... taking " alopurinol" & pain killer .what will be the ultimatum
Gout is a metabolic disease of the purine metabolic pathway - it is systemic and is caused by either an overproduction or under-excretion of the urate molecule. Allopurinol or Febuxostat can help to inhibit the urate molecule from forming, but many people cannot tolerate these drugs for one reason or another. Pegloticase is another therapy to consider if you cannot take the other drugs; this drug breaks up the urate molecule and you urinate it out. If you are compliant with your prescriptions, you should see a decline in your gout symptoms. In order to get rid of tophi, you will need to get you blood uric level below 3.8, which is the limit of solubility. Will your gout go away forever? No promises can be made, but if you follow your doctors orders, then there is a good chance you will see improvements in the symptoms you are having. Take your meds!
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