Reply To: Febuxostat and Colchicine dosing

#6168
Sian James
Participant


Guidance on febuxostat, colchicine, and NSAIDs

Hi guys,

Thank you for creating this amazing resource. I am posting on behalf of my husband, who has suffered increasingly severe gout for eight years.

His GP fobbed him off for most of that time. We got the diagnosis about a year ago. Unfortunately, I don’t have his most recent blood results yet, but the last urate level was around 300 and had been over 500 to start with. But his attacks are becoming more frequent, severe and lengthy.

He is currently taking 80 mg Febuxostat and using colchicine and NSAIDs during attacks. Unfortunately, he has a kidney GFR of 59, so there’s not a lot of room for manoeuvre. He has changed his diet to exclude sugar and processed foods. Also, cut down on meat drastically, and upped the veg. So far, he’s lost a stone in weight.

We see the rheumatologist on Tuesday, and I was wondering what were the right questions to ask, and avenues to explore. Any suggestions? We are also working out way through the resources on this site.

Thanks in advance for any replies, Sian