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Pre-allopurinol Pain Treatment
Should pain treatment (prednisone/naproxen.etc) be initiated prior to allopurinol treatment or be delayed?
If it is prior, how long before the first dose of allopurinol.(100 mg)?
Have said it before will say it again……..excellent website.
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
Possibility of skewed Uric Acid test results?
Sorry for the bombardment of ques……one more and I’ll shut up. I haven’t seen this point brought up. have read that prior to taking a UA blood test one should abstain from eating/drinking 4 hrs prior to the test and make it known if you have taken any aspirin/ibuprofen. alcohol and vit.c which might skew test results. my GP never mentioned this. could this fact point to a possible need for a home uric acid tester? don’t know whether I would totally trust the home tester results but it would at least give you a trend
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.