Start with allpurinol

[bestest]

Hello gout mates,
If ever i’m to start taking allopurnol can i start taking it during an attack? What dosage to start with? My ua level now is at 8.80

[Keith Taylor (GoutPal Admin)]

Precede allopurinol with one week of colchicine – one tab twice a day. This should clear up any attacks, as you should not normally start allopurinol during an attack.

Start with 100mg per day. This is almost totally useless for lowering uric acid, but it does ensure that if you are allergic to allopurinol (very rare), you are on a low enough dose to prevent serious reactions.

Arrange blood test for three weeks after you start, then doctor consultation at 4 weeks to increase your dose. Guidelines for dose increase suggest 100mg increments, but you want to get your number below 5mg/dL asap, so try persuade 200mg increments at first.

Repeat the test and dose increase procedure until you reach 900mg, or uric acid test drops to 2 or 3.

Colchicine is best for about a week when dose changes, or whenever you get first sign of a gout attack. After a few months, you should find that you hardly ever need colchicine.

Continue with same allopurinol dose until you go for 6 months without a flare when not taking colchicine,, then relax allopurinol to maintain uric acid levels at 5mg/dL.

[bestest]

Thanks keith that was a good info in thanking allopurinol hoping not to have an adverse reaction to it. I will update my next blood test. Thanks again

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