Once you initiated allopurinol you do not
stop. Taking it on and off can trigger
gout and worsen and prolong the existing
attack. The urine ph goes up after the
meals and dips in between. The normal
range is 4.6~8.0. In my experience, the
baking soda in water I took before going
to bed is the most effective dose. The
second is the one I take after I got up.
About 86% of people who responded to my
survey said baking soda is useful, very
useful or extremely useful. The rest of
14% said not useful or not useful at all.
Hope it will be useful to you too. By
the way, did you start allopurinol after
the attack has completely subsided? Did
you start allopurinol with colchicine or
an nsaid to prevent attacks? If you did
not, allopurinol may keep the attack
alive. A paragraph in
http://www.Icuredmygout.Org
reads:
4.8 allopurinol is a very potent gout
trigger. Allopurinol can reduce the
blood uric acid level by about 2.5~3.5
mg/dl (normal 4.5~7.0 mg/dl) in weeks
after it is initiated. This causes the
imbalance of msu concentration between the
blood and the joint fluids, shedding of
the msu crystal coatings, and the gout
attack. For proper use of allopurinol:
1. Do not initiate allopurinol during
a gout attack because it will worsen and
prolong the attack.
2. Initiate allopurinol in a gradually
increased dosage with indomethacin or
colchicine (for weeks or months) to
prevent an attack.
3. If allopurinol is re-initiated
after discontinuation, repeat steps (1)
and (2) again to prevent an attack.
