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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering from gout. Was taking naproxen, diclofenac sodium. Correct dosage?

Hi there, I have a sore case of gout . Its the first time for a couple of years. I have found my previous medication in cupboard.It is Naproxen and Diclofenac Sodium . If I remember correctly it was 1 x 250mg of Naproxen and 3 x 50mg of Diclofenac Sodium per day. Could you please confirm. I m afraid I ve lost the boxes for them. Thank You
Wed, 9 Jan 2013
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General & Family Physician 's  Response
Hi dear,
we must not ignore gout on pain killers alone.They can be taken need based to a dosage you mentioned correctly.
You start a proper drug like allopurinol , probenecid , etc. after consulting a physician.
Also monitor your Uric acid levels every 3 weeks.dont let them exceed 6mg/dl.
Reduce protein intake and if possible , shift to piroxicam which is better suited in your condition.
Contact me anytime.
hope you get well soon.
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General & Family Physician Dr. Mamun Kabir's  Response
thank you.
you should start with a one drug among them.
you can start with naproxen 250 mg daily,then increase the dose gradually upto 500 mg 8 hourly if needed.
if not responding then replace the drug with diclofenac sodium. at first with low dose,then increase the dose gradually according to need.
usually 2 NSAID is not prescribed at a time.
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