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13 Oct 2009

Gout treatment
I' m a 33 year old male suffering from gout for the last 7 years. I started using Puricos(2 weeks) but my joints in my hands are slighly swollen and painful in the morning. I use 1 Puricos 300 per day and also use Dicoflam to help with the pain. Is the pain in my hand due to the Puricos I started to use? What to you suggest I do to control my gout attacks? Please also advise the best time to take tablet and dosage recommended.
Answer 13,879 views
Expert
CyberDoc
cyberdoc

01 Jan 0001

Hallo Francois
Gout is actually more complicated to treat than most people think. There are various things you have to do: reduce inflammation ( with something like Dicloflam/Voltaren/Brufen), reduce the uric acid levels in the blood long term (with something like Puricos) and lowering the lactic acidity of the joint with something like Colchisine. Sometimes, when you start taking Puricos, it actually triggers an acute attack and then gradually gets better.
Puricos is best taken with enough fluids once or in divided dosages and you have to drink at least 2 litres of water a day. It does not help for the pain of gout but prevents gout attacks in future.
For acute gout the initial dose of Colchisine is 0,5 to 1 mg (1 to 2 tablets) by mouth, followed by 0,5 mg (1 tablet) every 2 hours until relief is obtained or gastro-intestinal symptoms ( diarrhoea) occur - maximum dosage is 10 mg in 3 days. You can also use 0.5 mg daily to prevent attacks. Colchisine helps for the acute
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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