Notices

Allipurinal and Gout

Old 08-16-2020, 12:16 PM
  #1  
Senior Member
Thread Starter
 
Ryan H.'s Avatar
 
Join Date: Aug 2010
Location: Puerto Pensaco Mexico, just south of Rock Point
Posts: 13,125
Received 945 Likes on 416 Posts
Default Allipurinal and Gout

My uric acid and creatine numbers always run high, I get flare ups several times a year, Doc puts me on Allipurinal from time to time, does anyone take it regularly? Any side effects?
Old 08-16-2020, 12:26 PM
  #2  
Senior Member
 
Join Date: Mar 2020
Posts: 216
Received 41 Likes on 24 Posts
Default

No allopurinol needed once you stop drinking beer.
Old 08-16-2020, 12:31 PM
  #3  
Admirals Club Admiral's Club Member
 
Join Date: Jun 2009
Location: Vero Beach, FL
Posts: 7,311
Received 1,471 Likes on 773 Posts
Default

What Smith said is pretty much correct. I take allopurinol daily and have had no adverse effects. No gout since I've taken it.
Old 08-16-2020, 12:33 PM
  #4  
Admirals Club Admiral's Club Member
 
Join Date: Mar 2014
Location: S of Tallahassee on Apalachee Bay
Posts: 338
Received 81 Likes on 56 Posts
Default

I’ve been on it for 8-10 years and never feel anything different since starting it. But no gout.
Old 08-16-2020, 12:44 PM
  #5  
Senior Member
 
Lprizman's Avatar
 
Join Date: May 2009
Location: Rhode island
Posts: 6,886
Received 4,720 Likes on 2,088 Posts
Default

Pic of flare ups..............
Old 08-16-2020, 12:44 PM
  #6  
Admirals Club
 
spraynet 1's Avatar
 
Join Date: Sep 2005
Location: Sanford, FL
Posts: 7,440
Received 2,613 Likes on 1,231 Posts
Default

Items that affect, (effect) for grammar nazi's.

Beer
liquor
ANY type of shell fish
Red Meat
Chocolate


Avoid those like the plague and drink LOTS of water and you'll never have to go on drugs!

Now, with that said. When my bride and I went to Alaska I knew damn well I would be eating crab until it came out my pores.

I went on Allupruinol 2 months ahead of time and had zero issues, but I'm pretty certain I completely stopped drinking as well.

Lots of good research out there.
Old 08-16-2020, 12:45 PM
  #7  
Admirals Club
 
spraynet 1's Avatar
 
Join Date: Sep 2005
Location: Sanford, FL
Posts: 7,440
Received 2,613 Likes on 1,231 Posts
Default

Originally Posted by Lprizman View Post
Pic of flare ups..............

You just couldn't help yourself could You?
Old 08-16-2020, 12:51 PM
  #8  
Senior Member
 
Lprizman's Avatar
 
Join Date: May 2009
Location: Rhode island
Posts: 6,886
Received 4,720 Likes on 2,088 Posts
Default

Originally Posted by spraynet 1 View Post
You just couldn't help yourself could You?
nope!!!
It's hard sometimes tho.....lol!!!
Old 08-16-2020, 01:05 PM
  #9  
Admirals Club Admiral's Club Member
 
Join Date: Feb 2017
Location: People's Republik of Kalifornia
Posts: 816
Received 995 Likes on 481 Posts
Default

I've been on Uloric (which is now generic) for about 10 years. Not a single flare-up and my Uric acid in my blood-work always comes back nominal. I tried Allopurinal for a time, but I still got the occasional flare-up, although not as severe.
Old 08-16-2020, 01:07 PM
  #10  
Admirals Club Admiral's Club Member
 
Join Date: Feb 2017
Location: People's Republik of Kalifornia
Posts: 816
Received 995 Likes on 481 Posts
Default

Originally Posted by Lprizman View Post
Pic of flare ups..............
foot fetish?
Old 08-16-2020, 01:09 PM
  #11  
Senior MemberCaptains Club Member
 
Join Date: Dec 2004
Posts: 2,631
Received 194 Likes on 135 Posts
Default

I'm on the couch as I type this right big toe joint on fire...gout sucks! For me Dehydration is a trigger...let myself get way dehydrated a few days ago doing some chainsaw work...
Old 08-16-2020, 01:11 PM
  #12  
Senior Member
 
Lprizman's Avatar
 
Join Date: May 2009
Location: Rhode island
Posts: 6,886
Received 4,720 Likes on 2,088 Posts
Default

Originally Posted by bobeast View Post
foot fetish?
ewwwwww no!!!

however I did end it with a chick when I was younger...took her to the beach...her hoofs came out...cross between ostrich and platypus....just could not endure that long term....

