medications for gout

[Rick Eggerth]

What are the differences between the different gout medications out there?  I have had Indomethacin prescribed for me to relieve the swelling and pain of a gout attack; if I understand correctly, Colchecine does basically the same thing.  Allopurinol, on the other hand can only be taken after the attack is over, but will keep the uric acid level down to prevent attacks.  Am I correct in these positions? 

I posted once before about my  gout saying that I didn't have insurance and wanted to control the gout w/ diet and exercise.  Good thought, but it hasn't worked that way, at least so far.  I went in and had an SUA test done but haven't gotten the results yet.  I expect a high reading and probably will begin allopurinol when able to.  I have been able to keep the gout symptoms mostly in check with the Indomethacin but 3-4 days after I quit the swelling and pain return.  How long do I stay on the indo. before starting the allopurinol?

[zip2play]

therickster00 said:

What are the differences between the different gout medications out there?  I have had Indomethacin prescribed for me to relieve the swelling and pain of a gout attack; if I understand correctly, Colchecine does basically the same thing.  Allopurinol, on the other hand can only be taken after the attack is over, but will keep the uric acid level down to prevent attacks.  Am I correct in these positions? 

I posted once before about my  gout saying that I didn't have insurance and wanted to control the gout w/ diet and exercise.  Good thought, but it hasn't worked that way, at least so far.  I went in and had an SUA test done but haven't gotten the results yet.  I expect a high reading and probably will begin allopurinol when able to.  I have been able to keep the gout symptoms mostly in check with the Indomethacin but 3-4 days after I quit the swelling and pain return.  How long do I stay on the indo. before starting the allopurinol?

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YEs, you got it right with one exception. Both Indocin and colchicine are for relief of pain but colchicine stops the attack and Indocin helps you suffer less. Personally I think colchicine is the best…I've used both but colchicine is troublesome to take, the vicious diarrhea. On the other hand indomethacin (Indocin) is very hard on the stomach wall and readily casue gastritis. (It also made me very dizzy.)

When you get on allopurinol you can take the indomethacin as long as you wish if you get any pain and your stomach doesn't start to burn.  With luck you won't need it after getting on 300 mg. allopurinol each day.

Let us know your blood result.

Yep,

Everyone wants to manage his gout with good living, pure thoughts, a good exercise routine, weight control,  proper mantras, tithing, and the right herbs… alas, all this right thinking usually yields to the need for drugs. Thank God for allopurinol.

But, good living is still its own reward…one hears.

[Utubelite]

Indomethacin never worked for me….It reduced the pain by 50-60% but no effect on swelling. Colichicine was effective and it reduced the pain and swelling both within taking 2 tabs. It still never made my toe free.

I tried a lot by diet control with very low purine food, no hard drinks with heavy intakes of Cherry, Strawberry, Celery and exercise, nothing really worked. It just kept pushing the period of agony and causing occasional flareups…..followed by more control….it was causing more problems for me and family than helping.

The main improvement happened after I was on 300 mg Allopurinol for about a month and the SUA levels were near 4.

My Allopurinol was started when I still had swelling and some pain as it was not going away. In my case, it did not cause any flare up of gout, rather it improved it dramatically.

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