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Chung, if you want to restore the quality of your life you must look at the facts and accept them.
1. Once it has been confirmed that you have gout, YOU WILL HAVE GOUT FOR LIFE!
2. Gout is caused by too much Uric Acid in your system. ALL humans have/produce UA in their bodies. Some people can have >8/10 mg/dL without ever getting gout, however, the majority probably cannot claim that privilege. 6.8 mg is the critical limit at which UA will deposit itself (preferably at the joints of extremities=toes/fingers) as MSU (Mono Sodium Urate = one of the salts of UA) in form of: TOPHI.
3. It is fair to say that >50% of gouties have INHERITED their gout. Check for links to your parents, grand parents, etc.
4. You have basically only ONE option to deal with gout: CONTROL/MANAGE IT!!!
This means: Reduce the SUA level (Serum Uric Acid) to well below 6.8 mg, that is to at least 5 mg (which I call the SAFE/HEALTHY limit.)
5. Many gouties have tried to control gout with non-medicine methods, like diets, weight control, proper exercises, fruits, juices, herbs, apple cider vinegar, baking soda, you name it. I dare say that 99% failed and wound up taking medication after all, and that practically for the rest of their lives. Therefore:
6. Find a doctor who works for/with you, not the other way around. S/he is not having gout and is paying YOU to diagnose and treat your condition. YOU, are paying with your pain, money and lifestyle.
7.. Find a competent rheumatologist.
8. Limpy and Odo have already pointed you in the right direction concerning Allopurinol for gout and Colchicine for anti inflammation. Add Naproxen/Aleve for severe pain control. If allergic to Allo, try Uloric. (I have been taking it for 20 months now with good results: No attacks/flares for ~1 year and level down to 4 +/- 1 mg. Plus drinking my own home-brew beer and wine again [in moderation]) Colchicine has been used for more than 2000 years with very few side affects, except if you apply Zip’s method to control gout inflammation (up to 16 pills {0.6 mg] per day. That, generally, does the trick in ONE to TWO DAYS (at the most). Side affect: A constant admirer of St. John, (if you know what I mean.)
9. Don’t waste your time and body on 100 mg Allo, except for allergy check. Go to at least 300 mg and more, depending on your SUA level. (Keith, our Owner and moderator is using as much as 900 mg.)
10) Have at least once a year a COMPREHENSIVE METABOLIC PANEL LAB TEST to assure that you have no liver/kidney problems associated with the gout medication.Thanks for that, Hans. I think I’ve accepted the medication bit. I’ve just started taking the Allopurinol as of this morning instead of Tuesday like my dr instructed. I can’t see the difference 2 days will make especially for the 100mg dose. The 100mg dose will only be for a week. After that I’ll see about negotiating with my dr about going to 300mg. One question: How do I know if I’m allergic to Allopurinol or not (ie. to the point where I shouldn’t take it)?
I believe a rash is the main sign that you can’t take it. Be warned when starting Allop there a very good chance you will have an attack of gout so you might want to have some Colchicine on hand. Good luck Limpy.CHUNQX said
Thanks for that, Hans. I think I’ve accepted the medication bit. I’ve just started taking the Allopurinol as of this morning instead of Tuesday like my dr instructed. I can’t see the difference 2 days will make especially for the 100mg dose. The 100mg dose will only be for a week. After that I’ll see about negotiating with my dr about going to 300mg. One question: How do I know if I’m allergic to Allopurinol or not (ie. to the point where I shouldn’t take it)?
CHUNQX said
Thanks for that, Hans. I think I’ve accepted the medication bit. I’ve just started taking the Allopurinol as of this morning instead of Tuesday like my dr instructed. I can’t see the difference 2 days will make especially for the 100mg dose. The 100mg dose will only be for a week. After that I’ll see about negotiating with my dr about going to 300mg. One question: How do I know if I’m allergic to Allopurinol or not (ie. to the point where I shouldn’t take it)?
Limpy told you already. In my case, the rash was all over my body and I scratched myself bloody from top to bottom. It lasted nearly 6 weeks.
As Limpy said, brace yourself for more attacks, flares as your UA is reduced in your body. Once you reach a steady ~5 mg level the attacks should diminish/stop.Thanks for the reply. I’ve learnt so much more about gout this weekend than I have in the last few years since my first mild attack 3-4 years ago. On one hand I’m better informed and will now be more prepared but on the other, I’m a bit devastated by its implications. Its a bit like being told you’re paralysed and never going to walk again after a car accident (admittedly this is not quite as bad as that).
