I was on a number of medications for various aches and pains including Osteoarthritis and severe gout. Taking daily Allopurinol literally changed my life, it's now the only medication I need to take, no more nightmare getting moving in the morning, no general aches and pains or inflammation, and more importantly, a normal diet and no crippling flareups...
So far so good for me. I can eat what I want with no gout flareups. That is great. I will try to eat a more healthy diet. Allopurinol has done the trick. Modern medicine is wonderful.
Thank you for taking your time to do this for us. What I am looking for is an explanation of what the medicine is actually going to do to my body physically, after 5 days of taking it I have had a big flare up in an effected area, this lasted a day and seems to be settling down today...
Thank you Dr so much I find this video so helpful. I have a question (much more a concern) my dad is taking a 100mg alupirinol for 1 year and half (getting blood test and ALT,AST,ALT test)and and I am so worried about the side effects of this medicine on his liver in long time... Is it dangerous for liver or can this medicine cause any harms on liver? Does he need to do any other test or monitoring?
And, doctors/NPs/PAs- KNOW that allopurinol dosing in CKD is important. I recently found out that I'd been given an 8x overdose for 3 YEARS while having CKD-3B, which I had at the time of gout diagnosis. It was caught by a very astute new NP at my GPs office. I won't take any allopurinol now, because my kidneys are more important than dealing with a couple of days of pain when the flares hit. Yeah, those days suck- but dialysis would be worse. LOOK UP all meds you are prescribed, as well as the chronic disorders you have, to see if any medication is safe for you. Doctors tend to do "cookbook" medicine- where everybody gets the same thing. Having a bunch of specialists just means I'm a collection of separate parts, and not a whole human being.
You said Allopurinol should not be taken during a Gout flare up. My problem is that first time I started to take allopurinol, my gout flared up. Should I stop immediately or should I continue to take the second dose? I don’t know if it was due to the fact that I was like 12 hours late when taking my second dose or the dosage my doctor prescribed me was inappropriate? It seems a very tricky process to start and stop allopurinol. Can you provide more instructions regarding that?
Cannot take this because it makes me sick so I take prednisone. Also take febuxostat Daily to stop the flag ups but does not work all the time. I try and watch what I eat but still get gout so I just about to give up. Drink plenty of water . Very frustrating!
Allopurinol is not suitable for certain individuals of Chinese, Thai, or Korean descent because of the increased risk of developing severe allergic reactions linked to the HLA-B*5801 genetic marker. Genetic testing is recommended before initiating allopurinol in these populations to prevent potentially life-threatening side effects.
Starting allopurinol during an acute gout attack is not recommended because it can worsen or prolong the flare-up due to changes in uric acid levels. The focus during an attack should be on managing pain and inflammation, with allopurinol introduced or resumed afterward for long-term management.
I’ve had my first gout attack ever, has not gone away (lingering in big toe) does not hurt to walk anymore but when flexing big toe still feels like it’a inflamed. I have not taken allopurinol because my rheumatologist said not to take it during an attack, does this still count as an attack when it’s lingering? My podiatrist said to take allopurinol asap and I gave her my concerns that the rheumatologist said and she said to try it for a week I don’t know what to do
Also should I stop drinking until this lingering goes away or for 6 months or what - it’s been 5 weeks no alcohol and I’m 26 so I’m definitely questioning if I can just have a beer or not.
It is recommended to not start Allopurinol during an attack. Instead, you should be taking a steroid pack. It kills the attack. You need to reduce inflammation in your body. You are consuming shit food and need to reduce your caloric intake to combat this. I have a lot of experience in gout management. Start by reducing your daily caloric intake to 2,000 calories per day. You should lose body fat. Measure your weight while you do this. Once you stop losing, reduce your daily caloric intake by another 500 calories. You should notice you start to losing body fat again. This reduces inflammation which is what causes your attacks. Go to the frozen food section in your grocery store if you’re use to eating only fast food. Look for the blue bags by Voila! They are stove top meals of veggies, noodles, and meat. You get a lot of food with these and not overblowing your calories.
