[Roger]

I must confess to being only partially computer literate. I have posted questions on the blog in the past but have not been able to get back to the same point to read the responses. I am 75 years old, have suffered gout attacks since early 20’s which in the main were controlled by anti-inflammatories like Indocid and uricosurics like Probenecid and sometimes colchicine as I was diagnosed as an under excreter. . 25 months ago I was concerned about certain gouty tophi and so visited a rheumatologist who prescribed 300mg of Pr 300 mg Allopurinol as a change. Since then I have had my Uric acid tested regularly and have been maintaining about 0.21mmol/l and was hoping to get rid of the tophi but I still have them even if sometimes I think they have reduced slightly. So following GoutPal I have increased the Allopurinol to 900 mG/day and my Uric acid is sitting at 0.15 mmol/l. I have frequent Gout Flares which respond only partly to Colchicine or Medrol.

My first question is what else can I do to get rid of Tophi and attacks.

My second question is that I currently have an extremely painful point of insertion of the Achilles tendon into the heel which is not really a joint and so should not technically be a uric acid crystal attack. But it is responding to a course of colchicine.. Could this be a gout flare? I do not recall an injury which should have caused tendinitis.

[Roger]

I guess you are saying keep on keeping on. As it is now 12 months under Allopurinol treatment,?somewhere I think you said it could take as long as 20 months I will watch with hope but the flares seem to become more frequent.

Meantime the pub should be good for you!!

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