Comments on: Diet for Gout – Effective Diet for Gout http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout Information To Help End Gout Pain Mon, 27 Sep 2010 10:38:55 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: user http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout/comment-page-1#comment-2739 user Mon, 08 Mar 2010 12:15:59 +0000 http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout#comment-2739 hmm... in my experience here in the US usually the allopurinol (zyloprim) is used daily as a preventative and the indomethicin and colchicine are used during an acute attack. Typically the allopurinol is held during an acute attack. Steroids (prednisone) can also be used for an acute attack, especially if the patient has kidney disease because all of the gout drugs are not good in renal failure.<br><b>References : </b><br> hmm… in my experience here in the US usually the allopurinol (zyloprim) is used daily as a preventative and the indomethicin and colchicine are used during an acute attack. Typically the allopurinol is held during an acute attack. Steroids (prednisone) can also be used for an acute attack, especially if the patient has kidney disease because all of the gout drugs are not good in renal failure.
References :

]]> By: Lovetta http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout/comment-page-1#comment-2738 Lovetta Mon, 08 Mar 2010 12:13:59 +0000 http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout#comment-2738 Hello, I'm a doctor. Use detrol. I think that you want to get more info about it. Please go to ----> http://fdoctors7.notlong.com/5AAMKyQ<br><b>References : </b><br> Hello, I’m a doctor. Use detrol. I think that you want to get more info about it. Please go to —-> http://fdoctors7.notlong.com/5AAMKyQ
References :

]]> By: stephen p http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout/comment-page-1#comment-2737 stephen p Mon, 08 Mar 2010 07:11:08 +0000 http://www.mygoutadventure.com/gout-diet/diet-for-gout-effective-diet-for-gout#comment-2737 <b>Medical internists:Help! I am caught in the middle of two different treatment philosophies for the Gout?</b><br>I am an American, retired and living in Italy. 73 years old. Generally good health. I have, however,since age 30, unless I carefully watch my diet and drink a lot of water, suffered from the occasional acute attack of gout; with accompanying swelling, pain and tenderness in toe, ankle or rarely, knee. These bouts would occur once a year, maybe, every 2 years. Before I left the 'States, my medications for gout were: for prophylactic use: 1 small Colchicine pill daily. (My doctors and I had tried Zyloprim or Allopurinol, but I never had very effective results with either....conversely, Colchicine..again in combo with lots of water was a magical preventative); more often than not I could even eat the forbidden fruits....while my uric acid did go up when I did, I would rarely get an acute attack of gout. On the occasion when I did, my Doctors would have me stop, altogether, using the colchine. For treatment of inflammation, Indocin worked well for me. When the acute attack was finished and my system had returned to normal, only then would I resume the use of the colchicine. Since I have retired to Italy, however, 2 main differences in my gout treatment are present. First: Zyloprim, 150 mgs daily, is now taken in conjunction with Colchicine. Second: In the event of an acute attact, Zyloprim and Colchicine are CONTINUED while I still use Indocin as an anti-inflammatory. Of course my age has changed, but it seems to me that it takes a longer time for the inflammation to subside, using the Italian system of continuing Zyloprim and Colchicine during the acute phase. (I have, in my halting manner, using my technically limited Italian, tried discussing the different treatment philosophies with the Doctors....either the world-wide treatment has changed or my Italian Doctors are of the mind that I am better off doing things their way. I haven't had a chance to discuss this aspect of Italian medicine when I return for visits to the States, but are we dealing with a major difference in treatment philosophy here or is it nothing to get excited about. Appreciate any guidance and advice you might have for me- Thanks in Advance!! Medical internists:Help! I am caught in the middle of two different treatment philosophies for the Gout?
I am an American, retired and living in Italy. 73 years old. Generally good health. I have, however,since age 30, unless I carefully watch my diet and drink a lot of water, suffered from the occasional acute attack of gout; with accompanying swelling, pain and tenderness in toe, ankle or rarely, knee. These bouts would occur once a year, maybe, every 2 years.
Before I left the ‘States, my medications for gout were: for prophylactic use: 1 small Colchicine pill daily. (My doctors and I had tried Zyloprim or Allopurinol, but I never had very effective results with either….conversely, Colchicine..again in combo with lots of water was a magical preventative); more often than not I could even eat the forbidden fruits….while my uric acid did go up when I did, I would rarely get an acute attack of gout. On the occasion when I did, my Doctors would have me stop, altogether, using the colchine. For treatment of inflammation, Indocin worked well for me.
When the acute attack was finished and my system had returned to normal, only then would I resume the use of the colchicine.
Since I have retired to Italy, however, 2 main differences in my gout treatment are present.

First: Zyloprim, 150 mgs daily, is now taken in conjunction with Colchicine.
Second: In the event of an acute attact, Zyloprim and Colchicine are CONTINUED while I still use Indocin as an anti-inflammatory.

Of course my age has changed, but it seems to me that it takes a longer time for the inflammation
to subside, using the Italian system of continuing Zyloprim and Colchicine during the acute phase.

(I have, in my halting manner, using my technically limited Italian, tried discussing the different treatment philosophies with the Doctors….either the world-wide treatment has changed or my Italian Doctors are of the mind that I am better off doing things their way.
I haven’t had a chance to discuss this aspect of Italian medicine when I return for visits to the States,
but are we dealing with a major difference in treatment philosophy here or is it nothing to get excited about.
Appreciate any guidance and advice you might have for me-
Thanks in Advance!!

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