@@georgekillian2852i admit im a drinker too. I have found that beer triggers attacks more than spirits or wine with me personally. Read my recommendation above and cut out beer. Maybe try vodka and cranberry juice. Cranberry juice is a natural anti inflammatory! Try your red wines and neat whiskeys. PS: I found that any Corona beer use to highly raise my chances of an attack.
Thank you so much for watching the video and taking time to leave a comment. Unfortunately (and I know this will be frustrating for you), I am unable to give individual medical advice out on this channel. This is because of medico-legal reasons, not knowing your full case, circumstances, and it would be unethical of me to do so otherwise. I have included the general resources I used to make this video in the description box but I have to advise that you speak to your own health provider (e.g. doctor, nurse) so that they can properly assess your case. This is the safest and most ethical advice I can give since this is just intended as a general educational resource. Thanks for understanding.
Should a doctor run some tests for kidney/liver function before prescribing Allopurinol? The nurse practitioner of rheumatology I met this morning prescribed Allopurinol based on the fact that I had numerous gout flare-ups recently and uric acid level of 10 back in 2019. I expected some tests to be run before treatment proceeded because I haven't had a physical in about three years...surprised it wasn't. Is this common practice?
I am sorry but for medico-legal and ethical reasons I can't give individual clinical advice on this channel. This is designed as a general education channel. Please consult your doctor or health provider for individual questions and concerns. I hope you found the video informative nontheless. Best wishes.
@Craig Jones I'm obviously expecting too much from doctors, or a nurse practitioner in this case. I'm just taken aback she wanted to put me on two different medications for life without running some tests. After my encounter with her I cleaned up my diet, lost about 15 pounds and doing well so far.
@@beatsmosaic A doctor/nurse practitioner who actually gives a damn about their patient is not as common as one would expect. We have to be proactive when dealing with them you never know which one you're going to get.
So Allupurinol lowered my Uric acid from 9.5 to 4.8 and now I’ve had ankle gout for a month straight. Is this my body getting rid of the dissolved gout crystals. How do I speed this process up.
How long is this reduction from 9.5 to 4.8? And HOW did you take allopurinol? Gout attack must use Colchicine and Allopurinol 100mg first. Unless you develop swelling, don't add NSAID.
Colchicin upset my stomach so I stopped. Methylyprednilosone also stopped working for gout attacks. I’m trying to get on KRYSTEXXA TO RID my body of crystals
@@carlo1300 or you can use Stinging Nettle tea daily and save $30k for Krystexxa or summat. I usually eat medium sized meal before consuming colchicine.
I was prescribed Colchicine with Allopurinol to prevent gout attacks. I'm not thrilled about the upset stomach it gives me, but it's either that or excruciating pain in my joints
I have not seen a Rheumatologist yet as I am booked in soon but my flare ups have been going on for sometime now maybe 2 months so I don’t know if it is working or not, my doctor had seen my uric acid level high but maybe I need a higher dose or I have too much built up crystals in my body and it is getting broken down.
I can't provide individual advice online for medico-legal reasons. Please speak to your own health provider if you have questions or concerns about your health.
I dont know who needs to hear this, but i have a lot of experience with gout management. I havent had an attack in over a year using Allopurinol as well as lifestyle changes. Im 6’ 230lbs. I would describe myself as chubby athletic. I train in martial arts and can average 10 minute mile jogs for four miles at a time. I drink heavily once a week and my diet is pretty poor. I have found that skipping a meal a day reduces inflammation of the body very well. Try to consume 1200-2000 calories a day while measuring those effects on your weight. My first week i lost 10 lbs by just limiting myself to a 2,000 calorie daily intake. I needed to move to 1200 calories a day after that to continue losing fat. This will greatly help reduce inflammation and help prevent gout attacks when paired with Allopurinol.
You didn’t mention it is a leading cause of dress syndrome, usually caused by starting with too heavy a dose before tapering up, that syndrone has a 10% fatality rated & is otherwise living hell.
I have been on Allopurinol for over a year with perfect results. Another alternative is reducing inflammation in the body. How? Consume less calories. Its that simple. Skip a meal a day. How many calories are you consuming per day? If its over 2,000, reduce to 2,000 or 1500. This will reduce inflammation and even make you lose some body fat
I have read many books, I listened to many UA-cam videos by many of the worlds leading gurus and health experts but nothing came close to the hidden herbs by anette ray. I recommend everyone giving it a read.
