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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Severe Pain In The Large Toe Despite Taking Allopurinol For Gout?

I have gout and have severe pain on the large toe of my right foot. My provider has placed me on 200 mg of allopurinol which I have taken but the pain is so bad I cannot get to sleep. I have tried rubs, soaking etc but nothing seems to help. What do you suggest?
Fri, 9 Mar 2018
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General & Family Physician 's  Response
Hello,

As you have gout and you are taking Allopurinol tablets, continue these medications as advised.

Now in your case, it is an acute attack of gout, so most of times pain is severe during acute attacks. For severe pain, you can take tablet Etoshine.

I will suggest you to take tablet Febutaz after rheumatologist consultation to get early relief and longtime absence of acute attack. Along with that, give rest to foot, use soft shoes.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shyam B. Kale
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How To Treat Severe Pain In The Large Toe Despite Taking Allopurinol For Gout?

Hello, As you have gout and you are taking Allopurinol tablets, continue these medications as advised. Now in your case, it is an acute attack of gout, so most of times pain is severe during acute attacks. For severe pain, you can take tablet Etoshine. I will suggest you to take tablet Febutaz after rheumatologist consultation to get early relief and longtime absence of acute attack. Along with that, give rest to foot, use soft shoes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale