People have naturally talked about colchicine here. It’s by far the oldest gout medicine after all! It is not an alternative to allopurinol however. And the side effects of prolonged use are rather serious… colchicine is certainly not a drug you should take for years on end like allopurinol.
Gout does cause damage over the years if it’s not prevented so it’s unfortunate your doctor hasn’t insisted on allopurinol earlier.
The main alternatives to allopurinol are: lifestyle/diet changes and another drug called febuxostat. There’s also a class of drugs called uricosurics as well some herbal compounds and compounds found in common foods which are generally less effective. Finally, there’s a very powerful and expensive drug which is injected in the bloodstream. All in all, allpurinol isn’t a bad choice in most cases. There’s a genetic test to prevent bad reactions you can take if you have East Asian ancestry.
The point of allopurinol and its alternatives is to reduce the amount of uric acid in your body. Colchicine doesn’t do this. Uric acid is routinely measured and knowing the test results is helpful in narrowing down the best options for a particular gout sufferer.
Thank you for visiting GoutPal's Gout Network
Did you find the personal help you need with your gout?
I will help you understand and manage your gout.
If you did not find the personal gout help that you need, please tell me:
Information on GoutPal is provided by a gout patient to help you understand gout and related issues. Gout information is provided by a layman, with no medical training or qualifications. It should not be used for diagnosing or treating any health problem or disease. The information is given to help you understand your doctor's advice and know what questions to ask. It is not a substitute for professional care. If you have an actual or suspected health problem, you should consult your doctor.