Allopurinol for gout

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  3. Allopurinol (al-oh-pure-ri-nol) is mainly used for the long-term treatment and prevention of gout. Taken regularly, it can stop attacks of gout and help prevent damage to your joints. It can also be used for treating kidney stones. The body naturally produces a substance called urate
  4. Allopurinol reduces the production of uric acid in the body. Uric acid buildup can lead to gout or kidney stones. Allopurinol is used to treat gout or kidney stones. Allopurinol is also used to decrease levels of uric acid in people who are receiving cancer treatment

Allopurinol is used to treat gout and certain types of kidney stones. It is also used to prevent increased uric acid levels in patients receiving cancer chemotherapy. These patients can have.. Allopurinol for Gout Allopurinol has been around for over 50 years and is the most commonly prescribed drug for the prevention of recurring gout. It comes under the class of drugs called xanthine oxidase inhibitors. Xanthine oxidase (XO) is a natural enzyme in the body that helps to convert purines into uric acid Background: Traditionally, allopurinol is not initiated during an acute gout attack to avoid prolonging the painful arthritis. The 2012 American College of Rheumatology Guidelines for the Management of Gout suggest that urate-lowering therapy can be started during an acute attack, based on consensus opinion of experts, case studies, or standard of care Strong recommendations included initiation of ULT for all patients with tophaceous gout, radiographic damage due to gout, or frequent gout flares; allopurinol as the preferred first-line ULT, including for those with moderate-to-severe chronic kidney disease (CKD; stage >3); using a low starting dose of allopurinol (≤100 mg/day, and lower in. Amongst participants with gout, 37.1% (95%CI 29.6, 45.3) reported currently using allopurinol, while 23.2% (95%CI 16.9, 21.0) reported prior use (38% discontinuation rate)

For gout: Adults—At first, 100 to 300 milligrams (mg) per day, taken once a day or in divided doses. Your doctor may adjust your dose as needed. However, the dose is usually not more than 800 mg per day Allopurinol may be used to decrease levels of uric acid in people with gout, kidney stones, or who are receiving certain types of chemotherapy. Allopurinol reduces the production of uric acid (a compound produced by the body associated with gout and kidney stones), by inhibiting an enzyme called xanthine oxidase Detailed Allopurinol dosage information for adults and children. Includes dosages for Gout, Hyperuricemia Secondary to Chemotherapy and Calcium Oxalate Calculi with Hyperuricosuria; plus renal, liver and dialysis adjustments Allopurinol oral tablet is available as a generic drug and as brand-name drugs. Brand names: Zyloprim and Lopurin. Allopurinol is also given as an injection by a healthcare provider in the.. When urate-lowering therapy is started, patients have an increased risk of a gout attack as uric acid levels drop rapidly, explains Dr. Kay. However, taking the drug colchicine for the first six months of allopurinol therapy can help prevent the attacks, he says

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  1. Among 55 patients with gout who received this drug for an average of 1 year (3 to 34 months), 3% developed pruritic maculopapular skin eruptions, sometimes scaly or exfoliative. The incidence of skin rash appears to be greater in patients with renal insufficiency
  2. Allopurinol is the most common pharmaceutical used to manage gout and it has been approved for use in the USA since 1966. Allopurinol does not end a gout attack and in fact it will usually make it worse if started during a flare. Often confused as a gout treatment, allopurinol is designed to be used for prevention of future gout attacks and.
  3. Allopurinol is used to treat gout, high levels of uric acid in the body caused by certain cancer medications, and kidney stones. Allopurinol is in a class of medications called xanthine oxidase inhibitors. It works by reducing the production of uric acid in the body. High levels of uric acid may cause gout attacks or kidney stones
  4. Allopurinol is used for treating gout caused by excessive levels of uric acid in the blood (hyperuricemia).It is a xanthine oxidase inhibitor and is similar to febuxostat ().Uric acid is a by product from the breakdown of certain proteins (purines) in the body by enzymes called xanthine oxidases
  5. Colchicine prophylaxis during initiation of allopurinol for chronic gouty arthritis reduces the frequency and severity of acute flares, and reduces the likelihood of recurrent flares. Treating patients with colchicine during initiation of allopurinol therapy for 6 months is supported by our data

Allopurinol Side-effects, uses, time to wor

  1. Allopurinol is a medicine used to lower levels of uric acid in your blood. If you produce too much uric acid or your kidneys do not filter enough out, it can build up and cause tiny, sharp crystals to form in and around your joints. Allopurinol is used to treat gout and kidney stones
  2. Allopurinol is the most commonly used urate lowering therapy in the management of gout. Despite the fact that it has been available for over 40 years there is ongoing debate about optimal allopurinol dosing in gout patients with chronic kidney disease
  3. In most patients, start allopurinol at 100 mg/day (50 mg/day in patients with renal insufficiency). Stamp et al have proposed that the risk of allopurinol hypersensitivity may be reduced by..
  4. Allopurinol: Its Use As A Gout Treatment. Supposed to be, the allopurinol is an amazing pill, which may help in lowering the uric acid level. If you have been taking the medicine, you must go to your doctor and have a uric acid test. You will see that your uric acid level got lower. Furthermore, the allopurinol is believed to reduce the uric.

