Gout anyone??

[fatboy b]

Zooks said:

How long does it usuallty take for gout in the big toe joint to go away?

Been to the docs. Got Naproxen tablets and advised to drink loads of water which I have been doing.

I've had it over a week now and its no better. Getting seriously pissed off with it!

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

[Zooks]

fatboy b said:

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

Great. Yet another bun fight for another doctors appointment to get the correct stuff. I'm guessing Naproxen is cheaper?

Thanks for the info though FB

[fatboy b]

Zooks said:

fatboy b said:

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

Great. Yet another bun fight for another doctors appointment to get the correct stuff. I'm guessing Naproxen is cheaper?

Thanks for the info though FB

Naproxen is just an anti-infllammatory drug. Colchicine doesn't reduce swelling, just treats the underlying cause - the crystals.The swelling wil then go by itself.

Then once it's gone get your Uric Acid checked, and treated if required.

My experience of Welsh doctors through my late parents is shocking,

[anonymous-user]

fatboy b said:

Zooks said:

fatboy b said:

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

Great. Yet another bun fight for another doctors appointment to get the correct stuff. I'm guessing Naproxen is cheaper?

Thanks for the info though FB

Naproxen is just an anti-infllammatory drug. Colchicine doesn't reduce swelling, just treats the underlying cause - the crystals.The swelling wil then go by itself.

Then once it's gone get your Uric Acid checked, and treated if required.

My experience of Welsh doctors through my late parents is shocking,

Even with colchicine my attacks took a week or two to get rid of. It may depend on how bad you get it.

[The Mad Monk]

fatboy b said:

Zooks said:

How long does it usuallty take for gout in the big toe joint to go away?

Been to the docs. Got Naproxen tablets and advised to drink loads of water which I have been doing.

I've had it over a week now and its no better. Getting seriously pissed off with it!

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

Exactly right.

I posted the same advice on this thread on the 21st December 2019.

Cochicine to get rid of it, then Allopurinol for (probably) the rest of your life to keep it at bay.

[Zooks]

The Mad Monk said:

fatboy b said:

You need Colchicine. That disolves the crystals that have formed. Naproxen will only reduce the swelling. It'll go in 2-3 days with the correct treatment.

Exactly right.

I posted the same advice on this thread on the 21st December 2019.

Cochicine to get rid of it, then Allopurinol for (probably) the rest of your life to keep it at bay.

I realise now i've had this once before but it cleared before I could get an appointment.
This time I only got as far as the assessment nurse (they decide if you need to see a doctor) who gave me Naproxen as this is the first time they have seen me with it.

Called them up yesterday. Apparently I've already been treated so my only option is to see the doctor. The first non-assessed appointment is in 2 weeks time!
So Cochicine isn't option this time. Been reading about cherry capsules, any good?

[anonymous-user]

Cherry juice seems to be hit and miss depending on the person. I tried for a year and it made no difference to me.

I also tried cider vinegar which was fun

[Stella Tortoise]

Cochicine is a blessing and a curse.

It did get rid of my gout over a few days but the side effect is the raving runs, not what you need when you have just seconds to get to the toilet but are immobilised by gout.

The smell was one of the worst ever, like that can of rotting fish.

[Belle427]

I dont find Naproxen all that good when i have a bad attack, Indomethacin used to work a treat though.

[Ynox]

I swear by diclofenac when I get an outbreak.

I probably should go to the doctor rather than buying it OTC when I'm out of the country. Had it diagnosed via a blood test at a work medical so I think my medical history probably says I suffer from it.

I find cherry pills from Holland and Barrett can help, but equally they might be a placebo. Weirdly I'm not entirely sure that gout is tied to foods for me. There's no real pattern - one thing which there is a pattern though is stress. A stressful couple of weeks and I tend to get an outbreak.

[anonymous-user]

Ynox said:

Weirdly I'm not entirely sure that gout is tied to foods for me. There's no real pattern - one thing which there is a pattern though is stress. A stressful couple of weeks and I tend to get an outbreak.

This is why GPs get it so wrong. They assume it’s always triggered by the same thing whereas the reality is we all get triggered by a myriad of things.

[Zooks]

So its now march and i have the gout back again.
I'm not even sure it ever totally went away. The colchicine did get rid of the pain but the advised course of 12 tablets ran out before the symptoms.
Back to the screening nurse again today for my 3rd round of colchine and finally they agreed to blood tests/doctor appointment.

A question to colchicine takers. I now have 14days supply but the advice leaflet suggests the maximum course should only be 4 days.
Its pretty nasty stuff, anyone taking it long for longer periods?

[K77 CTR]

Are you not on allopurinol?

[Zooks]

K77 CTR said:

Are you not on allopurinol?

No. Just colchicine and naproxen. Due to the way my local surgery works I havent actually managed to see a doctor yet as everything has to go through an assessment screening nurse who perscribed the above. I now have a doctors appointment for 2 weeks time so maybe that will be their advice when I go.

[K77 CTR]

Normally the maximum dose for acute gout is 6mg for the total course. 14 days seems an odd prescription. It can be given 500mg twice daily whilst starting treatment on allopurinol but that wouldnt be done in an acute flare.

[Zooks]

K77 CTR said:

Normally the maximum dose for acute gout is 6mg for the total course. 14 days seems an odd prescription. It can be given 500mg twice daily whilst starting treatment on allopurinol but that wouldnt be done in an acute flare.

Ok thanks so a max dose would normally be 6 days at 2x 500mg a day?

I have been given 28 pills with so hence the confusion. A 4 day course has some pretty unpleasant dietry implications for me so 14 days doesnt sound like much fun!

[Olas]

uric acid crystals? injet base for an instant cure.

[Tony Angelino]

I'm in a similar position. Moderate to severe pain in the ankle right in the joint, i have AS so they sent me for a bloodtest. Inflamation levels normal, urate level 0.53, no idea how this compares.

Been lingering on for nearly 6 weeks now, neproxen hasn't shifted it. Rung doctor and been prescribed colchicine so pick that up tonight.

How long do peoples flair ups generally last?

[The Mad Monk]

Tony Angelino said:

I'm in a similar position. Moderate to severe pain in the ankle right in the joint, i have AS so they sent me for a bloodtest. Inflamation levels normal, urate level 0.53, no idea how this compares.

Been lingering on for nearly 6 weeks now, neproxen hasn't shifted it. Rung doctor and been prescribed colchicine so pick that up tonight.

How long do peoples flair ups generally last?

Colchicine to get rid of pain.

Allopurinol - long term - to keep it away. I been taking Allopurinol for some 10 years.

[Tony Angelino]

The Mad Monk said:

Colchicine to get rid of pain.

Allopurinol - long term - to keep it away. I been taking Allopurinol for some 10 years.

Doc told me to wait until I had 2 or more episodes in a year before starting taking allopurinol. This is only my 2nd one ever that I know of, first one over 18 months ago.