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Wow, what is interesting to me is that HIGH IRON can be a cause of GOUT or?Iron is?a contributor?( i think anyways)
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Do you know what your Uric Acid level is ?? Perhaps you do not need Allopurinol?
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However, I think you are correct, i've read you should avoid that drug.
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Perhaps you are a ideal candidate? for Uloric, of course the key is what is your UA Level ?
Also, isn't allopurinol metabolized in the kidneys…so in theory at least, we should have little effect on the liver?
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I would say for sure it might have been the “benders”
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Interesting article…thank you so much. Here is what I find really interesting…so I meet 0 of the criteria, yet my doc insists on Uloric
Accordingly, febuxostat should be considered mainly for patients intolerant to allopurinol, for those whose gout is not controlled with other urate-lowering treatments, and for those with renal insuffi ciency (but whose creatinine clearance is higher than 30 mL/min). Febuxostat should be tried before an attempt at allopurinol desensitisation, a cumbersome and often unsuccessful strategy for overcoming milder allopurinol reactions. Finally, febuxostat should be used before uricosuric drugs in patients with nephrolithiasis
Quick follow up…does anyone have the “whole” article in the Lancet ?
I'd love to read it, but not sure I want to spend the money to suscribe for a one time article?
BazC –
To give you comfort, I am an extremely health, in shape, and young (42) year old that has similar levels uric acid.
I tried everything in my WORLD to lower via diet, and NO CHANGE in a year.
Unfortunately for many of us, drugs are the only choice. I think your Dr. is being a bit mellow-dramatic, but you understand that now.
Are you being prescripted anything else, like colchacine to control the flares you may get while working to reduce your UA? If not, you may want to check with your doc on the thoughts…
I been on meds for a few months, on 2 Colch a day to assist with flares and so far 0 flares…AND my diet has been almost normal, meaning I will even drink a beer or 3 at times…with no noticable effects. Granted, they are light beers, but still.
Best of luck!
Even though I am newbie to gout, I think your doctor is nuts.
No way can and/or will diet along solve all our problems.
Key is knowing your UA levels? If it was high enough to go on AP at some point, normally we are on for life. (or some other drug)
I can't answer the food issue, and many will say that food REALLY does not have a MAJOR impact. Most likely the coming of AP was the trigger..and it was just a matter of time. But that is my opinion, stay tuned for others.
Ok, not to change this thread completely…
But does anyone have any idea how Kirin can be purine free?
Look at the ingredients ? Same as every other beer?
What makes Kirin Ichiban great
Prominent wort. Finest barley malt, premium hops, smooth finish, no bitter aftertaste.Ok, so I get that alcohol is bad…but if so you would think a light beer would be and is way less alcohol than wine..so it really can't be the alcohol.
Then I am confused on brewers yeast…this site seems to say over and over that based on the PRAL concept, it is NOT really purines you need to worry about, but having a balanced diet, with acids and alkalines….and Bud Light has a slightly alkaline effect….so if I balance 3-4 light beers with something slightly acidic wouldn't I be ok.
Maybe I am still confused thought, and Purines rich foods indeed are deadly to us no matter what ? However before I came to this site i was convinced i needed to stop eating asparagus, and I have….but based on the charts….I should eat all the asparagus I can handle as long as it is balanced based on the PRAL concept?
I know it is a bit late in many places…but I found this forum recently and today finally got the nerve to start asking questions.
I have searched everywhere on this forum for a explanation as to why beer is so bad…if it is balanced against a good diet and you stay hydrated (lots of water).
Can someone point me to an explanation…sorry I've always wanted to know why since I was a kid.
Hey, don't feel bad. I am 42, weigh a bit less (175lb) work out, etc…You and I could be twins….bla bla and was just diagnosed as well.
I never eat red meat (well, maybe once a month)…never eat game meat, etc.
After all my research, I am wondering much like yourself. Only difference is my BP is normally 125/75
So I bet the HCTZ is not a contributor to gout…can't wait to see the replies.
