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Hello, my first time here and it is my husband who has the gout, not me. He had his first attack about 2 years ago, sorted out with colchicinne, then another attack about 9 months later, again took colchicinne, but then needed prednisolone which again took it away.
Then on holiday this year, he got an attack, took colchicinne, it worked slightly, but by the time we got home it was back with a vengeance. Went back to the doc, more colchicine, no good. Back to the doc, now prednisolone. Took it away apart from a slightly painful joint which was cool to the touch. Now it's back again. To my knowledge this attack has been constant, although on and off since June 3rd.
He won't be able to have allopurinol as he is on Warfarin. He is 71 – we eat a good diet, not a lot of red meat, some alcohol, but he hasn't had much of that for weeks.
at our wits end. Is there another drug that you can take with warfarin?
Ha, have just discovered Uloric (febuxostat) that you can take with warfarin. Anybody taken this or know about it?
I know there have been some post on here saying it works for people who can't take Allop. You can probably find them if you do a little digging. I'm sure someone will come along soon and fill you in on it. Good luck. LIMPY
lioness,
It isn't that allopurinol is not useable with warfarin, just that allopurinol INCREASES the anti-clotting effect of warfarin requiring an adjustment downwards of warfaring dosage with allopurinol use. Perhaps this isn't a BAD thing but a doctor has to stay on top of your hysbands clotting (as he should do with JUST warfarin.)
Febuxostat is a good substitute for allopurinol and it seem to have no interaction with warfarin…but be triply sure of this. Downside is that it costs a fortune and is new but the cost depends on who is picking up the bill…like a lot of things in likfe, eh?
What is your husband taking the warfarin for? Bloood clots in leg, heart arrhythmia? Is it likely he will need it for a long time?
Hi, thanks for the answer. My husband is on warfarin for Atrial fibrillation. Actually I gave him a half teaspoonful of bicarbonate of soda this morning and the colour of his foot has returned to normal and it is less painful.
He is seeing the doc tomorrow afternoon. This current on and off attack has been going on since beginning of June.
Re the Uloric – we are in the UK and he is 71, therefore his meds are free – we are very lucky.
Jean
Well I'm a bit gobsmacked to tell the truth. Husband saw the doc today who said his serum urate level was not untowardly high and has put him back on prednisolone. He asked about febuxostat but was told that he is not bad enough for that yet. Usually allopurinol or febuxostat is given after many many attacks.
don't know what to think
If he's having an attack his acid level can be close to normal, Mine were. I think I would be seeing another doctor. I'll say this again if this doctor had the pain your husband is going thu he'd already be on meds! I wish your husband luck. LIMPY
lioness said:
Well I'm a bit gobsmacked to tell the truth. Husband saw the doc today who said his serum urate level was not untowardly high and has put him back on prednisolone. He asked about febuxostat but was told that he is not bad enough for that yet. Usually allopurinol or febuxostat is given after many many attacks.
don't know what to think
Never ever, and by that, I mean not once, let any medic (or anyone else for that matter) tell you that uric acid is high / low / normal or any other label. It is a sure and certain sign that they do not know what they are talking about. It is the equivalent of the supermarket checkout saying that the price of your shopping is not untowardly high! I.e. it is totally ridiculous.
Uric acid levels have a number. It is absolutely vital that you know this number.
As limpy says, uric acid levels can be “close to normal” during an acute attack. But it is worse than this – the labels themselves are often pointless statistical averages.
Please ask your doctor to look at my article on the dangers of normal uric acid levels. I know we Brits tend to shy away from arguing with our doctors, but this looks like a clear cut case of a need for a second opinion. I'll come and hold your hand if you're anywhere near Yorkshire. I have an 80 year old friend who got similar, shoddy mistreatment. It gets a little personal with me now
.Jean, I've just seen the irony of a meek and mild GoutPal offering aid to a lioness
lioness said:
Usually allopurinol or febuxostat is given after many many attacks.
Start attacking him now!
My offer still stands, but you might as well maul him into submission before I join the fray.
Uhhhh,
http://www.theannals.com/cgi/c…..40/12/2101
CONCLUSIONS: Use of oral corticosteroids in patients on long-term warfarin therapy may result in a clinically significant interaction, which requires close INR monitoring and possible warfarin dose reduction.
This reaction with warfarin is no different from what would expect with warfarin-allopurinol
“Not bad enough for febuxostat????” The only reason it could be deemed “not bad enough” is if this “doctor” will stick his neck out and say that your husband does not have gout. If that is the case, then what is he prescribing long term prednisone for?
Get a new doctor, this one is an asshole.
P.S. Is there any way to cure this “microtype” when it pops up?
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