Started allipurinol about 50 days ago and am now on my 3rd gout attack. 1st two were just beaten back with prednisone this 3rd one is the worst. My diet has been about as good as it's ever been for the past month and the gout seems almost uncontrollable. Anyone else ever had this problem? I'm calling the doc 1st thing in the morning.

Allopurinol is the treatment for gout. It is not instantaneous. You may need colchicine to lower your Uric acid levels.

Oh, watch the alcohol. Beer is high in purines as is red wine

Allipurinol is crystallized angel piss. What a wonderful thing it is! Keeps my gout at bay.

Buddy of mine gets sicker than dogshidt on it though.

Anybody that tells you they “know” what is causing your gout is full of shidt. You’ve got to figure it out yourself.

You dont want to take allopurinol while experiencing a gout flair. It will make it worse. Don't ask me how I know.
Take colchicine to get the flair under control before using allopurinol.

You can’t take a pill(s) for gout and then continue to live the gouty, high-on-the-hog lifestyle.

You may have a level of kidney dysfunction.


Friskies and Puss-N-Boots canned cat dinner is also high in purines. (In case youre a hermit in a cabin living on $600 a month SSI)

True.

Funny and true

Huh. Wonder what explains not having a flair up since I went on it 5-6 years ago without markedly changing my diet.

Same thing my doc said when he put me on it, don’t ever take it during a flare up.

I quit using it a few years back and have had a few flare ups but nothing major, luckily.

Buddy said he used indomiacine (sp?) And prednisone last week and didn’t have the $hits like colchicine is known for.

I take Allopurinol for my gout and so do my two sons. It is my understanding that you need to be started on this with low dosages and work up to higher dosages until a balance is found. Also I was told that it is not uncommon for allopurinol to bring on gout attacks early in the treatment process. It did not do that for me but one of my sons got worse before he got better, and if I remember correctly they reduced his dosage and restarted up.

I am only taking 100mg, one of my sons is taking 300mg and the other is at 500mg.

http://www.acumedico.com/purine.htm

Purine table.

I agree with this, after having read all the threads on gout and theories on why and how to address it.

For example, cherry juice will make it go away...I bought two quarts of pure, unsweetened black cherry juice and when I felt a bout of gout coming on I drank a quart in one day and then s h ! t like a mother fk'n goose for two days while hobbling around the house on one foot.

I seem to get a kidney pain prior to feeling gout coming on, it's on the same side, left kidney starts to ache, left big toe joint starts to itch and then BAM.

So my theory is, being dehydrated over an extended period allows the uric acid crystal to build up in a joint, so I take a kidney ache as a sign of dehydration and start chugging water.

I have avoided almost all bouts of gout for years.

There is something called pseudo-gout. You get gout symptoms, but it's not from uric acid crystals. It is caused by dehydration.

Serious dehydration can cause you to pass out.

Every gout attack I have had has been related to a "beer event". By that I mean I have been at some place, football tailgate, weekend at hunting lodge, travel weekend grandsons hockey team, etc. where more than two or three beers were consumed. In most cases some distance driving to get home was also part of the equation.

Since going on Allopurinol and keep beer consumption to only a few each week I have had no problems past 2 years, but I am afraid to push it to "event" level.

It did the same for me….


But even when I quit it - I was still getting Gout.


In the end I removed unprocessed wheat from my Diet - and I haven’t had Gout for 3 years now !!!

I had started eating Granola - ALOT - specifically, I was eating a couple granola bars for breakfast, and whole grain wheat bread…
My allergist told me that they have found out that Wheat messes with allergy reactions and I should drop it to see if my allergies get better.

I was having a sore foot - pre-gout, when I dropped it.. and it went away.

Then I added it back again - and within a week and a half - Gout hit…. SOB !!

So I dropped whole grain wheat and - no more Gout.

l agree with this also. Over time, my attacks kept getting more frequent. My uric acid levels were at the high end of the normal range. I was taking a lot of colchicine. I went on Allopurinol to lower uric acid. I kept increasing the Allopurinol dosage until my uric acid levels were too low, and I still was having attacks. Negative rheumatoid arthritis test. Good lab values on everything else. My doctor finally said that he had no other advice to offer me other than to try a local naturopath/nutritional counselor. I tried that program and learned to lay off processed sugar and to substantially lower carbohydrate and gluten consumption. You start out with nothing good to eat and then add back foods over time. The naturopath also does some hocus-pocus "testing" and he put me on a bunch of supplements in addition to the diet. I thought the supplements were a racket, and I gave those up after a few months. (In fact, I stopped seeing him after about 6 months because I didn't need him any more.) I was able to drop all gout medicine (colchicine and Allopurinol). My uric acid levels are still on the high end of normal. I have only had one minor issue in about a year and a half.

I do drink a lot of water now. I have learned to substitute almond flour and coconut flour for wheat flour. I eat fruits instead of chocolate and cakes and more fresh vegetables instead of canned stuff. I was able to reintroduce whiskey (no sugary mixers) and wine into my diet, although I stay away from beer. P.S. I lost 25 pounds.

Everybody's story is different. It took years for me to get it sorted out.

Good luck!

Indomethacin SR 75 mg every 12 h is an effective anti-inflammatory for gout attacks. Be aware it is very hard on the GI system and is know to cause gastric ulcers if used for more than 10 day or so.

This.

And drink all the H2O you can stand.

I take allopurinol along with colchicine, doctor said taking one of them by itself isn't effective. been taking it for years.

Meow mix taste way better.

I take indomethacin at the first onset of a flair. I don't care if I wake up at 3a.m. in a tent and my pills are at home. I'm heading back for them. 99% of the time I'm good to go by noon the next day. If I wait or are out of them, I'm screwed. Grouse sets me off bad but pheasant doesn't. Also, too much venison will get me.

Yep. Losing some weight and figuring out all the foods that triggered my gout helped me more than anything.

Alcohol consumption and dehydration go hand in hand, no?

Depends if you are a professional or an amateur.

As an aside, from my own experience dehydration does seem to trigger a gout attack for me.

But I shake my head every time I see people saying red meat and alcohol cause gout, avoid at all costs.

I have gout. I spent 30 days living on pork chops, beefsteaks, and gin, and gatorade. Just enough celery to keep things moving. Zero gout problems.

My stepbrother gets gout every time he eats beef from his fathers farm, which he no longer eats[of course].