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  • in reply to: Gout attack for 2 months – help! #7717
    algout
    Participant

    Hi All

    Thanks again for replies – thought I'd come back on to update you as I've been on a journey to various doctors!

    I had my serum urate level checked and it came out, to everyone's surprise at 0.30 mmol/L – within healthy range so not gout this time.  The doctors did further blood tests, highlights were eGFR=60 ml/minute, ESR=25, RF negative and serum creatinine=128. 

    I was referred to a rheumatologist and have been diagnosed with psoriatic arthritis – I do suffer with psoriasis but as the pain was so similar to gout I never assumed this was related.

    Have any other gout sufferers here also been diagnosed with psoriatic arthritis??  The treatment – methothrexate – seems severe so I'm looking for alternative treatments etc. 

    Thanks in advance…

    in reply to: Gout attack for 2 months – help! #6579
    algout
    Participant

    Thanks for the advice zip. 

    Yes the allopurinol had been doing a good job.  Also in the past if I had an attack, diclofenac would have cleared it quickly.  I've been surprised that this attack has not got better at all, in fact the pain has spread to both feet (big toes, top of foot toe joints and ball of feet) and my ankle, and has got increasingly worse to the point where I cannot walk today. I achy in other areas too, e.g. top of thigh joints. 

    Also, something different on this occasion is that I am taking a medication called depakote for another ailment.  I am wondering if this medication can inhibit diclofenac or allopurinol working, anyone ever come across this?

    Thanks

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