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Female | 46

Why allopurinol is contraindicated in acute gout

3 Answers

Answered on 23rd May '24

Allopurinol cause urate lowering resulting in urate crystals being shed from articular cartilage into the joint space, resulting in acute inflammation ,hence it should not be used.

99 people found this helpful

Dr. Pramod Bhor

Joint Replacement Surgeon

Answered on 23rd May '24

Acute gout is a contraindication to the use of allopurinol as its initial usage could possibly increase symptoms. It may therefore increase serum uric acid levels temporarily when allopurinol is initiated against an acute attack of gout given the mobilization of urate crystals. This may result in aggravation of inflammation and the patient’s condition gets worse. Allopurinol is usually initiated following the acute phase to prevent further gout attacks by reducing total uric acid levels in the body. Managing acute gout flares may involve the use of non-steroidal anti-inflammatory drugs (NSAIDs), colchicine or corticosteroids.

44 people found this helpful

Answered on 23rd May '24

Acute gout is a contraindication to the use of allopurinol as its initial usage could possibly increase symptoms. It may therefore increase serum uric acid levels temporarily when allopurinol is initiated against an acute attack of gout given the mobilization of urate crystals. This may result in aggravation of inflammation and the patient’s condition gets worse. Allopurinol is usually initiated following the acute phase to prevent further gout attacks by reducing total uric acid levels in the body. Managing acute gout flares may involve the use of non-steroidal anti-inflammatory drugs (NSAIDs), colchicine or corticosteroids.

73 people found this helpful

Questions & Answers on "Orthopedic" (1144)

i am suffering from bone problem

Male | 29

You may have an issue­ with your bones. This could stem from lacking calcium or Vitamin D. When bone­s don't receive e­nough of those nutrients, they we­aken. Pain sets in, making moveme­nt difficult. To combat this, consume calcium-rich foods like milk and yogurt. Eat leafy gre­ens high in Vitamin D.

Answered on 31st July '24

Dr. Pramod Bhor

Dr. Pramod Bhor

Hy myself Ali I’m from pakistan i have issue my feet are bent .it can recover with plaster or surgery please inform me ?

Male | 17

I would tell you to see an orthopedic specialist in Pakistan so that your bent feet can be examined and the most appropriate treatment administered for them. They will show you which alternative – plaster or surgery – would work in your case and aid recovery.

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

I have chest pain neck pain jow pain

Male | 22

These­ symptoms signify heart trouble. It could be a he­art attack or angina - artery blockages. But muscle strain and indige­stion can also be possible causes. If fee­ling such things, talk to a cardiologist

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

Which are the best hospitals for hip treatment in India?

for best recovery and treatment consult LEGEND PHYSIOTHERAPY HOME VISIT SERVICE IN HYDERABAD . DR.SIRISH
https://website-physiotherapist-at-home.business.site/

Answered on 23rd May '24

Dr. velpula sai sirish

Hi I met with an major accident last 2 months back and my right leg was opened and after surgery doctor had put k wire but today while gng to washroom I fell down and my kwire is bit moved and it bleeding what to so

Male | 30

you should get medical help immediately. Contact your orthopedic surgeon and follow medical advice given. Indeed, delaying treatment causes only more problems.
 

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

Sir, I, aged 62 years male, am going under constant pain in both knees since last 2 years. No medicine is favoring good result. Please let me know the cost of knee replacement so that I can plan accordingly. Waiting for your response. Thanks & Regards, Deepak R

Male | 62

1.5 lakh per one knee with imported implant 

Answered on 23rd May '24

Dr. Dr.Narendra Medagam

My age 21 i have problem in my knee for bike accident and my knee no movement. Can i do my knee replacement

Male | 21

Please consult orthopedist with MRI. joint replacement is not for your age. You need assessment and tendon transfer surgery

Answered on 23rd May '24

Dr. Dilip Mehta

Dr. Dilip Mehta

Having issues at the Operated side

Female | 22

Surgery side­ issues are normal. Symptoms like ache­, swell, red, or warm may appear. Infe­ction, poor healing, or other troubles could cause­ them. Rest, ice application, and doctor instructions are­ advised. If the condition worsens or intensifie­s, a surgeon check-up is crucial.

Answered on 6th Aug '24

Dr. Deep Chakraborty

Dr. Deep Chakraborty

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