3. Should I also be looking to add colchicine to this as a preventative measure, or is it one or the other with Naproxen and Colchicine?
I only like to give advice through my own personal experience, whereas Keith is more of “the guy” when it comes to more knowledgable medication advice.
I will tell you what my Rhuemotologist told me. I asked the EXACT same question, because on my medical sheet, I disclosed that I often take Naproxen as a preventative. But I also have a standing prescription for Colchicine (0.6 mg). He asked, “why are you taking both of these medications? Naproxen is like a BB gun, where Colchicine is a Bazooka.” I told him that I only take Colchicine very infrequently. Like when I feel a flare up coming, or if I’ve had “more than moderation” in indulgences.
Often, a GP or Rheumotologist will prescribe Colchicine as a preventative in conjunction with Allopurinol when it is first prescribed because of the possibilty of a Gout flare. I alternate taking it for a couple weeks, then go off of it. Is this the right thing to do? I have no idea. But one thing I DO KNOW….even with my great insurance, I have a $50 co-pay for Colchicine. That’s quite a bit of money.
So if I can stretch the prescription out, I will. But I would definately recommend taking it in conjunction with your first batch of Allopurinol until you and your doctor know where your levels are. That’s probably a pretty smart thing to do. Once you get your Uric Acid levels more stabilized, then you can decide whether or not you want to continue taking Colchicine.
Again, this is just my 2 cents.