As for further gout flares, my dr still hasn’t prescribed colchicine but I suppose I have the option of going to another dr to get a colchicine prescription. Not sure if I should change dr because this one I’m with I’ve seen for 11 years and he does seem to know what he’s talking about. Even on gout. I asked him about the possibility of meat intake causing gout and he’s said that he knows of patients who are vegetarians and don’t drink a drop of alcohol but still inflicted with gout so its got more to do with genetics than food he reckons. As for anti-inflamm, I’m still on a reduced dose of prednisolone atm and will be on it for the whole week and he said if the inflamm does get worse I can take diclofenac on a need-to basis.
Once I’m off the prednisolone and if gout flares come up, i might have to look at getting colchicine.
On the subject of diet, my wife is getting a bit sick of having to eat chicken, fish and pork only. Something like spaghetti Bolognese (beef mince in tomoto base), is that a strict no-no or does food not play as big a part in this than popular belief?CHUNQX said
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On the subject of diet, my wife is getting a bit sick of having to eat chicken, fish and pork only. Something like spaghetti Bolognese (beef mince in tomoto base), is that a strict no-no or does food not play as big a part in this than popular belief?Chung, you got to take this with a grain of salt: What works for me or someone else, may not work for you. Ever since I got my gout under control, I have been eating just about every thing I like, including beef, herring (a big NO NO) and even shrimp, the other day, w/o any negative affects. But, remember, my SUA is near 4 +/- 1 mg. So get your SUA down and then think about a “normal” life style again.
CHUNQX said
On the subject of diet, my wife is getting a bit sick of having to eat chicken, fish and pork only. Something like spaghetti Bolognese (beef mince in tomoto base), is that a strict no-no or does food not play as big a part in this than popular belief?
We all know misery loves company, but no reason why your wife has to adopt the same eating habits as you. You will earn more brownie points & sympathy by not subjecting anyone else to the consequences of your disease.
At this stage, a severely restricted diet can make a big difference to quicker recovery. Ideally, you should avoid all meat and go on a low protein veggy diet for a while. For some people this is worse news than having gout, but if you’re overweight/hypertensive, it would probably do you the world of good. Once your SUA is stable at a safe level, you will be able to re-introduce most foods into your diet. But not all the sterotypes of gout are untrue: alcohol & greasy, fatty, rich foods ARE the worst things you can put in your body at the moment(or indeed anytime).
odo said
At this stage, a severely restricted diet can make a big difference to quicker recovery. Ideally, you should avoid all meat and go on a low protein veggy diet for a while. For some people this is worse news than having gout, but if you’re overweight/hypertensive, it would probably do you the world of good.
1. How long is “a while”?
2. It is not quite worse news than having gout but not far off…
3. I suppose I’m willing to consider it. But I know nothing of diets so what does a low protein veggie diet constitute? Can I make an exception for steamed/bake white fish perhaps twice or 3 times a week?CHUNQX said
odo said
At this stage, a severely restricted diet can make a big difference to quicker recovery. Ideally, you should avoid all meat and go on a low protein veggy diet for a while. For some people this is worse news than having gout, but if you’re overweight/hypertensive, it would probably do you the world of good.
1. How long is “a while”?
2. It is not quite worse news than having gout but not far off…
3. I suppose I’m willing to consider it. But I know nothing of diets so what does a low protein veggie diet constitute? Can I make an exception for steamed/bake white fish perhaps twice or 3 times a week?1. Until your SUA is at a safe level
2. Fish is protein & not very different to meat. There’s no bargaining with gout
I was thinking of a restrictive diet not so much for the gout (I’m not fully convinced that meat intake will slow down gout recovery based on Keith’s statement of “the meat on you is more significant than the meat you take..”) but more for the hypertension and overweight. In which case, whatever fish portions I take will be small anyway (ie. 6oz).
Another (possibly controversial) question, if I may, typically, how long does it take to get the SUA to a safe level from the start of an Allo regime? Its probably different for different folks and its possibly dependent on Allo dosage as well, but typically, what is the timeframe for hitting safe levels once Allo is started? Someone mentioned that Allo takes effect quite quickly but it will only be able to get the levels down to what it can (plateau) and if dosage isn’t increased, it will not go down further. To rephrase another way, say my SUA is 9. If I take 200mg Allo, it may be able to take it down to 7 only and no further. How long does it take to get down to that 7 point from the start of the 200mg Allo?
