How long can a gout attack last?

Gout Support Home Page Forums Please Help My Gout! How long can a gout attack last?

This topic contains 5 replies, has 4 voices, and was last updated by Avatar of Wustenfuchs Wustenfuchs 3 years ago.

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  • #3596
    Avatar of Mr. California
    Mr. California
    Participant

    I'm on day 14 of a nasty gout flare up, my longest ever.  How long can these flare ups last?

    Since the attack, I'm taking Naproxin 500 mg x2 daily, eating lots of cherries, drinking a gallon of water a day, almost vegitarian, started the Apple Cider Vinegar.  Not sure what else to do, any ideas?  

    Background; age 47, fairly athletic, thin build, good diet, gout since 1988, gout under control until 2010. Taking Probenecid 500 mg x2 daily for UA control.  Naproxin 500 mg x2 daily for gout attacks, starting in 2011 this is no longer working.

    #11690
    Avatar of hansinnm
    hansinnm
    Participant

    Mr. California said:

    I'm on day 14 of a nasty gout flare up, my longest ever.  How long can these flare ups last?


    No one knows, especially if neither you, your doctor  and we know what you uric acid level is.

    #11693

    If you are “Taking Probenecid 500 mg x2 daily for UA control,” the answer to “How long can a gout attack last?” depends entirely on the results of your monthly uric acid blood tests. If you are not having those tests, you are not controlling uric acid, you are just popping pills randomly in the hope that something good happens.

     

    If you are lucky, uric acid falls to a safe level. If you are unlucky, the dose has no effect. If your really, really unlucky, your level fluctuates around the 6 to 7 mg/dL range. At 6, uric acid crystals start to dissolve, as your immune system spots them. It takes 2 to 4 days to deal with them. In the meantime, your uric acid level rises back up to 7, and new crystals form. Your immune system spots them, and spends 2 to 4 days engulfing them. It's like with flu, or other bacterial or viral infections, but with uric acid crystals they cannot be killed, so the immune system hides them (for a while).

    How long does this repeat?

    Until you get your uric acid level under control. Down to 3 to 4 mg/dL until you go 6 months without a flare, then maintain it around the 6mg/dL for the rest of your life. Once you have got rid of all the old crystals, you might have periods where you can stop the meds for a few months, but you can never stop uric acid blood tests.

    Annual blood tests for uric acid are a must. Whenever you have a dosage change, this goes to 4 week intervals, ut you can relax this as you acheive stability.

    #11697
    Avatar of hansinnm
    hansinnm
    Participant

    Keith, you forgot to warn him of possible kidney stones caused by Probenecid and that a doctor needs to monitor his kidney and liver functions when on this med.

    #11698
    Avatar of Wustenfuchs
    Wustenfuchs
    Participant

    I’ve had many many attacks lasting 4 to 6 weeks over a period of about 12 or 13 years. Cost me my job and hence my health insurance.

    My last big attack lasted just over a year. The whole time I was crippled with severe flare ups in both feet, ankles, knees, right elbow, left wrist, and right hip (boy that was bad-never had it in my hip before). I couldn’t even use crutches for most of this time. Not much I could do without insurance. I actually thought I would die from this attack so I went to the county hospital and found out I qualified for MediCal. This was about two years ago. I got started on Allopurinol and haven’t had a major flare up since.

    Gosh I hate gout!

    #5305

    hansinnm said:

    Keith, you forgot to warn him of possible kidney stones caused by Probenecid and that a doctor needs to monitor his kidney and liver functions when on this med.


    Mr California, I need to warn you about the kidney stones as a possible probenecid side effect.

    Also, it is wise to ask your doctor about kidney and liver function tests whilst taking probenecid.

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