[doctalmadge]

Keith,

An update on “A different kind of Gout.”
I have been taking 900 mg daily of Allopurinol for about 2 months now. My reading of Uric Acid are constantly down around 2.5 to 3.5. I still have considerable pain in all digits of my feet. It is much worse at night when all is quiet and I’m in bed. In fact I can’t sleep unless I get up and take some Liquid Advil. I have not tried Colchicine yet but am wondering if the above is normal in your experience. I have been taking Losartan Potassium for high blood pressure in the morning and the Allopurinol with my evening meal. The pain in the feet only occurs after I have gone to bed and all is quiet. then it builds up slowly until I need to do something about it. Thank for your help.

Mike Talmadge

[doctalmadge]

Keith,
Thank you very much for the information. Didn’t know about free fatty acids and that explains a lot. Just tested my uric acid level on a UA Sure and it reads 6.2. Initially the readings were up around 7 to 10. They just started going down about a month ago when I switched to a no meat, no fish and no turkey diet. Interestingly enough even though the readings have come down the pain associated with the feet at night hasn’t. Perhaps it’s the Allopurinol? I have been taking 300mg once a day for about 2 weeks now. Any thoughts on the combination of Losarten and Allopurinol taken together. I was just wondering whether they had the same effect taken separately. As a side thought the pain at night the last 2 nights hasn’t been bad enough to make me take any pain medication and the tophi are definitely getting smaller. Most interesting. Have ordered .5mg Colchicine and will start taking it as soon as it arrives. Oh, by the way, I am the doctor. A retired Ophthalmic trauma surgeon who specialized in rebuilding the orbit, so I know almost nothing about gout or it’s associated symptoms. Thanks again for all you do.

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