Requesting pics regardless of circumstances is a right of passage here...lol!!
Old 08-16-2020, 01:42 PM
  #13  
Senior Member
Thread Starter
 
Ryan H.'s Avatar
 
Join Date: Aug 2010
Location: Puerto Pensaco Mexico, just south of Rock Point
Posts: 13,125
Received 945 Likes on 416 Posts
Default

Well I don't drink anymore, cheap meat, like burgers, and beer together used to kill me

I do eat red meat still, but even when I clean up my diet I run high on Uric Acid and Creatine, I have over 20 years of blood tests that show this trend. I may ask to just stay on the allipurinol then, it works well and avoiding a flare up is much more comfortable than having one
Old 08-16-2020, 01:53 PM
  #14  
Senior Member
 
Join Date: Feb 2010
Location: Southeast of the Holy City
Posts: 451
Received 85 Likes on 61 Posts
Default

I will copy a post I made a few months ago:

I say something here because I am a rheumatologist with 35 years of experience treating gout.


Gout is caused by excessive amounts of uric acid in our blood. Certain amounts of uric acid in blood are normal because it is the breakdown product of purines in our DNA and RNA. Levels over 6 mg/dL over a long period of time cause monosodium urate (MSU: the salt of uric acid) to deposit in soft tissues, particularly near the joints. By the time a person has the first attack of gout he or she has had high levels of uric acid (hyperuricemia) for at least 10 years.(Women are protected for some time because estrogen while they are young helps the kidneys eliminate uric acid.

Acute gouty arthritis occurs when something triggers the white blood cells, neutrophils, to attack the MSU crystals. Gout attacks are inflammation and should be treated as such with prednisone, NSAIDs (ibuprfen, etc) or colchicine.

Long term prevention of attacks requires getting the uric acid level less than 6 mg/dL and keeping in there. One warning is that any medicine that lowers uric acid level will sometimes trigger attacks so a medication such as colchicine or other is required for at least 6 months after the uric acid level has been lowered to the desired level.

Medications for lowering uric acid work one of 2 ways. Allopurinol and Uloric block xantgine oxidase so less uric acid is made. Probenicid allows the kidneys to remove more uric acid. Either way will and requires monitoring of blood levels.

I have preferred allopurinol over Uloric because of recent research showing more cardiovascular adverse events with Uloric.

Probenicid should not be used if there is a history of kidney stones or serious kidney disease.

Just treating attacks of inflammation and not treating the hyperuricemia is not a good idea because the deposits of MSU can destroy bone and joints by tophus formation even when there is no acute attack.

Also helps to stop drinking beer.

IES99
Attending Rheumatologist
Professor of Medicine


Old 08-16-2020, 02:44 PM
  #15  
Senior Member
 
Join Date: Mar 2009
Location: Estero. Florida
Posts: 217
Received 12 Likes on 9 Posts
Default

Me too. Take Allipunerol every day, but a little dehydration.≥out for the count.
Old 08-16-2020, 03:05 PM
  #16  
Senior Member
 
Join Date: Aug 2010
Location: Delray Beach
Posts: 926
Received 279 Likes on 161 Posts
Default

I take allopurinol also everyday, I do not get attacks unless I get dehydrated. Interesting to read a few others have similar experiences.
Old 08-16-2020, 03:18 PM
  #17  
Senior Member
 
Join Date: Aug 2012
Posts: 169
Received 48 Likes on 39 Posts
Default

Originally Posted by IES99 View Post
I will copy a post I made a few months ago:

I say something here because I am a rheumatologist with 35 years of experience treating gout.


Gout is caused by excessive amounts of uric acid in our blood. Certain amounts of uric acid in blood are normal because it is the breakdown product of purines in our DNA and RNA. Levels over 6 mg/dL over a long period of time cause monosodium urate (MSU: the salt of uric acid) to deposit in soft tissues, particularly near the joints. By the time a person has the first attack of gout he or she has had high levels of uric acid (hyperuricemia) for at least 10 years.(Women are protected for some time because estrogen while they are young helps the kidneys eliminate uric acid.

Acute gouty arthritis occurs when something triggers the white blood cells, neutrophils, to attack the MSU crystals. Gout attacks are inflammation and should be treated as such with prednisone, NSAIDs (ibuprfen, etc) or colchicine.

Long term prevention of attacks requires getting the uric acid level less than 6 mg/dL and keeping in there. One warning is that any medicine that lowers uric acid level will sometimes trigger attacks so a medication such as colchicine or other is required for at least 6 months after the uric acid level has been lowered to the desired level.

Medications for lowering uric acid work one of 2 ways. Allopurinol and Uloric block xantgine oxidase so less uric acid is made. Probenicid allows the kidneys to remove more uric acid. Either way will and requires monitoring of blood levels.

I have preferred allopurinol over Uloric because of recent research showing more cardiovascular adverse events with Uloric.

