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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Gout In The Big Toe Despite Taking Diclofenac?

i have had a gout attack that has lasted over week and half very bad i am taking diclofenac sodium 50mg two time daily and this has brought me no relief i get gout about 3 txs year this time this med does not seem to be working, can i add anything to this to get rid of the gout its in big toe,thank you sue christofferson
Tue, 21 Nov 2017
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Orthopaedic Surgeon 's  Response
Dear patient
gout is caused by accumulation of uric acid in joints when it's level is increased in blood. Uric acid crystals lead to inflammation and pain. You need to take medication which reduce uric acid in blood along with diclofenac. one such is febuxostat 40 mg twice a day for month. Serum uric acid levels need to be checked after 2 weeks. Avoid protein rich diet and keep you self hydrated by drinking plenty of water.
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Orthopaedic Surgeon Dr. Akshay's  Response
diclofenc is a pain killer and it's use in gout for pain relief in acute atteack
however it does not prevent future attacks or decrease uric acid levels.
take low protein diet, avoid beer and consult orthopedics surgeon to start you on uric acid lowering drugs.
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How To Treat Gout In The Big Toe Despite Taking Diclofenac?

Dear patient gout is caused by accumulation of uric acid in joints when it s level is increased in blood. Uric acid crystals lead to inflammation and pain. You need to take medication which reduce uric acid in blood along with diclofenac. one such is febuxostat 40 mg twice a day for month. Serum uric acid levels need to be checked after 2 weeks. Avoid protein rich diet and keep you self hydrated by drinking plenty of water.