Do I take the allopurinol plunge?

Stopping Gout Together Forums Help My Gout! The Gout Forum Do I take the allopurinol plunge?

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    • #8993
      Michael F

      Hi there.

      I’ve had gout attacks infrequently for about 20 years. Some have been mild, so it took a long time to diagnose, and my uric acid always came back as “high end of normal”. But some bad attacks were classic gout. I’ve changed my diet to mainly plant-based, and I’ve had one attack per year for the last three years. Most recent one was pretty bad, and the doc has strongly recommended the allopurinol.
      My most recent UA levels have been 490-510 micro mol/l, which is about 8.5 mg/dl.
      The only other thing I could try is to go teetotal. I don’t drink most days, will have maybe three glasses of wine a day over the weekend. Plus the occasional night out with work. I don’t drink spirits, and beer only very rarely.

      Any thoughts, folks?



    • #8994

      Hi! Everyone’s body works differently. And “mainly plant-based” could potentially be a terrible diet for gout. But realistically, with such test results and such a long history of gout, drugs are the way to go (assuming the gout diagnosis is correct). Going teetotal during the initial phase of treatment would still be prudent.

    • #9006
      wikkydoo .

      In a similar place here, although really only 10 years of infrequent attacks and even more infrequent intense attacks. My UA is almost identical to yours. With age the attacks seem to become more frequent.

      Most likely I will get on allopurinol the next time I see my doctor. I have high blood pressure and have been on Losartan Potassium for at least a decade. That actually REDUCES UA studies have shown, but it is now on the list of BP medications that the FDA is recalling. So once I make a BP switch, my UA will likely go up, hence the decision to get on allopurinol seems like an easier one for me to make.

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