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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Possible Treatments For Gout

I have a regular history (20 years) of gout attacks, primarily in my big toe, left foot. I was getting these gout attacks about once a year and they usually lasted about a week or two after treating with ibuprofen. For the several years they have become more frequent and lasting longer. I am taking colchicine (Colcrys) but it doesn t seem to be working too well as I have a new gout attack in a new location…outer left foot joint, mid-way between my toes and my heel. Until now, I didn t know there was a joint there. It s been there for about 45 days, now getting worse. Question is….will a cortisone shot into the affected area bring me any relief? And if the swelling and redness go away for 30 days, can I start taking Allopurinol at that time? I was under the impression that I shouldn t start taking Allopurinol until I ve been gout symptom free for at least 30 days, otherwise taking Allopurinol could worsen any current gout symptoms. Please help.
posted on Fri, 17 Jan 2014
Twitter Sat, 18 Jan 2014 Answered on
Twitter Mon, 20 Jan 2014 Last reviewed on
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General & Family Physician,  's  Response
Hello
Cortisone as you know is a corticosteroid and its shot in the joint will provide instant relief and you can use it without any hesitation .
As steroid act as anti inflammatory drug in gout .
As you are an old patient of gout so know very well that deposition of uric acid crystal in the joints is main reason of pain and gout .
Previously colchicin was the drug of choice .
Now Allopurinol is a very good drug and you can use it very safely with acute attack as I have tried in many patient .
The other point ( measure ) is you can take lemon juice in lukewarm water on empty stomach for 6-12 months .Scientific proof is that ascorbic acid dissolves uric acid crystals hence help in gouty patient.
Good luck.
Dr. HET
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Suggest Possible Treatments For Gout

Hello Cortisone as you know is a corticosteroid and its shot in the joint will provide instant relief and you can use it without any hesitation . As steroid act as anti inflammatory drug in gout . As you are an old patient of gout so know very well that deposition of uric acid crystal in the joints is main reason of pain and gout . Previously colchicin was the drug of choice . Now Allopurinol is a very good drug and you can use it very safely with acute attack as I have tried in many patient . The other point ( measure ) is you can take lemon juice in lukewarm water on empty stomach for 6-12 months .Scientific proof is that ascorbic acid dissolves uric acid crystals hence help in gouty patient. Good luck. Dr. HET