Yeah, diet is a controversial topic with much disagreement, even on this forum. Absolutely, far more uric acid is created by natural metabolic breakdown than by diet and once SUA stable, diet becomes almost irrelevant. But my view is that everything needs to be taken in context of where you are on the recovery scale: in the acute, pre-medication stage, almost anything can & will cause a gout flare because your inflammatory response is like a cup full to the brim about to overflow. One drop will do it and that drop can represent a walk too far, a sly brewski, not enough H2o, a sudden drop in weight, too many physical jerks, etc. etc… and the wrong choice of food (although you will never know for sure what was responsible)… even Allo itself. So why not try and cover as many bases as possible to prevent sliding down the big snake instead of passing Go & collecting ?200? (if you’ll pardon the mixed metaphors). But hey, that’s just my opinion; everyone has their own gout journey back to health. You might just as easily argue that a strict gout diet when overweight might cause you to lose too much weight too quickly and cause a gout flare
Personally, I found Allo worked incredibly quickly, initially – like a couple of days, then went through a period of fluctuation up and down before leveling out at a fairly constant level after 2-3 weeks. But that’s me; your mileage may vary. In any event, I wish you an easy & incident free journey.
odo said
Personally, I found Allo worked incredibly quickly, initially – like a couple of days, then went through a period of fluctuation up and down before leveling out at a fairly constant level after 2-3 weeks. But that’s me; your mileage may vary. In any event, I wish you an easy & incident free journey.
I take it you know of the fluctuations because you do the home tests for SUA? I haven’t got the kit yet so I won’t know what levels I’m at or if they are fluctuating. On a positive note, I’ve had a good 2-3 days so far where the inflammation seems to have subsided a bit and stayed down(ish). Previously, while on full dose prednisolone, it’d stay down but when I reduced the dosage (dr’s recommendation to slowly reduce prednisolone), it’d flare up again. It has been good the last 3 days where it had not only gotten better, but stayed down. Not sure why that’s come about. I also started 100mg allo on Sunday, started eating a lot less meat, more veges and not sure if they are contributing factors to this upward trend. But I am cautious about claiming victory just yet given that in the last few weeks I’d seen the ups and downs to confirm what you were saying about the inflammation having a life of its own.
On the subject of allo side effects, the second day I took allo, I had a stomachache just before i went to poo and the stools were soft but not diarrhea. I put it down to possibly the poo being more acidic (hey, I’m no doctor)… Third day, almost to the same hour, I had a stomachache again but this time had mild diarrhea. Both times the pain left once the offending subtances exited but there was a bit of gas/ bloating. Is that normal?
No such thing as normal.
Some people report various minor side effects when starting Allo. Some days, I remember feeling unaccountably tired during the 1st month – like a blood sugar spike. Might even have been something to do with not taking enough Allo (100mg) to do the job properly. Didn’t last. By the time I was on 200mg (2nd month) I was fine, except still not taking enough to get below 6.00mg/dL. Now on 300mg, I’m usually ~ 5.00, +- .5. Overindulgence in alcohol (by my standards, which is extremely moderate) can raise it to ~6.5. I eat/drink whatever I like, except shellfish & beer. I’ve never been overweight & was always v. fit/active until crippled by gout, which I no longer am.It is usual at this stage to become obsessed with every minor detail of perceived changes in physical functions.
No stomach problems yesterday and this morning my foot is better than its been in the last 4 weeks even with the reduced dose of anti-inflamm. Still a little twinge at the ball of foot occassionally and still walking with a bit of a limp but much better than before. With any luck, I’d be out fishing this weekend (don’t need full feet function to do that).
Day 2 of no meat veggie diet. Trying to make the food as palatable as possible using avocadoes as spread instead of butter. Gave myself a minimum of 6 weeks (more likely going to be 3-6 months) on this diet to see some improvement on the weight and blood pressure and hopefully the side effect of that is lessening of gouty attacks. Surrounded by meat eaters at every meal, its gonna be a long 3 months!! I love my meat. I’m asian so I love my food (at one stage I almost went into the restaurant business so I can concur that outside chinese food is BAD! The essentials for making chinese foos taste good is MSG and lard) but I reasoned that I’d love to see my 3yo boy grow up more than my food, hence this course of action.
On the subject of fruits and veges, there’s a lot of conflicting stuff on the internet, some say apples are good, others say they are bad for gout due to being acidic, same with tomatoes, what’s the truth wrt to these fruits and veges? Or is it as individual as to their effect as the subject of gout itself?