For everyone reading this, finding the banned book called the hidden herbs by anette ray should be your top priority
I was on a number of medications for various aches and pains including Osteoarthritis and severe gout. Taking daily Allopurinol literally changed my life, it's now the only medication I need to take, no more nightmare getting moving in the morning, no general aches and pains or inflammation, and more importantly, a normal diet and no crippling flareups...
I know that pain🙏😬
How long do you take it for?
So far so good for me. I can eat what I want with no gout flareups. That is great. I will try to eat a more healthy diet.
Allopurinol has done the trick. Modern medicine is wonderful.
Thank you for taking your time to do this for us. What I am looking for is an explanation of what the medicine is actually going to do to my body physically, after 5 days of taking it I have had a big flare up in an effected area, this lasted a day and seems to be settling down today...
Hi and thanks for the video. I would like to ask about the thyroid / allopurinol issue you mentioned. Could you elaborate on that a bit more please?
Thank you for sharing your knowledge.
This video was very informative.
Glad it was helpful!
Thank you Dr so much I find this video so helpful. I have a question (much more a concern) my dad is taking a 100mg alupirinol for 1 year and half (getting blood test and ALT,AST,ALT test)and and I am so worried about the side effects of this medicine on his liver in long time... Is it dangerous for liver or can this medicine cause any harms on liver? Does he need to do any other test or monitoring?
I did enjoy it and found it very useful, will be subscribing as you have an easy to listen to voice, concise whilst still informative:)
Wow, thank you for such a nice comment!
And, doctors/NPs/PAs- KNOW that allopurinol dosing in CKD is important. I recently found out that I'd been given an 8x overdose for 3 YEARS while having CKD-3B, which I had at the time of gout diagnosis. It was caught by a very astute new NP at my GPs office. I won't take any allopurinol now, because my kidneys are more important than dealing with a couple of days of pain when the flares hit. Yeah, those days suck- but dialysis would be worse. LOOK UP all meds you are prescribed, as well as the chronic disorders you have, to see if any medication is safe for you. Doctors tend to do "cookbook" medicine- where everybody gets the same thing. Having a bunch of specialists just means I'm a collection of separate parts, and not a whole human being.
You said Allopurinol should not be taken during a Gout flare up. My problem is that first time I started to take allopurinol, my gout flared up. Should I stop immediately or should I continue to take the second dose? I don’t know if it was due to the fact that I was like 12 hours late when taking my second dose or the dosage my doctor prescribed me was inappropriate? It seems a very tricky process to start and stop allopurinol. Can you provide more instructions regarding that?
you should keep take the allopurinol
I've got an underactive thyroid and been on it for a year. The doctors just upped it as well.
Do you take it for thyroid issues as well?
No just thyroid Meds
Thanks doc for your explanation about allopurinol ☺️♥️
My pleasure
Hi Doctor
Can you tell us about this medication?
INDOCID indometacin 25 mg
Thank you 🙏🏻
Amazing content and very well explained. Subscribed
Thank you so much
Hi doctor
Do I have take allopurinol for the rest of my life?
Yes even if u are gone
Hello sir, if I need to take 200mg allopurinol, can I take two tabs altogether as "one dose" at night instead of two dose (100mg morning and evening)?
Dr. O'Donovan thank you for the information
You are very welcome
Teu ngarti beggu, aing , kegunaan alupurinol naon??
Thank you very much for explaining I do understand you clearly Doctor ❤
Great !
Cannot take this because it makes me sick so I take prednisone. Also take febuxostat Daily to stop the flag ups but does not work all the time. I try and watch what I eat but still get gout so I just about to give up. Drink plenty of water . Very frustrating!
Doc, why is it not suitable for Chinese, Thai or Korean and Persons with Thyroid Problem?
Tsungclk kekakin klungkekokok
Allopurinol is not suitable for certain individuals of Chinese, Thai, or Korean descent because of the increased risk of developing severe allergic reactions linked to the HLA-B*5801 genetic marker. Genetic testing is recommended before initiating allopurinol in these populations to prevent potentially life-threatening side effects.
what to do if there is inflammation of joints after chickengunya and steroids are not working ?
