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Gout

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Old 28th Nov 2007, 15:46
  #21 (permalink)  
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The only times I got gout were when I was flying so hard that I couldn't practice my main sport, judo.

I recall someone saying their doc had told them to get back on the mat to "Break the crystals up." Certainly, while going three nights a week and all the associated running etc., I never had a twinge.

I take a nominal 300mg, but cut that back based on my blood test results.
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Old 28th Nov 2007, 16:13
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Allopuriniol will initially raise your uric acid levels for a few months. Don't start it until you're well clear of a gout attack. I've been on it 6 months I've had 1 episode of it a couple of months in. Not too bad and probably not helped with beer, champagne and Fruit de Mer all weekend!

I only tak 100mg a day and all's good so far. Did take a few months to get used to the drugs though.
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Old 28th Nov 2007, 18:39
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Suffered my 1st attack in my early 40's after getting my foot run over by a toddler on a trike .... had been eating prawns and liver the day before so my uric acid levels were elevated. My dad was a sufferer.

I don't take daily medication, and probably suffer, on average, one bout a year - I take diclofenac at 1st signs of attack (stiffness in big toe) - 2 x 100mg, then 1 x 100mg every 8 hours for 2 days. Goes away every time.

Get generic pills from Thailand - about 2 quid for 100 - they are just fine.

Too much beer, shellfish, liver, kidneys will precipitate an attack - I can eat in moderation. It varies for each individual - there are a squillion sites on the Web.
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Old 28th Nov 2007, 18:40
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Allopuriniol will initially raise your uric acid levels for a few months.

That's interesting, I hadn't realized that it took that long.

To quote myself

One of the main points about Allopurinol is that it takes time to make a change. Starting it again after a break could even cause a flare-up of the symptoms. From memory Feldene (Piroxicam) is or was used for the flare-ups.
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Old 29th Nov 2007, 08:56
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My GP told me "up to 2 months" internet research seemed to concur. I was perscribed diclaflex to cope with any flare up.

I have to say I'm very happy with the result so far.. the thing with me was I could go a year without a serious episode then all of sudden I'd be getting one a month. Last Feb was the first completely crippling episode I had.. so I took the plunge with Allopurinol.
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Old 29th Nov 2007, 10:53
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I was watching one of those phone in programs on BBC TV with Dr Rosemary Leonard. A 61 year old woman rang in with gout. Dr Leonard said that it is often caused by certain blood pressure medications. She didn't say which ones. A bit obscure but I hope this helps.
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Old 29th Nov 2007, 10:59
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"Hi Aspen20...try Xango the mangosteen juice.you'll be surprised"

at how quickly you can spend $19 us on a bottle of fruit juice. This stuff "cures" everything...yeah right...

I suffer from gout..Ibuprofen ...knocks it down..works for me
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Old 29th Nov 2007, 14:47
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No No No! Bin the pills - take Cider Vinegar! Haven't had a gout attack for 2.5 yrs now. Read a book called "Curing Arthritis the Drug-Free Way" by Margaret Hills. Its available on Amazon. I take Cider vinegar, sweetened with pure honey, in a cup of hot water each day and it really works.

Last edited by keithl; 30th Nov 2007 at 17:10. Reason: Book Title
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Old 29th Nov 2007, 15:43
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Just try Apple Cider Vinegar

Hey team,

Are you guys working on behalf of the big medical companies??

As K said and I have said, please do yourselves a favour and just at least try Apple Cider Vinegar.

A couple of dollars or euros for a bottle as compared to the cost of pills and the unknowns with prescription meds.

Please, try it.....I have no motive except to pass on the feeling of wonderful relief it gave me.

Again, good luck.
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Old 29th Nov 2007, 16:09
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Personally I'm not knocking Cider Vinegar. But £50 a year for one pill a day works for me.. no faffing about, and not the end of the world if I forget for a day.
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Old 29th Nov 2007, 18:26
  #31 (permalink)  
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I suffer from gout..Ibuprofen ...knocks it down..works for me

It is my unqualified opinion that this is exactly what not to do.

Firstly, Ibuprofen is a useful anti-inflammatory, but I'm fairly sure that it has a more deleterious effect on mental processing than is widely thought...and indeed compared to oft used painkillers.

(This is not real science, but I have been doing some 'research' on sleepers, and taking carefully filtered cognitive tests to see their effects. Ibuprofen seems to be showing up with a significant reduction in score.)

Secondly, as I mentioned before, if you have a raised uric acid level, there are a slew of reasons not to allow this to continue. Read about one Prince Phillip of Spain. (Sorry forgot date) his agonizing death from gout and its related problems is horrifying.
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Old 25th Aug 2010, 14:24
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For fellow gout sufferers.

I had gout when I was about 26 (36 years ago) and was prescribed allopurinol (Zyloric). I suffered bad reactions to the drug and was changed to Probenecid which I have been on for about 25 years.

I retired from flying in 2003 and continued to take Probenecid until about 4 months ago when my GP suggested that I should try stopping the drug.

In the last 4 months I haven't suffered any attack. My thoughts are that flying and the inevitable dehydration involved in the job exacerbates the condition. If you are on Allopurinol or any other drug and have retired from flying now might be a good time to see whether you need the medication.
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Old 25th Aug 2010, 15:23
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Attacks of varying severity / frequency since ~age 40. Dad had also suffered. Red Wine a factor for him & me? Usual suspects less so (meat, liver, beer).

Docs so far prescribe Indosomething/Dicoflax [think they are same stuff], and as stated above, take them as soon as a hint. Some even advocate in anticipation if you've over-indulged Provided you start taking them soon and often enough, they can knock an attack on the head before it gets bad - that said, I do understand they are treating the symptoms, not the cause

When I have an attack / run out of the above, I ask Doc about permanent treatment. They say until attacks regular (6+ a year?) avoid a once a day pill. No doubt will be other opinions...

NoD
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Old 25th Aug 2010, 17:19
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No doubt will be other opinions...
Eat less fruit. (Fruit sugar metabolism increases uric acid levels)
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Old 26th Aug 2010, 17:57
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Febuxostat is being used here in the UK and it is a xanthine oxidase inhibitor, which can be used to treat hyperuricemia and gout. It's expensive.

An article in the New England Journal of Medicine in 2005 (Becker et al.) compared it with allopurinol. It's meant to be better at lowering uric acid levels but less well tolerated side effects wise. It's not used first line and I don't know what the CAA's take on it is.............. Anyone know?
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