No worries about any fruit & veg. Purine content is negligable. Maybe avoid tofu; I used to have problems with it in my pre-Allo days.
It was all going well with the foot inflammation the last few days but then yesterday morning woke up to find the metatarsal joint to the big toe is hurting a bit more than before. Not too alarmed this time given what I’d previously experienced. Took a diclofenac pill after dinner with the hope that it’ll clear in the night to enable my fishing plans to come to fruition. Woke up this morning to find the pain gone so off with my Hobie I went. Wasn’t sure how the foot pedalling would feel and at first I could feel a bit of a soreness somewhere but after a bit of tinkering around, I managed to find a way to pedal without feeling any discomfort. Maybe the non-stop fish biting action helped. There were quite a few moments when I was pedalling around to maneuvre into position or playing fish that I totally forgot I had pain in the foot in the weeks prior and everything just felt normal.
I had previously wondered about going yak fishing this early; on one hand you don’t want to aggravate the inflamed part but on the other hand, the morale boost from going fishing would be a positive and now having gone, I’m glad I did go. I feel better than I ever had in the last 4 weeks since the gout attack started. And more fresh white fish for dinner too.CHUNQX said
[…] the morale boost from going fishing would be a positive and now having gone, I’m glad I did go. I feel better than I ever had in the last 4 weeks since the gout attack started. And more fresh white fish for dinner too.
Going back to the start, Hans said:
4. You have basically only ONE option to deal with gout: CONTROL/MANAGE IT!!!
It is amazing sometimes how much better you feel when you know you are in control, and taking positive action.
Very happy for you, CHUNQX
hansinnm said
CHUNQX said
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On the subject of diet, my wife is getting a bit sick of having to eat chicken, fish and pork only. Something like spaghetti Bolognese (beef mince in tomoto base), is that a strict no-no or does food not play as big a part in this than popular belief?Chung, you got to take this with a grain of salt: What works for me or someone else, may not work for you. Ever since I got my gout under control, I have been eating just about every thing I like, including beef, herring (a big NO NO) and even shrimp, the other day, w/o any negative affects. But, remember, my SUA is near 4 +/- 1 mg. So get your SUA down and then think about a “normal” life style again.
my dilemma, I had an allergic reaction to Allo, last June…was only on it a week. By diet I lost 87 pounds and my number was down to 6.6 and was hoping to get it lower…but all of sudden I started feeling this twinge and checked with my home meter and I am back up to 8.6. Called my doctor begging for Urolic and Colchicine…when I picked it up all there was for me is Naproxen and 12 Colchicine. Now I can’t get anything until next week. Should I save my Chlchicine until I get the Urolic not sure she will give me more? I am only having the twinge now and some slight burning…if I keep my feet up it’s not too bad. But I know it is coming, especially when I take the Urolic.
Donna, you need to be more specific:
1) How much and what strength Uloric did your Dr. prescribe?
2) When do you get it?
3) How much Naproxen did she prescribe?
4) How many pills are you supposed to take?
5) Do you have to pay for your Uloric? (If you have > $32K taxable income, you may qualify for their free Uloric Help program.)
6) Has she ordered a lab test for your SUA and metabolic system? (Don’t rely solely on home kit test results. You also need to know that your liver and kidneys are not affected by the gout med.)
7) Make sure that your SUA gets down to at least 5 mg or less.
8) has she explained for what Colchicine and Naproxen works? ( You can buy Aleve, the same as Naproxen, over the counter. It’s less, unless your insurance pays for the Naproxen.Almost typical of what I’ve been hearing about gout… just as it seems to start getting much better, this morning, there is a bit more pain in the ball of foot area around the 3rd toe… Not too alarmed this time, I’ve seen this happen too often the last 4 weeks. I’ve been on 100mg Allopurinol for exactly a week as of yesterday and today I start 200g Allopurinol. A couple more questions:
1. Does this mean I’m not allergic to Allopurinol if I haven’t presented any so far?
2.How long after taking this 200g dose should I go the dr and ask for another blood test to see if I need to go on 300mg? A week? 2 weeks?
3. Also, how do I go about asking about a kidney and liver function test? I get the feeling (from my dr) that he doesn’t think there will be a problem for me or that a kidney and liver function test is not normally done here in Aus for Allopurinol.
