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A Review of Common Gout Medications | Cure Gout Now

A Review of Common Gout Medications

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There are many different types of gout medications currently available, each with their own benefits and side effects that should be considered before beginning treatment.

Non steroidal anti-inflammatory drugs (NSAID’s) are often prescribed in order to reduce the swelling and alleviate the pain associated with acute gout attacks.  However, medications are also being developed and are currently in use that are taken to prevent attacks from recurring – as well as to reduce symptoms should attacks occur.

Ensure you talk to your doctor about the various medications, and make sure you have the proper tests to determine the level of uric acid in your body (this may involve a fluid sample from the gouty joint or a simple urine test). Without the appropriate tests it’s hard to make the proper decisions regarding choice of medication and progress is difficult to monitor. Also make sure you understand any possible risks and potential side effects prior to beginning treatment.

Two gout medications that are often prescribed for gout patients are Zyloprim® (allopurinol) and Adenuric® (febuxostat).

Allopurinol is taken orally in tablet form.  This medication has been designed for small initial doses, which are then increased gradually in order to control the uric acid levels in the body.  It functions by preventing xantine oxidase from being released by the body, which prevents uric acid formation. As gout attacks are caused by uric acid crystallization buildup in the joints, preventing the formation of uric acid makes allopurinol an effective method of treating and preventing the condition.

When taking allopurinol, patients will usually see their uric acid levels returning to normal within two to four week’s time, and should witness a reduction in their gout attacks.  When taking allopurinol, it’s important to maintain regular doctor’s visits so that uric acid levels in the body can be carefully monitored.

There are some side effects thought that patients should be made aware of prior to treatment. A common reaction to allopurinol includes skin rashes due to allergies.  Rare side effects includes liver inflammation, failure of blood cell production by the bone marrow, blood vessel inflammation and Allopurinol hypersensitivity syndrome.

Febuxostat is also taken orally but only taken once a day and is designed to stop xanthine oxydase formation. With or without food, the typical dose of febuxostat is 80 milligrams.  Though this is typically enough to bring uric acid levels to normal within two weeks, a higher dose of 120 milligrams may be considered if uric acid levels need to be lowered further. Reduction in gout attacks should occur as early as two weeks, but more often at four weeks into the treatment. Side effects reported for febuxostat include headache, diarrhea, nausea and abnormal liver function tests.

Of course, not everybody is comfortable taking gout medications for an extended period of time if they can be offered a more natural alternative.  If you wish to look into alternative treatments to medications, it is a good idea to speak to your doctor about herbal and naturopathic remedies – just as you would discuss any prescription drug that you would consider taking.  You may be surprised to discover that there are as many non-prescription natural ways to fight arthritis gout, as there are prescriptions to perform the same tasks. Have a browse through the rest of the blog, as there are a number of articles covering natural gout remedies.

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9 Responses

    June 26th, 2008 | 5:26 pm


  2. Sing Lin
    June 26th, 2008 | 6:22 pm

    I have been taking Allopurinal pill and Potasium Citrate pill for about 10 years for my gout problem and my kidney stone problem.

    I am 67 years old now. In recent few years, I have the following changes in my body and I wonder whether these changes are due to the side effects of these two pills:

    1. Getting bitter taste in my mouth,

    2. Cannot eat strawberry anymore. I used to enjoy eating strawberries. But now I get strawberry rash on my skin if I eat strawberries

    3. Cannot eat banana any more. I used to love eating banana. But now if I eat banana, my gum in my mouth is messed up and get infected easily.

    4. Become sensitive to some, but not all, antibiotic medicine. I used to be able to take almost any antibiotic medicine without problem. But in recent few years, there are several antibiotic medicine pills that are not agreeable with my body.

    If you have information or experience related to these problems and issues, I will appreciate it very much if you let me know.

    Sing Lin

  3. John Christ
    June 26th, 2008 | 7:29 pm

    Hi Lisa

    Have you or anyone you know done any research on raising your body PH to get rid of the acid condition in our bodys to get rid of the Gout


  4. Bill Mabie
    June 26th, 2008 | 9:56 pm

    The “symptoms of gout” were prevelent about two months ago, and since the inflammation and swelling has subsided. I am wondering if this was just a passing thing, {but have also cut out alcohol and cigarettes}
    I appreciate the newsletters though, as they are most informative.

  5. Snehal Bhole
    June 27th, 2008 | 4:05 am

    Dear madam
    I didn’t take ur book due to my financial conditions
    but I take Indian ayurvedic medicine ‘Dashmularishta’ with lemon regularly from 2-3 months and i observed that level of uric acid in my body decreased, and i am feeling comfortable now So i want to share this information with u and all.

  6. June 27th, 2008 | 8:35 am

    I am one that learned too late that gout sometimes comes with Diabetes & arthritis. If I had seen articles on TV or in magazines telling about how severe gout attacks were, once you have it, I would have watched my sugar levels, &
    foods that I shouldn’t have eaten, much closer, prior to
    being pronounced with diabetes & arthritis.

    Point here is national news should be warning people about how severe the pain gets with gout & arthritis, BEFORE they near the age of coming down with it. I maybe could have been saved from having both, had I learned yrs.
    ago about it!

  7. Anil kumar
    June 27th, 2008 | 8:39 am

    may I know the right doses u had the lemon and arishta

  8. June 27th, 2008 | 10:09 am

    Raymond -

    That’s a good question…

    Although Allopurinol has been prescribed for about 30 years and is considered a safe drug there are side effects that can occur especially if there are pre-existing kidney problems.

    The “side effects” have even been given a collective name - it is called “allopurinol hypersensitivity syndrome” and it includes symptoms like widespread rash, mouth sores, fever, poor kidney function, liver inflammation, and other complications.

    Febuxostat is metabolized by the liver and not the kidneys, so it can often be tollerated when Allopurinal cannot.

  9. June 27th, 2008 | 10:36 am

    John -

    It’s sugested that if the PH of the body drops it can cause the uric acid crystals to “shed” thier protein coating and so, this will lead to a greeter risk of a gout attacks. The lowering of PH can be caused by eating acid forming foods, some medications and other ways.

    There is quite a bit of “user” experience to suggest this works, but no scientific studies have been carried out that I know of.

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