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I had my first gout attack in 2013, when I was on a Telma-H drug for hypertension. Following dietary discretion the problem remain well controlled and I gradually lost some weight as well. 3-4 years after retirement, the weight gradually returned, and so did the gout problem. Fortunately I never had a full-blown attack ever again, but had a few flare-ups in spite of the fact that I have been on Xyloric 100 mg OD. I also take drugs for hypertension & DM, and both are well-controlled and routinely home-monitored. I am currently having a gout flare-up. Last year in March I was hospitalized for pneumonia, and amongst other drugs they gave me Medrol 8 mg BD. It was taken for 5 days in the hospital & for 5 days at home, and then tapered off over a 7-10 period. Following THIS corticosteroid treatment I remained absolutely gout-free for a period of about 9 months. So much so that while taking good care of diet & hydration I could even give up Xyloric during THIS period. As I'm currently having a flare-up (I know I won't restart Xyloric during the flare-up) I would like to know if I can get a corticosteroid shot in my affected toe rather than having to take NSAIDs for any length of time. And, if a good doctor isn't available around for a toe-injection, can I use Medrol again. If yes, in what dosage, and for how long? My SUA was 6.2 In September, 2016. It is yet to be tested again. Thank you.
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Mr. lybrate-user Kumar, Thanks for the query. For controlling acute attack either NSAIDs or Medrol is fine. You may take it for a few days till the attack subsides. That could be for about a week or so. Then reduce the dose and stop slowly. Serum uric acid value is below 7 mg, which is fine. Continue taking diet free of high purine foods. Further it is very important to reduce weight, which I am sure you will be able to do. Yiur ideal body weight should be 58 plus kgs. Thanks.
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