Stopping Gout Together › Forums › Help My Gout! The Gout Forum › Should I start allopurinol now, or wait until all pain is gone? › Reply To: Allopurinol question
Hi Fellow Sufferers..
I finally felt I understood what was happening with my gout and got it under control after reading the book “Beating Gout” A Sufferers Guide to Living Pain Free – Victor Konshin
In essence the recommendations were along the lines of the following:
1. After elevated uric acid is confirmed with uric acid test ( >6 mg/dL) commence taking a life time course of Allpurionol which assists your body excrete the excess uric acid from your joints, soft tissues and your blood.
2. Start with a low dose of 100 mg built to 300 mg over the course of a month but importantly never stop taking the Allpurionol (even during a gout attack) as this is what is excreting the additional uric acid in your blood, something your body is no longer able to do.
3. Commence a preventative course of anti inflamatories (Indomethacin and Cochiline) to counter potential and likely gout attacks as your uric acid levels stablise over the next 6 months. I think it was 1 x 25 mg capsule in the morning and the evening. Cochiline is 0.5 mg 3 or 4 times per day check the book.
4. At the first sign of a gout attack hit it hard with 2 x 25mg capsules of Indomethacin 3 times a day until the pain subsides. I don’t recall the doseage of the Cocholine but read the book.
5. The Allpurionol treatment should commence 4 weeks or so after an attack and when started it should never be stopped. It’s objective is to stabilise your uric acid blood levels to prevent future gout attacks.