August 21, 2019 at 1:52 am #9055
Kymberly PonegalekParticipantŦallars: Ŧ 6.22
I am trying to read through the old posts.They have been so informative and such a help emotionally. I want to have a plan in place if it turns out that I have gout and have another attack.
So far I am hearing that taking colchicine (while keeping the joint mobile) will shorten the duration of the pain/attack by reducing inflammation, and that ibuprofen (or something similar) will reduce pain. Is that correct?
I am unclear about whether opting NOT to use colchicine is harmful. Is it bad to let the inflammation run its course rather than take the drug? Does the inflammation itself cause damage? Does the colchicine prevent damage? Does it have other benefits besides shortening the duration of the attack?
I am also hearing that if I have gout and my uric acid is higher than 6.0, I should use allopurinol to lower it to 5.0 or less. Keeping it low for life is key is what I’m hearing. What I’m not sure of: Does a person stay on allopurinol for life, without interruption, or do they cycle on and off of it as needed?
I haven’t come across anything (yet) in the posts about cbd oil for a gout attack. Has anyone ever tried it? Is it legal where you are? Is it strong enough? It is supposed to help with both inflammation and pain.
I appreciate your patience with my very beginner questions.
Thanks so much,
August 21, 2019 at 3:20 am #9056
nobodyParticipantŦallars: Ŧ 569.05
Wait until you have ascertained how much uric acid there is in your blood to worry about allopurinol.
Ibuprofen and similar drugs reduce inflammation and therefore pain. They are the most straightforward way to quickly stop a gout flare, provided you can tolerate this class of drug.
Colchicine is more complicated to use. It does not provide quick relief but basically makes gouty episodes weaker and shorter. It could also prevent the formation of uric acid crystals but allopurinol is much more effective in that respect anyway. You don’t have to use colchicine but it could allow you to reduce your intake of ibuprofen-type drugs. If a reasonable amount of ibuprofen is enough to make your flares go away, there’s little point in taking colchicine at the same time but you could still take a small amount every day for a few weeks to reduce the likelihood of a serious gout attacks.
So far as I can tell, colchicine is pretty safe as long as you only take small amounts for a limited amount of time. It has obvious side effects which typically prevent people from abusing it. Ibuprofen-type drugs may seem harmless in contrast but it has side effects which often remain unnoticed and prolonged use can potentially be deadly even if you do not exceed the recommended dose.
The matter of keeping the joint mobile is also complicated. But hopefully your gout isn’t bad enough that you have to worry about this.
Finally, inflammation can cause damage but doesn’t do so in most cases (or at least the damage is hardly noticeable). Gout can cause lasting damage separately from inflammation anyway so you should not delay managing the amount of uric acid in your system if you have gout even if you can suppress symptoms with anti-inflammatories.
I doubt CBD oil would be competitive with proper anti-inflammatory drugs. Considering how bad gout can get if you allow it to develop, giving such remedies a try may not be as harmless as it seems. But really, I have no idea how effective it is. More importantly, I don’t know what the side-effects might be.
I should also warn you against painkillers more generally and acetaminphen/paracetamol in particular. You can of course take painkillers but you should not use them instead of proper anti-inflammatories or to delay proper treatment.
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