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Dr. Andrew Rynne

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Exp 50 years

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Can Gout Infection Hamper Kidney Functioning?

I am a 44-year-old kidney donor and am experiencing gout. Can the gout damage my remaining kidney? Are the drugs used for gout toxic to the kidneys? I am 6'2 and 215 pounds and a vegetarian. The pain is very disabling. I see a nephrologist on Friday, because my PCP cannot get the gout under control. I have taken two courses of steroids and the joint is still swollen and stiff.
Fri, 17 Aug 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Most of the drugs used in the treatment of gout can harm your kidneys. Generally drugs including NSAIDS and Colchicine are used for the treatment of gout and both of them can cause renal damage on long-term use. You can start on newer drugs like Febuxostat which has shown lesser nephrotoxic effect and it is safe in kidney disease patients. You can consult your nephrologist and he will direct you accordingly.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Shinas Hussain
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Can Gout Infection Hamper Kidney Functioning?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most of the drugs used in the treatment of gout can harm your kidneys. Generally drugs including NSAIDS and Colchicine are used for the treatment of gout and both of them can cause renal damage on long-term use. You can start on newer drugs like Febuxostat which has shown lesser nephrotoxic effect and it is safe in kidney disease patients. You can consult your nephrologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain