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Medical Forum / Diseases and Disorders / Arthritis / March 2006

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Allopurinol question

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gmiller@pumppros.com - 19 Mar 2006 14:43 GMT
The doctor has recently prescribed 400mg of Allopurinol for me to bring
my uric acid levels down to an acceptable level. I noticed on the
pharmacy print out papers which came with the prescription that it says
to "avoid alcohol when taking this medication". While I don't drink
much, I do occasionally in social settings. Does the alcohol produce
some kind of adverse reaction in the presence of allopurinol?
Thanks,
Jim
DianeW - 19 Mar 2006 17:53 GMT
My husband has been taking allopurinol for 10 years and has been
unaware of the alcohol warning. He definately enjoys his beer. Blood
tests "perfect" according to dr. Definately going to look into this.
DianeW
Jo Firey - 19 Mar 2006 20:46 GMT
> My husband has been taking allopurinol for 10 years and has been
> unaware of the alcohol warning. He definately enjoys his beer. Blood
> tests "perfect" according to dr. Definately going to look into this.
> DianeW

Let us know.  I'm getting great results with this stuff.  Which is making
the orthopedic doc that started me on it rather smug.  Cause the RD and my
primary didn't seem to think my uric levels were too high.

Ortho says elevated uric levels even while still in the "acceptable" range
can cause a lot of joint problems.

Its been a blessing because while NSAIDS would likely also solve the
problem, I can't take them any more.  The swelling they cause creates more
pain than they relieve.

Jo
DianeW - 19 Mar 2006 23:29 GMT
My husband is taking it for kidney stones but now that you mention it,
his joint stiffness could be related, no? Hmmm...I thought it was just
age related but now that you mention it I might ask my rheumy about it
next visit. He did have a frank gout attack in his foot once when he
stopped the med but since then he doesn't ever miss it and is
relatively careful with his diet especiallt on golf outings. DianeW
Jo Firey - 20 Mar 2006 03:33 GMT
> My husband is taking it for kidney stones but now that you mention it,
> his joint stiffness could be related, no? Hmmm...I thought it was just
> age related but now that you mention it I might ask my rheumy about it
> next visit. He did have a frank gout attack in his foot once when he
> stopped the med but since then he doesn't ever miss it and is
> relatively careful with his diet especiallt on golf outings. DianeW

It can help with kidney stones?  Way cool.  Had enough of those already too.

Jo
DianeW - 20 Mar 2006 09:51 GMT
It depends on what kind of kidney stones you have. They sent Wayne's to
a lab and it was made of uric acid. The other kind is made of calcium.
So it depends. He had three attacks in 13 months so the third time he
caught the stone which was the size of a lemon seed and they checked it
out. That way they can treat it. His uric acid was mildly high for a
few years prior and he had been warned about gout but never had any
symptoms. DianeW
glog@sympatico.ca - 21 Mar 2006 23:31 GMT
> Let us know.  I'm getting great results with this stuff.  Which is making
> the orthopedic doc that started me on it rather smug.  Cause the RD and my
[quoted text clipped - 8 lines]
>
> Jo
If you are female, keep in mind that most MD's treat women like they
would men re uric acid levels.
Women typically can get joint deposits (although usually in knee, hip,
and elbow) of uric acid crystals at a much lower level than men, who
usually get them in the big toe.

Your ortho understands the difference between male/female patients in
this regard.  He's a keeper!
Regards
Lee
Joe - 25 Mar 2006 00:13 GMT
I have had gout attacks for over 10 years and was only taking
colchicine 0.6 mg only during attacks but this has a very unpleasent
side effect - loose stool...very loose, much too loose, but the pills
do kill the attack usually within 24 hours. I have started taking
allopurinol every morning for about the last 1.5 years.  While I do
drink almost every day, I do not usually have anything until dinner
time. I was not aware of any warnings and have not had any side effects
that I know of. Blood tests have been normal. I cannot say if the
allopurinol has reduced attacks, how could you really know, but as you
know, the attacks are so painful that I do not want to stop taking it
to see if I start getting more attacks. The pain is too much to gamble
on testing... will keep taking, what could it hurt?
Harvey R. Stone - 25 Mar 2006 04:43 GMT
>I have had gout attacks for over 10 years and was only taking
> colchicine 0.6 mg only during attacks but this has a very unpleasent
[quoted text clipped - 8 lines]
> to see if I start getting more attacks. The pain is too much to gamble
> on testing... will keep taking, what could it hurt?

Hhhhm, good question,,,  what could it hurt if you drank no alcohol for
awhile to see if that improves your attack or even puts it off????
Harv
 
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