Help needed…new to gout

[tomsgout]

Hello I am new to gout, the swelling and pain started 2 weeks ago on my right toe. I went to the first doctor who checked ultrasound and found the fluid builtup on my joints and he gave me an injection of steroid right into the joint. Ouch but it helped subside the pain and swelling right the next day. Then I was put on some painkillers and anti inflammatory like voltaren 5o mg by an orthopedist since the pain and swelling started coming back. It did not work.

Meanwhile I have done my blood tests. Blood Uric acid level is 7.7 I went to a rheumatologist and he gave me colchicine 1 mg twice a day for 2 days and then once a day for 2 days and then once in 2 days ?.i have taken four tablets of colchicine so far (total of 4 mg) but it does not seem to work?swelling persists…am I expecting relief too soon? I also read higher doses of colchicine that other gout sufferers take?.is my dose right?

I have missed a few days of work already since I can’t wear a shoe and it hurts after walking for a while. Is complete rest the only option? How do other people with gout manage going to work?

I am told I should take zyloric only after 1 month. Does it usually take such a long time for relief from gout attack before taking zyloric to control Uric acid level?

Thanks a lot.

[zip2play]

That dosage of cochicine is pretty much useless for an acute attack, as you have discovered. Small doses have a role only in PREVENTING attacks
But now that it has been re-patented at 50 times the original cost, the manufacturer and doctors MAKE BELIEF only a tiny dose is necessary.

ZYLORIC is the expensive patented brand name for cheap generic allopurinol. It is usually started AFTER an acute attack has passed, although a month is overkill.
Most of the NSAIDS like Voltaren are pretty much useless in stopping an acute attack that has gone on for over a week.

Colchicine when given in the proper dosage gives almost IMMEDIATE relief within hours, so no, you are not wrong in expecting quick relief but you won’t get it with one or two colchicine per day.

[tomsgout]

Thank you!
Finally Indoxen/ indometacin did the trick. I am relieved for now.
It’s quite surprising how specialists like rheumatologist and orthopedists do not really know what works best and what does not… Rather they are very bookish….There’s so much to learn about gout and I can do that from this site than from my doctor(s)

[zip2play]

tomsgout said

Thank you!
Finally Indoxen/ indometacin did the trick. I am relieved for now.
It’s quite surprising how specialists like rheumatologist and orthopedists do not really know what works best and what does not… Rather they are very bookish….There’s so much to learn about gout and I can do that from this site than from my doctor(s)

Indocin/indomethacin is a good drug for gout pain but alas, it makes me quite dizzy.
Yes, you will learn more here than your doctor has ever DREAMED of learning. I think they spend about a day on the subject in medical school.

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