove my right kidney 9 months ago I have had frequent attacks since, probably due to my eGFR dropping to 40 after my op (its now holding steady at 43). About 5 weeks ago Doctor put me on 0.5mg twice a day colchicine to clear a recent gout attack then after 6 gout free days go onto Allopurinol 100mg per day (forever!).
I am happy to take allopurinol, I have read its kind to the kidney and see it as a possible way out of gout but the colchicine I am a bit worried about. The first time I took colchicine for 3 days, the gout pain disappeared, although foot still red and puffy the pain had gone but I never got the 6 gout free days as gout came back again so had to go back on them again. I then got my 6 gout free days and I have been on allopurinol now for 2 weeks but another gout attack hit several days ago. More colchicine has improved it so stopped taking it but as I write this I feel gout twinging my big toe! so not sure if I should take another colchicine to nip it in the bud.
Any advice? can Colchicine can be taken adhoc on the first signs of a flare, stopping and starting doses, or should it be taken as a block and not stopped until several days after gout pains and swelling has gone. My instincts tell me the second but I don’t want to put any unnecessary strain on my kidney. I am sure I have read colchicine is a poison.
My UA according to the doctor is only slightly raised but they have diagnosed it as gout. I am scheduled for another blood test in 4 weeks to review allopurinol doses, I have no intention of coming off allopurinol now I’m on it!
Regards
Phil.