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Can Zyloprim Be Withdrawn Without Medical Advice?
I ve been on Zylorprim for a couple years now. I was put on it when I had foot pain on the outer side of my foot. Ever since they say I have gout, but nothing showing up in my urine or any other blood work. Never had kidney stones or other problems. Do I need to stay on this or can I wean myself off from it.
Thu, 27 Sep 2018
Hello,
If you were diagnosed with gout then treating a high uric acid level is indicated with both dietary changes and drugs. Depending on the severity and frequency of gout attacks the dietary changes can be strict or lenient.
If the diagnosis of gout is in doubt (your doctor can inform you about that) then weaning off of it can be considered. Keep in mind though that sudden changes in blood uric acid levels may precipitate a gout attack. Therefore you shouldn't do anything hasty.
Also please note that gout does not leave any 'marks' in the blood tests, so normal blood tests do not exclude it. Gout is a clinical diagnosis in most cases.
In some cases examination of the synovial (joint) fluid will clinch the diagnosis and exclude other potential causes. Ordinary blood tests would still be unrevealing.
So in conclusion, if you've never had a gout attack, any uric-acid related kidney stones and any skin lesions caused by uric acid then there is no indication for treatment with allopurinol unless your uric acid levels are sky-high (12mg% or so).
Otherwise stopping it can be considered.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Panagiotis Zografakis, Internal Medicine Specialist
If you were diagnosed with gout then treating a high uric acid level is indicated with both dietary changes and drugs. Depending on the severity and frequency of gout attacks the dietary changes can be strict or lenient.
If the diagnosis of gout is in doubt (your doctor can inform you about that) then weaning off of it can be considered. Keep in mind though that sudden changes in blood uric acid levels may precipitate a gout attack. Therefore you shouldn't do anything hasty.
Also please note that gout does not leave any 'marks' in the blood tests, so normal blood tests do not exclude it. Gout is a clinical diagnosis in most cases.
In some cases examination of the synovial (joint) fluid will clinch the diagnosis and exclude other potential causes. Ordinary blood tests would still be unrevealing.
So in conclusion, if you've never had a gout attack, any uric-acid related kidney stones and any skin lesions caused by uric acid then there is no indication for treatment with allopurinol unless your uric acid levels are sky-high (12mg% or so).
Otherwise stopping it can be considered.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Panagiotis Zografakis, Internal Medicine Specialist
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