Reply To: Short Term or Long Term Allopurinol?

Stopping Gout Together Forums Help My Gout! The Gout Forum Short Term or Long Term Allopurinol? Reply To: Short Term or Long Term Allopurinol?

Keith Taylor

There are several factors that determine when you should start allopurinol. The latest guidelines from professional rheumatologists say you should start allopurinol if any of these are true:
1. More than one flare per year.
2. Visible tophi.
3. Uric acid crystals in joint fluid.
4. Age less than 40.
5. Uric acid blood test result more than 8mg/dL (480μmol/L).
6. Also suffer from kidney disease, high blood pressure, coronary heart disease, or heart failure.

I’d say, the values in point 5 are high. So, I’d recommend discussing allopurinol if uric acid blood tests show more than 7mg/dL (400μmol/L). However, at this level, gout sufferers might also consider lifestyle improvements to lower uric acid. In any case, uric acid should be tested frequently to see if it’s getting worse.

Tom, I hope that helps. But, if not, please ask for clarification. Going forward, if you want better individual help, please post uric acid test results.