Uric acid crystal dispersment

Stopping Gout Together Forums Help My Gout! The Gout Forum Uric acid crystal dispersment

This topic contains 3 replies, has 2 voices, and was last updated by  Keith Taylor 1 year, 6 months ago.

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  • #2728

    Carroll Lee
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    Ŧallars: Ŧ 2.30
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    Uric acid crystal dispersment

    i have had two distinct bouts in the last twelve yrs. am 65 yrs old, good health, probably eat too much pork, could do better on veggies and i drink around six light beers daily. went to my GP a week ago, had a blood test which was a 6.3. the inflamed joint is my big toe. he put me on the prednisone pack (1 week) and stated that if conditions improve to go another pred. round before starting allopurinol (300mg). upon completion of the first weeks tmt. (tapering off the pred. dosage as per instructions) pain/swelling have returned big time. have trouble sleeping because of triggers of SHARP pain the joint which lasts about one-two seconds all night for the last two nites. since the prednisone dosage has been decreasing could this renewed pain be an indication that the uric acid crystals are being expelled? it would seem that my white blood cell fighters have returned to my toe now that they are not being subdued by the prednisone. have been injesting 2 tbs acv/glass of cherry juice 2/ daily, no beer.

  • #2734

    Keith Taylor
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    Ŧallars: Ŧ 1123.04
    GoutPal Scholar Badge Rank: Scholar

    It’s a very bad idea to start allopurinol at 300mg per day. The safe way to start allopurinol is 100mg. Then, 2-4 weeks later get blood tests for uric acid, kidney function, and liver function. If test results are OK, increase allopurinol to 200 mg. Then repeat until uric acid is safe.

    The attacks that you are getting now are because your uric acid is too high. So, new crystals are forming.

    Uric acid crystal dispersment - where can they go?

    Uric acid crystal dispersment – where can they go?

  • #2737

    Carroll Lee
    Participant
    Ŧallars: Ŧ 2.30
    GoutPal Carer Badge Rank: Carer

    many thanks for any and all responses to my ques. have been on many gout forums in the last two wks., this one is the best. most/many people (myself included) are/(were) not aware of the many facets of gout treatment. how long should i wait after this bout has subsided before i start allip.?……….thanks again

  • #2742

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1123.04
    GoutPal Scholar Badge Rank: Scholar


    My belief is that when you start uric acid lowering, you should have a good pain treatment plan in place first. Then, there is no need to wait for the flare to subside before you start. I believe this because of the work done by Taylor (no relation!) in 2012. Which, I reported in Start Allopurinol Quickly, But Carefully.

    But, this only works when you have a supportive doctor. By that, I mean a doctor who understands gout pain. Which usually means a combination approach that the informed gout patient can vary according to their degree of pain.

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