4. I’ll also go off prednisolone after tomorrow which means I won’t be taking any anti inflammatories. I have diclofenac and indomethacin but if I take them for longer than 2 days, they cause me stomach issues (gasthritis). I’ve been taking the odd diclofenac pill when needed and its helped. But once I’m off prednisolone, I don’t know if I’ll need more anti inflammatories. Should I ask for colchicine?CHUNQX said
Almost typical of what I’ve been hearing about gout… just as it seems to start getting much better, this morning, there is a bit more pain in the ball of foot area around the 3rd toe… Not too alarmed this time, I’ve seen this happen too often the last 4 weeks. I’ve been on 100mg Allopurinol for exactly a week as of yesterday and today I start 200g Allopurinol. A couple more questions:
1. Does this mean I’m not allergic to Allopurinol if I haven’t presented any so far?
2.How long after taking this 200g dose should I go the dr and ask for another blood test to see if I need to go on 300mg? A week? 2 weeks?
3. Also, how do I go about asking about a kidney and liver function test? I get the feeling (from my dr) that he doesn’t think there will be a problem for me or that a kidney and liver function test is not normally done here in Aus for Allopurinol.
4. I’ll also go off prednisolone after tomorrow which means I won’t be taking any anti inflammatories. I have diclofenac and indomethacin but if I take them for longer than 2 days, they cause me stomach issues (gasthritis). I’ve been taking the odd diclofenac pill when needed and its helped. But once I’m off prednisolone, I don’t know if I’ll need more anti inflammatories. Should I ask for colchicine?Ad 1. Chances are that you are not allergic.
Ad 2. Don’t fart around with 200 mg. Haven’t you read and listened to what other “experienced” gouties have tried to tell you for the last 8 days? With your SUA of .53 mmol you should be on more than 300 mg ALLO, more likely 500-600 mg.
Ad 3. You go about telling your doctor to schedule a COMPLETE METABOLIC PANEL test. Don’t rely on your feeling that your Dr doesn’t think that there will be a problem for your kidney and liver. Man, they are YOUR LIVER and KIDNEYS. (Read up on side effects of various gout medications.) When you say Aus, I take it that you live in Australia. Unless the Australian gouties have taken on the constitution of emus, their liver and kidneys are just as vulnerable as the rest of the gouties around the world.
Ad 4) I don’t know how well emus can live with inflammation and ensuing pain, but if I were you, I’d make my Dr prescribe Colchicine and Naproxen (or get Aleve over the counter, if you have that available.)Chung, please, don’t feel offended, however, I got to tell you: Shit or get off the pot. Several gouties have taken the time and effort to advise you for more than a week. None of us are getting paid for it, and we don’t want to be paid. Knowing that we are being listened to and our comments have made a difference for the better in the life of a suffering goutie, is plenty of thanks, at least for me.
So, again: Get a blood test and know your SUA, get a higher dose of Allo, get Colchicine and Naproxen/Aleve, and get your SUA down to/below 5 mg/.30 mmol .I think I might have to duck for cover after this, but I am going to go for it despite a nagging doubt in my mind.
I am a firm believer in the cautious start to allopurinol. I accept that there are other valid points of view. I speak of allergic reaction to allopurinol because it is a serious condition, though very very rare. I hate to see it used as an excuse for avoiding proper treatment. If someone truly had an allergic reaction to allopurinol, I doubt they would explain it in half a sentence. If you are a little anxious at the thought of a lifetime taking drugs every day, or just experiencing a strange feeling of getting better, I understand that, but please do not speak lightly of allergic reaction.
I’m sorry if I got it wrong, so please describe the allergic reaction and the medical response as the docs fought to save your life, and I will happily delete this message. If it is just a little anxiety, then I’d like to help with that, as I’ve been through similar, but please do not dissuade people from taking the wonderdrug that is allopurinol
Keith (Gout Admin) said
I think I might have to duck for cover after this, but I am going to go for it despite a nagging doubt in my mind.
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I’m sorry if I got it wrong, so please describe the allergic reaction and the medical response as the docs fought to save your life, and I will happily delete this message. If it is just a little anxiety, then I’d like to help with that, as I’ve been through similar, but please do not dissuade people from taking the wonderdrug that is allopurinolOut of curiosity:
Keith, of whom are you speaking and to whom are you responding? Who is “dissuading people from taking the wonderdrug that is allopurinol”?1. Very probably
2. Anything less than 2 weeks & your Dr will probably start getting annoyed with you. 1 month should be fine.
3.KId/Liv panel annually (max) if you’re really worried. I’ve never had one since starting Allo (Aug 2010) & not planning to, any time soon.
