Keith’s GoutPal Story 2020 Forums Please Help My Gout! increasing allopurinol….can this induce a flare

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  • #19675
    Mike M
    Participant

    i have recently increased from 100mg to 300 mg since 5 days now. when i changed tablet i wasnt sure of uric acid level but the attack i had been having was subsiding…so i thought. the attack is in the inside of my knee on the bone there. when i first started taking medication i had horrendous pain in both my knees for over a week. i knew that taking allopurinol for the first time could do this but am hoping the reason for this continued flare may be due to the increase. i have tried everything for the pain…..but pretty fruitless. i dont think there is any painkiller out there for gout that works. gOTTA WAIT IT OUT. tROUBLE IS its been nearly 3 weeks for mw now!!!!

    #19684
    Keith Taylor
    Keymaster

    Colchicine at the first sign of a gout attack helps stop it getting worse. Anti-inflammatories reduce inflammation, and start to deal with the pain. Compatible pain-killers block any residual pain until the anti-inflammatories take effect.

    You are absolutely right – no single painkiller will control a full-blown gout attack. But, the right combination of compatible treatments, at the right strength, will definitely control gout. It is a question of finding the right package for you. Let’s start by you sharing exactly what you are taking now, and anything you have tried in the past with reasons why you stopped taking it. We can work together to make sure your gout pain does not stop you enjoying life.

    The only reason for taking allopurinol is to get uric acid down to a safe level before it kills you. I can’t discuss it properly without your blood test results. If the dose is wrong, it is a very bad thing, but the dose is decided by your blood test results. 300mg might be the right dose for one person, but a terrible dose for another. Only your uric acid test result can tell what you need.

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