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I'm still on 100mg Allopurinol, and my doctor prescribed 0.6mg Colchicine twice/day at the onset of each attack, only. I've not checked back with my doctor after this second attack, which has peaked and left. Am I assuming that I should stop Colchicine now, after taking it 2 weeks? I could call my doctor to ask, but I'm beginning to feel like a whiner calling him with various questions. (not that the doctor has made me feel that way). Besides thinking Colchicine has served it's purpose, I want to save some stash for any other surprising attack which may occur. Am I on target with this?
Though there's been some argument here on Colchicine use as a preventitive measure- I can't see the point of taking it low dose once an attack is over and you're on AlloP successfully.
It would not seem unreasonable to ask to stop Colch. now. It's not a 'lightweight' med imo.- to take if you don't absolutely need to.
Docs are paid damn well, usually – so don't feel shy about checking this out.
Goutgal,
I think there is no medicine heavy or light for everyone….it depends on what works for YOU the BEST. Same is with food. I feel no value in going over board with diet control unless one has to do Absolutely like Sugar for Diabetics ..
Even within the food, many people have reported a food is good for them while others have got gout from it. So, if the food can cause it, why we cry on the medicines.
I found low dose Colchicine one of the best thing I did to my foot swelling and pain. When I was stopping it after 1-2 weeks, I used to get the swelling back. Then I continued it for 4 months plus and then the stoppage did not cause any issue.
For me, Iboprofen prescription dose caused me more damage than the Colchicine( I have none to report with Colchicine).
So, take your own decision after talking to the doc. Do not go into diet or medication or this and that…continue on what has worked for you and is still working for you…and get tested for kidney and liver from time to time…last thing you want is stopping it half way and get the pain back….there is no experimenting on the severe pain I guess.
Goutgal said:
Post edited 2:53 pm – April 25, 2010 by Goutgal
I'm still on 100mg Allopurinol, and my doctor prescribed 0.6mg Colchicine twice/day at the onset of each attack, only. I've not checked back with my doctor after this second attack, which has peaked and left. Am I assuming that I should stop Colchicine now, after taking it 2 weeks? I could call my doctor to ask, but I'm beginning to feel like a whiner calling him with various questions. (not that the doctor has made me feel that way). Besides thinking Colchicine has served it's purpose, I want to save some stash for any other surprising attack which may occur. Am I on target with this?
I think you are pretty muuch on target.
Colchicine is pretty much just for pain relief.
(And ALWAYS have a “stash.”)
Thanks to All!
Everything's stable here, no issues, twinges, pain, swelling or other. So far, so good. Stash of Colchicine is securely “socked away” for any future “event”. Very diet conscious though, probably to the point of being obsessed. Can't help myself. First attack 2/18/10, Second attack 4/17/10 and another obsession I have, documenting each attack, meds, plus twinges and what I ate. I feel like this is a game of Hunt and Peck, and not a fun one. The bright side – I have all of you to share this with, and your input has been invaluable to me.
In reference to acute attacks that occur after beginning AlloP Tx, the British National Formulary (UK meds bible) states:
“colchicine or an anti- inflammatory analgesic should be used as a prophylactic & continued for at least 1 month after the hyperuricaemia has been corrected (usually about 3 months of prophylaxis). However if an acute attack develops during Tx, then Tx should continue at the same dosage & the acute attack treated in its own right.”
Maybe you should give it another coupla weeks GG. Nothing more annoying than tripping over the last (invisible) hurdle.
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