4. Try Naproxen; it is generally the best tolerated NSAID, but I can’t take them for more than a few days. NSAIDs are only effective early on anyway. Confer with your Dr about colchicine & defer to his judgement.Re: kayak induced gout flares. Pedaling will improve blood circulation to the feet, which helps transport urate away from the inflamed area, but physical exercise produces more uric acid in the body. Swings & roundabouts
Be careful about too much flexing & extension of the toes – you might not notice with a fish on.
Don’t know what tides are like down your way, but try and avoid mid tide when you will have to work harder to stay over a mark unless you anchor (often the best time to fish though)odo said
1. Very probably
2. Anything less than 2 weeks & your Dr will probably start getting annoyed with you. 1 month should be fine.
3.KId/Liv panel annually (max) if you’re really worried. I’ve never had one since starting Allo (Aug 2010) & not planning to, any time soon.
4. Try Naproxen; it is generally the best tolerated NSAID, but I can’t take them for more than a few days. NSAIDs are only effective early on anyway. Confer with your Dr about colchicine & defer to his judgement.Re: kayak induced gout flares. Pedaling will improve blood circulation to the feet, which helps transport urate away from the inflamed area, but physical exercise produces more uric acid in the body. Swings & roundabouts
Be careful about too much flexing & extension of the toes – you might not notice with a fish on.
Don’t know what tides are like down your way, but try and avoid mid tide when you will have to work harder to stay over a mark unless you anchor (often the best time to fish though)Thanks Odo.
My Dr is already getting annoyed with me. That is perhaps the disadvantage of being a patient of his for 11 years. He’s seen me through all the minor and more serious ailments (like WPW). I was contemplating a visit later this week to discuss a kidney & liver function test as well as a uric test to see if I need to up the Allo dose. I can so see it coming. He’ll say “First you don’t want to take the meds. Now you want to take more. Can you make up your mind?”. Again, 11 years relationship. I know I won’t get that from a new doctor but a new doctor won’t have a good knowledge of my medical history. Another reason why I just don’t seem to want to shit nor get off the pot… I know the nice people on this site tells me I should be on 300mg Allo minimum. As right as you may be and I might eventually end up doing that (or more), this doctor knows my medical history. He has a medical degree but most important of all, I see him face to face and have done so for 11 years. So if he tells me to take 200mg Allo, I’ll take 200mg Allo. But I take your advice seriously enough to bring it up with him the possibility of needing to up the dose (and annoying him). If I didn’t regard your advice, I wouldn’t do anything about it at all.Yak fishing. Ah.. A topic that brings a smile to my face and lowers the blood pressure. Went out again this morning and had an even better day on the fish than on Saturday. Fortunately where I fish (Port Philip Bay, Victoria, Australia) is like a big sheltered estuary in that the tidal influences are not massive which means minimal current flow. Don’t need an anchor most times and I hate anchoring because that’s when I get seasick. Foot feels ok at the moment as it did on Saturday but yesterday there was abit more discomfort on the ball of foot so after dinner, I took a diclofenac and this morning its good as gold. I reckon the cold floor doesn’t help either so I’ll have to be diligent abour wearing socks although it looks a bit weird having socks on one foot but not the other.
All you have to do is agree with your Dr on an optimum level for your SUA ~0.3 (or 5.00mg/dL) & the dosage will take care of itself: not low enough – take more. So schedule a SUA blood test after 1 month on 200mg. Your Dr will see the sense in this strategy. Forget about the Liv/Kid panel for the time being or, if you must, include it in the SUA test in a month.
odo said
All you have to do is agree with your Dr on an optimum level for your SUA ~0.3 (or 5.00mg/dL) & the dosage will take care of itself: not low enough – take more. So schedule a SUA blood test after 1 month on 200mg. Your Dr will see the sense in this strategy. Forget about the Liv/Kid panel for the time being or, if you must, include it in the SUA test in a month.
I second every word of this. Dose is always secondary to having a safe target. Liver and kidney function test should be a standard process for anyone taking allopurinol or febuxostat (Uloric/Adenuric).
In my experience, doctors do not object in any way when a patient takes responsibility. If your alternative doctor is at the same practice, he has access to your medical records.
This gout diet topic is now closed.
It covers several variations on a theme, including:
- Beef mince and gout
- Bolognese gout
- Can beef mince make gout worse?
- Can i eat spaghetti bolognese with gout?
I will move the relevant parts of the discussion to a new common questions section, as time allows. In the meantime, you can easily search for current discussions, or start a new discussion.
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