I've been suffering from gout for about 4 years, my 1st attack targeted my right ankle at first it looked like I'd broken my ankle until gout was diagnosed.
At that time my uric acid level was 0.67, I started allpurinol 200mg per day the next bout came approx 10 months and again same ankle and pain. Since then my attacks have increase to every 2-3 months and the hospital have now increased the allpurinol from 200mg-400mg now 600mg per day dosage. My uric acid level is now 0.42 and they are trying to get it to 0.30. I cannot understand why with such a high daily dose od allpurinol am I still these attacks so often.
Any ideas be appreciated,