[Tom]

My Doctor has upped my Allopurinol dosage to 300mg per day. This is because mu UA level is at 418 and we have a target of 300. At the same time he told me to stop taking the colchicine but i am a little loath to do this because I have had no pain since starting colchicine six weeks ago.

Id be grateful for any advice and also wondered if it might be better to ween myself off of colchicine more slowly than just simply stopping?

cheers

Tom

[Tom]

Thanks Ron ill aim for 300 or less,

cheers

Tom

[Tom]

Hi Barry

sorry to hear that you are in pain as i recently went through a very bad period with it and only another Gout sufferer truly understands what this pain feels like.

In terms of Alcohol I can only drink red wine, not sure what your experience is but beer is out of the question for me as it leads to pain and spirits lead to some pain, weirdly though red wine in moderation does not cause Gout flare ups for me although I have no idea why that should be the case.

I’m going to try and get my levels down to 300 over the coming months and then ill post back about what I can and cant eat/drink then,

Best of luck with it,

cheers

Tom

[Tom]

I had my latest blood test on Tuesday and my uric acid count has dropped from 475 to 418 in a month. I’m going to go back to my Doctor to discuss next steps to reduce this further as its my understanding that the crystals stored in my body won’t dissolve at these levels.

Does anyone have any insight into what my uric acid count should get down to in order to facilitate the crystals starting to dissolve?

Thanks

Tom

[Tom]

Keith

armed with the excellent info in your post I went into see the original GP who started me on Allopurinol today. I decided if i didn’t like what i heard I would request a referral to a private consultant near where i live. When i explained that i was at the end of my tether with the pain and the flare ups he asked when i had a blood test last and i mentioned the results came back 3 weeks ago when i saw his colleague. He was quite shocked that his colleague hadn’t upped the Allo dose and said that from now on i should see only him as he had alot of experience in Rheumatology. He then upped my dose to 200mg with a blood test in 4 weeks time. He also prescribed colchicine and Etoricoxib for the flare ups. He seemed very on the ball and said he would manage the uric acid level down to safe levels and even mentioned febuxostst as a possible choice if Allopurinol wasn’t working.

I told him that I would stick with him rather than get the referral for now and im very happy with the outcome of this visit. I’ll post again when i get the next set of blood results.

Fingers crossed!!

Tom

[Tom]

Thanks Ron

I have a Uric acid count of 475 which when i checked the conversion chart is not good at all.

I have been told to come back to the Doctor in 3 months time for another test and stay at 100mg a day of Allopurinol.

I take 250mg a day of Naproxen but in all honesty Naproxen doesn’t stop the attacks.

I’m starting to think that I might need a different Doctor who understands this illness better but I’ll give my GP one last chance I think,

regards

Tom

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