Gout Pal Interactive

Had gout for around 15 years ( 44years old )….been on piroxicam ( feledene ) now for all of that period. Basically would like to know peoples experiences of piroicam as it doesnt get a lot of mentions on gout boards.

Personally it seems to work for me as a pain relief drug…Im now using it as a long term daily preventative…. 20mgs ..which I dont think is such a good idea.

I have like many on these boards built up tophi lumps in my elbows which are ofcoarse very irritating….Im now going to try ..baking soda twice daily..in the hope that it will dissolve the various tophi build ups mostly in my elbows…and lower acid levels …also going to try omega3 fish oil capsules….some great advice on these boards…would apprciate peoples opinions on any of the above points.

GoutPal said:

Welcome to the gout forum, scotsmale.

I’d never heard of piroxicam until you mentioned it, but I’ve now learned that it is a NSAID (Non Steroidal Anti-Inflammatory Drug). Feldene is Pfizer’s brand name for it, and apparently it is available as table or injection.

Presumably, the injection gets round the problem many gout patients suffer - NSAIDs can be difficult to stomach.

Most authorities that I’ve seen warn against long term NSAID use, so it is wise to get proper medical advice on this. As you may have realized, I am a strong advocate of consulting a rheumatologist.

I’m also a strong advocate of regular uric acid testing. The only way to dissolve tophi is to keep uric acid level below 6mg/dL. There are, of course, many ways to do this depending on how much you need to lower it by.

Thanks for the reply. Ive only taken piroxicam in tablet form.. 20mgs,

for around 15years . Tophi has become a big problem in.. both elbows ..im going down the  baking soda route…and after a week it certainly seems to

have dissolved the lumps of tophi…whether it can free me of piroxicam long term remains to be seen…heres hoping.