Reply To: My gout diary (?)

Keith Taylor

Can I suggest a note of caution re colchicine? Because, I understand there are different attitudes to dosing. But, it’s my belief that doses heavier than 2mg per day are rarely beneficial. So, I suggest looking at the indomethacin dose as well.

You should understand that colchicine is very effective at blocking inflammation from starting, or spreading. But, it does nothing for existing inflammation. Which is why you need strong anti-inflammatories to support colchicine if inflammation has taken hold. Also, in severe cases, you might need a supporting pain-blocker like Tylenol. Or, whatever your doctor or pharmacist recommends.