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Suggest Treatment For Gout And High Uric Acid Levels

Posted on Wed, 8 Mar 2017

Question: Hello,
My name is XXXX I am 30 yrs old.I have a concern about my uric acid level. My uric acid level is 639umol/l. I had very severe gout attack on August 2016 then I was advised to take naproxen and Allopurinol. I took Allopurinol for 2 months then went to XXXXXXX and consulted another doctor and he prescribed me Febutaz 40. I took it for another 3 months then I stopped it and I checked the uric acid agian ladt week and the count is 639umol/l. Could you please tell why the uric acid level is not reducing. And which tablet should I take and how long. Please give me a reply.
Thank you.

Answered by Dr. Dr. Muhammad Sareer Khalil (30 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Allopurinol or febuxostat should be used. The dosing needs to be increased in moderate to severe hyperuricemia.

Allopurinol up to 600 mg and febuxostat up to 80 mg can be given as per the severity. Be careful not to use these drugs during an acute flare of gouty arthritis as it can worsen the flare.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar