3 ms·

Some years ago I had Goat and had to go to the doctor. The doctor prescribed (onlY)Aleve to me. I find it curious she didn't tell me anything about more effect

Some years ago I had Goat and had to go to the doctor. The doctor prescribed (onlY)Aleve to me. I find it curious she didn't tell me anything about more effective medicines such as: https://medlineplus.gov/druginfo/meds/a682673.html?fbclid=IwAR2ZFeB58e9z-k8MOhEBhgcCzGlUpOmqAJunop5-Qos5zP90XfFOU8tg1SQ https://medlineplus.gov/druginfo/meds/a682673.html?fbclid=Iw... Is it possible that a doctor does not know about this medicine? Or is this such a new treatment that it didn't exist about 8 years ago?

JamesBarney 6y ago
That's the first line treatment for gout so I'm sure she knew about it but didn't prescribe for a different reason.
robbiep 6y ago
Allopurinol is as old as the hills. However it cannot be taken during an acute episode of gout or it will worsen it. Ie it is a preventative not a treatment. I’m presuming you went to your family doctor rather than the emergency room so your gout flare (relatively speaking, not necessarily from your perspective) probably wasn’t so bad which is why they gave an NSAID and sent you on your way. Ideally they should have told you that if you get more flares and dietary/lifestyle modification don’t help then you should take a long term preventative
- darkerside 6y ago
  Pain can be horrible at night but get relatively better in the morning. It took me a few visits to realize my doctors didn't realize that saying it was an 8 at night didn't make it clear that I was being rocked with waves of stabbing pain, where I couldn't sleep all night, and literally couldn't move my foot, even if I tried to pick it up with both hands. But because I was coherent and calm the next morning, an 8 must have seemed like a moderate amount of pain! Anyway, the right place to go is rheumatologist. Urgent care or ER in the meantime, but insist that you get steroids or at least colchicine if you need pain relief.
darkerside 6y ago
Gout is a very misunderstood disease. I wouldn't be surprised if your PCP didn't treat it appropriately. And they may not have understood your pain level. See my other comment on a peer post.

JamesBarney 6y ago

That's the first line treatment for gout so I'm sure she knew about it but didn't prescribe for a different reason.

robbiep 6y ago

Allopurinol is as old as the hills. However it cannot be taken during an acute episode of gout or it will worsen it. Ie it is a preventative not a treatment. I’m presuming you went to your family doctor rather than the emergency room so your gout flare (relatively speaking, not necessarily from your perspective) probably wasn’t so bad which is why they gave an NSAID and sent you on your way. Ideally they should have told you that if you get more flares and dietary/lifestyle modification don’t help then you should take a long term preventative

darkerside 6y ago
Pain can be horrible at night but get relatively better in the morning. It took me a few visits to realize my doctors didn't realize that saying it was an 8 at night didn't make it clear that I was being rocked with waves of stabbing pain, where I couldn't sleep all night, and literally couldn't move my foot, even if I tried to pick it up with both hands. But because I was coherent and calm the next morning, an 8 must have seemed like a moderate amount of pain! Anyway, the right place to go is rheumatologist. Urgent care or ER in the meantime, but insist that you get steroids or at least colchicine if you need pain relief.

darkerside 6y ago

Gout is a very misunderstood disease. I wouldn't be surprised if your PCP didn't treat it appropriately. And they may not have understood your pain level. See my other comment on a peer post.