[Utubelite]

Yup. I think, the question for us is  -Is reading 0f 5 or 4.5 anyway better than 5.5? 200 mg dosage has got it down to 5.5 in 2 weeks and may bring it down further. If  300 mg is taken, it may bring the numbers below 5 or may be 4? The main issue is -will it trigger an unwanted attack?

I am even more confused as my Gout was triggered by the big toe injury(fracture), and I am also getting treated for it by way of physio-therapy. I still have pain feelings in the right toe and stretch is not full, which doctor says is due to the injury that has narrowed the gap. They pull my thumb out and stretch it till it pains and swells, then take the swelling away by icing. It has helped to improve the movement but that may also be due to the fact that uric acid numbers are getting down. The right toe still seems weak when I put body wait on it.

I do not know what is wokring and what not. So, not sure what to do?

[Utubelite]

I got Uric acid tested again yesterday….and it came down to 5.5..

Here is summary of tests so far –

1. July 23, before medication – 9.2, medication started on July 30, tested on fasting of 14 hrs

2. Aug 5 ( 150 mg of Allopurinol, I will call it AP) – 7.0, no fasting, tested around 3 pm

3. Aug 21( 150 mg of AP continued) – 6.6, no fasting, tested around 5 pm

4. Sept 1( 200 mg started a week before – Aug 25) – 6.3, no fasting, tested around 3 pm

5. Sept 8(200 mg continued for 2 weeks) – 5.5, no fasting, tested around 2 pm

Now I am confused. Should I further increase my dose to 250 or 300 as I was planning to do? I took 200 mg in the morning and 50 mg in the night yesterday. Today, I have taken 200 mg in the morning and was planning to take 100 mg in the night. So, the question is stay with 200 or go to 250 /300? And should it be split or single dose? If I take 200 am and 50 pm, will that be OK?

Any suggestions?

Thanks for help!

[Utubelite]

I am currently on 200 mg of Allopurinol. I am going for the serum Uric Acid test today.

Here are my readings-

1. July 23, before medication – 9.2, medication started on July 30, tested on fasting of 14 hrs

2. Aug 5 ( 150 mg of Allopurinol, I will call it AP) – 7.0, no fasting, tested around 3 pm

3. Aug 21( 150 mg of AP continued) – 6.6, no fasting, tested around 5 pm

4. Sept 1( 200 mg started a week before – Aug 25) – 6.3, no fasting, tested around 3 pm

Now the question –

If I have to go to 250 mg or 300 mg, what is the best way to do it to minimize the side effects – take it as one dose of say 300 mg in the morning( I am taking AP with breakfast) or split it into 200 mg morning and 100 mg night( doctor has told me to increase dose to 300 mg if the readings are above 6 but left the option of single dose or split to me). I may go for 250 mg for a week and then increase to 300 mg, yet to decide.

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