I am allergic to Allerpuro. 😢 so now do I do
should i take allopurinol during the gout attack?
another video said to take colcochine during an attack then take allopurinol once the attack is over.
Starting allopurinol during an acute gout attack is not recommended because it can worsen or prolong the flare-up due to changes in uric acid levels. The focus during an attack should be on managing pain and inflammation, with allopurinol introduced or resumed afterward for long-term management.
Can i take ibuprofen while taking this??
Let me know is there any injection for gout?
You can get a cortisone shot.
I’ve had my first gout attack ever, has not gone away (lingering in big toe) does not hurt to walk anymore but when flexing big toe still feels like it’a inflamed. I have not taken allopurinol because my rheumatologist said not to take it during an attack, does this still count as an attack when it’s lingering? My podiatrist said to take allopurinol asap and I gave her my concerns that the rheumatologist said and she said to try it for a week
I don’t know what to do
Also should I stop drinking until this lingering goes away or for 6 months or what - it’s been 5 weeks no alcohol and I’m 26 so I’m definitely questioning if I can just have a beer or not.
It is recommended to not start Allopurinol during an attack. Instead, you should be taking a steroid pack. It kills the attack. You need to reduce inflammation in your body. You are consuming shit food and need to reduce your caloric intake to combat this. I have a lot of experience in gout management. Start by reducing your daily caloric intake to 2,000 calories per day. You should lose body fat. Measure your weight while you do this. Once you stop losing, reduce your daily caloric intake by another 500 calories. You should notice you start to losing body fat again. This reduces inflammation which is what causes your attacks. Go to the frozen food section in your grocery store if you’re use to eating only fast food. Look for the blue bags by Voila! They are stove top meals of veggies, noodles, and meat. You get a lot of food with these and not overblowing your calories.
@@georgekillian2852i admit im a drinker too. I have found that beer triggers attacks more than spirits or wine with me personally. Read my recommendation above and cut out beer. Maybe try vodka and cranberry juice. Cranberry juice is a natural anti inflammatory! Try your red wines and neat whiskeys.
PS: I found that any Corona beer use to highly raise my chances of an attack.
My biggest problem is in the past I have taken it it’s actually CAUSED gout attacks
I'm on it and thyroxine for a underactive thyroid. My doctor said nothing about this.
Hope the video was helpful
Useful information
Thank you Jenny
My mother has a normal uric acid . However. She has tophi in her ankle and fingers. What would be that reason for her normal uric blood result
Thank you so much for watching the video and taking time to leave a comment. Unfortunately (and I know this will be frustrating for you), I am unable to give individual medical advice out on this channel. This is because of medico-legal reasons, not knowing your full case, circumstances, and it would be unethical of me to do so otherwise. I have included the general resources I used to make this video in the description box but I have to advise that you speak to your own health provider (e.g. doctor, nurse) so that they can properly assess your case. This is the safest and most ethical advice I can give since this is just intended as a general educational resource. Thanks for understanding.
Thank you Doctor 🙏🏻
Most welcome!
Should a doctor run some tests for kidney/liver function before prescribing Allopurinol? The nurse practitioner of rheumatology I met this morning prescribed Allopurinol based on the fact that I had numerous gout flare-ups recently and uric acid level of 10 back in 2019. I expected some tests to be run before treatment proceeded because I haven't had a physical in about three years...surprised it wasn't. Is this common practice?
I am sorry but for medico-legal and ethical reasons I can't give individual clinical advice on this channel. This is designed as a general education channel. Please consult your doctor or health provider for individual questions and concerns. I hope you found the video informative nontheless. Best wishes.
@Craig Jones I'm obviously expecting too much from doctors, or a nurse practitioner in this case. I'm just taken aback she wanted to put me on two different medications for life without running some tests. After my encounter with her I cleaned up my diet, lost about 15 pounds and doing well so far.
Kleen slate, I’ve had the same experience. No one tells your from young we’ve gotta figure this shit out on our own
@@beatsmosaic A doctor/nurse practitioner who actually gives a damn about their patient is not as common as one would expect. We have to be proactive when dealing with them you never know which one you're going to get.