Probenicid should not be used if there is a history of kidney stones or serious kidney disease.

Just treating attacks of inflammation and not treating the hyperuricemia is not a good idea because the deposits of MSU can destroy bone and joints by tophus formation even when there is no acute attack.

Also helps to stop drinking beer.

IES99
Attending Rheumatologist
Professor of Medicine
that pretty much sums up my 15 year history of gout and allopurinol has been the trick.

started when I turned 40.
Old 08-16-2020, 03:42 PM
  #18  
Senior Member
Thread Starter
 
Ryan H.'s Avatar
 
Join Date: Aug 2010
Location: Puerto Pensaco Mexico, just south of Rock Point
Posts: 13,125
Received 945 Likes on 416 Posts
Default

Originally Posted by IES99 View Post
I will copy a post I made a few months ago:

I say something here because I am a rheumatologist with 35 years of experience treating gout.


Gout is caused by excessive amounts of uric acid in our blood. Certain amounts of uric acid in blood are normal because it is the breakdown product of purines in our DNA and RNA. Levels over 6 mg/dL over a long period of time cause monosodium urate (MSU: the salt of uric acid) to deposit in soft tissues, particularly near the joints. By the time a person has the first attack of gout he or she has had high levels of uric acid (hyperuricemia) for at least 10 years.(Women are protected for some time because estrogen while they are young helps the kidneys eliminate uric acid.

Acute gouty arthritis occurs when something triggers the white blood cells, neutrophils, to attack the MSU crystals. Gout attacks are inflammation and should be treated as such with prednisone, NSAIDs (ibuprfen, etc) or colchicine.

Long term prevention of attacks requires getting the uric acid level less than 6 mg/dL and keeping in there. One warning is that any medicine that lowers uric acid level will sometimes trigger attacks so a medication such as colchicine or other is required for at least 6 months after the uric acid level has been lowered to the desired level.

Medications for lowering uric acid work one of 2 ways. Allopurinol and Uloric block xantgine oxidase so less uric acid is made. Probenicid allows the kidneys to remove more uric acid. Either way will and requires monitoring of blood levels.

I have preferred allopurinol over Uloric because of recent research showing more cardiovascular adverse events with Uloric.

Probenicid should not be used if there is a history of kidney stones or serious kidney disease.

Just treating attacks of inflammation and not treating the hyperuricemia is not a good idea because the deposits of MSU can destroy bone and joints by tophus formation even when there is no acute attack.

Also helps to stop drinking beer.

IES99
Attending Rheumatologist
Professor of Medicine
Thanks Doc
I started noticing what I thought was arthritis in my big toes, ball of my feet area, I thought it was from years of kick boxing and karate, we used to kick the ball of our feet against the floor as a way to condition them. However one time it got real bad, hot, red swollen and hurt way worse than I thought arthritis should, so I went to the doc.
Old 08-16-2020, 04:06 PM
  #19  
Senior Member
 
Join Date: Jan 2011
Location: Pgh Pa
Posts: 16,106
Received 1,320 Likes on 995 Posts
Default

Originally Posted by smith202073 View Post
No allopurinol needed once you stop drinking beer.
Absolute B.S
Old 08-16-2020, 04:14 PM
  #20  
Senior Member
 
Join Date: Jan 2011
Location: Pgh Pa
Posts: 16,106
Received 1,320 Likes on 995 Posts
Default

My Purine level was in the 7.5 range. Now that i am on allopurinol 400mg daily i am now at 4.0.
Goutis often inherited
Wait until you get gout and it looks like a pimple on the red area. That is called tophi. If you pop it the tophi will come out for days. It looks like cottage cheese but it actually is crystals (purine) that causes the pain in the joint.
Some people will develop a rash on there body as a side effect.

For the person that said allopurinol is not needed if you stop drinking beer. I haven't drank beer in years but still got it. Now it's under control Wine is said to be on top also. least offensive, but it can still cause a problem

Can Eliminating Alcohol Reverse Gout?

In a word, no. Eliminating or cutting back on alcohol alone likely won’t lower uric acid levels enough to effectively treat gout. For many people with gout, the target uric acid level is less than 6 mg/dL. “If a person with high levels of uric acid goes on a diet, loses weight, eliminates high-purine foods like shellfish and stops drinking beer, they can lower their uric acid from, say, 10 to 9, but usually not much lower. Dietary improvements are still not enough — the patient has to be on uric acid-lowering medication at this leve



Your rheumatologist will find what level of meds you need to get it under and keep it where it should be over a few months of periodic blood tests
.


Here is your culprit






Edit. Forgot to mention. Sugary drinks play a big role also

Last edited by Thalasso; 08-16-2020 at 04:52 PM.

Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service - Do Not Sell My Personal Information -

Copyright © 2018 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.