Reply To: Can I liquefy tophus without damaging skin?

Stopping Gout Together Forums Help My Gout! The Gout Forum Can I liquefy tophus without damaging skin? Reply To: Can I liquefy tophus without damaging skin?

#5175
nobody
Participant


Urankjj,
Malic acid clearly doesn’t do what pegloticase does. You should know since you’ve tried.
Stopping flareups isn’t the point. Indeed, effective treatment may initially cause flareups and flareups often subside for a while without any treatment.

If I thought Tophus Sufferer would read this thread, I’d have brought up pegloticase myself.
By the way, rather than allopurinol alone, an alternative to pegloticase (which isn’t always successful and isn’t available everywhere) might be high-dose allopurinol (or febuxostat) combined with an uricosuric. Obviously such a drug cocktail isn’t advisable in every case.