Thank you dc
Is Allopurinol good for aczma skins condition
No
So Allupurinol lowered my Uric acid from 9.5 to 4.8 and now I’ve had ankle gout for a month straight. Is this my body getting rid of the dissolved gout crystals. How do I speed this process up.
How long is this reduction from 9.5 to 4.8? And HOW did you take allopurinol? Gout attack must use Colchicine and Allopurinol 100mg first. Unless you develop swelling, don't add NSAID.
It didn’t take long, maybe 3-4 months. But I was taking 900mgs of Allupurinol a day.
Colchicin upset my stomach so I stopped. Methylyprednilosone also stopped working for gout attacks. I’m trying to get on KRYSTEXXA TO RID my body of crystals
@@carlo1300 or you can use Stinging Nettle tea daily and save $30k for Krystexxa or summat. I usually eat medium sized meal before consuming colchicine.
@@carlo1300 3 to 4 months is usually alright. I don't know whats ur uric acid level, but I hope 900mg was from a diagnosed measurement.
This user morning or night ..?
Afternoon
Thank you
can Allopurinol cause Memory loss
Yes u will forget ur name
How do you deal with a gout attack while you are taking allopurinol
I was prescribed Colchicine with Allopurinol to prevent gout attacks. I'm not thrilled about the upset stomach it gives me, but it's either that or excruciating pain in my joints
Does it soften large tophus on the toes?
I have not seen a Rheumatologist yet as I am booked in soon but my flare ups have been going on for sometime now maybe 2 months so I don’t know if it is working or not, my doctor had seen my uric acid level high but maybe I need a higher dose or I have too much built up crystals in my body and it is getting broken down.
I can't provide individual advice online for medico-legal reasons. Please speak to your own health provider if you have questions or concerns about your health.
Have had a gout flare up for 6 weeks now...am in pain
I’m sorry to hear this
Brother! Get a steroid pack! Do you not have medical insurance?
I am on 200mg, I take on in the morning and 1 at night...
I dont know who needs to hear this, but i have a lot of experience with gout management. I havent had an attack in over a year using Allopurinol as well as lifestyle changes. Im 6’ 230lbs. I would describe myself as chubby athletic. I train in martial arts and can average 10 minute mile jogs for four miles at a time. I drink heavily once a week and my diet is pretty poor. I have found that skipping a meal a day reduces inflammation of the body very well. Try to consume 1200-2000 calories a day while measuring those effects on your weight. My first week i lost 10 lbs by just limiting myself to a 2,000 calorie daily intake. I needed to move to 1200 calories a day after that to continue losing fat. This will greatly help reduce inflammation and help prevent gout attacks when paired with Allopurinol.
Do I have to have Dr script
Here in the U.K. , yes
You didn’t mention it is a leading cause of dress syndrome, usually caused by starting with too heavy a dose before tapering up, that syndrone has a 10% fatality rated & is otherwise living hell.
The side effects sound horrendous, totally off-putting. Is there really nothing more gentle than this to lower uric acid in the blood?
I have been on Allopurinol for over a year with perfect results. Another alternative is reducing inflammation in the body. How? Consume less calories. Its that simple. Skip a meal a day. How many calories are you consuming per day? If its over 2,000, reduce to 2,000 or 1500. This will reduce inflammation and even make you lose some body fat
I'm on 100mg shall I take them together or separately?
Treutel Stravenue
❤thank you very much
Thanks !
Duncan Grove
Thanks!
No problem!
Taking now for to weeks not helping
Anyone else experienced that when you take allopurinol , it makes gout worse.. and more pain.
No. Did you start Allopurinol during a gout attack?
@@B-Killin no before attack
Gislason Turnpike
Jaclyn Crossroad
I have read many books, I listened to many UA-cam videos by many of the worlds leading gurus and health experts but nothing came close to the hidden herbs by anette ray. I recommend everyone giving it a read.
Bode Alley
Eula Terrace
My uric acid level spike up once a year , hope my kidneys are good
Where are you from bro, I am facing same problem. I can help you regarding this.