Allopurinol is used in the treatment of high uric acid levels associated with gout, kidney stones, and cancer treatment, it should not be used for asymptomatic high uric acid levels. If a rash occurs.. Hyperuricemia and gout - Allopurinol is used for the treatment of chronic gout to prevent any kind of future attacks. This drug doesn't rid oneself from the acute attacks of gout and right now there is an ongoing controversy on whether it can actually make the gout attacks worse Top 3 Differences Between Uloric & Allopurinol Gout Drugs: Uloric patients had a 34% higher risk of cardiovascular death and 22% higher risk of death from any cause versus those taking allopurinol. Uloric is only recommended for patients who cannot take allopurinol for any reason. Uloric may be more effective at decreasing uric acid levels than.

Allopurinol: Uses, Dosage, Side Effects - Drugs

Allopurinol Oral: Uses, Side Effects, Interactions

  1. Some People Need More Than Oral Medicines to Control Gout. Talk to a Gout Nurse Advocate. If You're Taking Gout Medicine, But Still Flaring There Could Be Damage Happening
  2. g pill, which may lower the uric acid level, in an instant! If you have been taking allopurinol, try to go to your doctor for a uric acid test after and then see various miracles that it does. Moreover, the uric acid may become lower
  3. Allopurinol And Alcohol Introduction. Allopurinol and alcohol is a popular topic for debate among gout sufferers. Allopurinol is the leading medicine to lower uric acid, and gout patients who take it, at the right dose, are almost certain to take control of their gout. Yet, they remain concerned that alcohol consumption might affect allopurinol.

Allopurinol, a xanthine oxidase inhibitor, is a first-line agent to prevent recurrent gout.9 In patients with gout and chronic kidney disease or congestive heart failure, allopurinol has the added. Therefore, recovering gout sufferers often need anti-inflammatories for a few months, until most old uric acid crystals have dissolved. That is true for any uric acid lowering treatment, including febuxostat, or diet. The recommended maximum dose for allopurinol is 800mg per day USA, and 900mg per day, UK 1. I guess allopurinol is working fine because your gout flares are getting less frequent and less severe. Also, you went a long time with no obvious side-effects. But, that just means you relax your diet, eat badly, and gain weight. Then, the extra weight puts a strain on your body

Allopurinol is a xanthine oxidase inhibitor that is used to prevent gout attacks by reducing elevated uric acid levels in the blood. Xanthine oxidase is an enzyme that yields reactive oxygen species. In humans and other animals, this enzyme is associated with the catabolism, or break down, of compounds called purines Also view Allopurinol for Gout video for the wrong way to stop uric acid treatment. You will find related information in the gout medications pages within the Gout Treatment Help Section. Note: This discussion is about allopurinol withdrawal. There is a related discussion about coming off allopurinol

Allopurinol for Gout: How Effective is Allopurinol for Gout

tender, swollen glands in the neck. tenderness in the stomach area. throbbing pain. trouble getting pregnant. trouble with sleeping. trouble with swallowing. unsteadiness or awkwardness. voice changes. weakness in the arms, hands, legs, or feet Allopurinol is the most common therapy for chronic gout. Uricosuric agents are alternative therapies in patients with preserved renal function and no history of nephrolithiasis Participant. THe claimed possible long term consequences of allopurinol is a particular rash, and some evidence of damage to the immune system, probably anecdotal. I think gout on average will deduct some time from a lifetime, but it;s also possible that by focusing attention on health, it might INCREASE lifespans 59 patients with gout and normal kidney function: Allopurinol 200 mg/day + colchicine 0.5 mg twice a day vs. colchicine 0.5 mg twice a day: Allopurinol-treated patients did not present change in kidney function while those receiving only colchicine had a significant decrease in eGFR at two years of follow-up: Dahlöf et al. 2002 13 Allopurinol, a xanthine oxidase inhibitor, is considered one of the most effective urate-lowering drugs and is frequently used in the treatment of chronic gout. Objectives: To assess the efficacy and safety of allopurinol compared with placebo and other urate-lowering therapies for treating chronic gout. Search strategy

Does starting allopurinol prolong acute treated gout? A

  1. As allopurinol reduces the amount of uric acid in the bloodstream, urate crystals in the joints begin to dissolve. 7 But as the uric acid crystals begin to dissolve, a gout flare can occur. 7 Fortunately, when used as directed, anti-inflammatory medicines such as colchicine can help prevent gout flares in adults who are starting allopurinol or.
  2. Febuxostat (Uloric) is noninferior to allopurinol in preventing acute gout episodes.41, 42 However, in a randomized, double-blind trial comparing allopurinol and febuxostat (N = 6,190.
  3. Two long-term medications for gout are allopurinol and febuxostat. Allopurinol. This is the most commonly used drug. It is usually taken once a day, and works by lowering the amount of uric acid produced by the body. After uric acid levels are measured, people are usually prescribed a low dose to start with
  4. Allopurinol reduces uric acid levels, prevents acute gout, and acts as an antioxidant, which could be beneficial among HF patients. 8 In animal models of HF, allopurinol has been shown to improve cardiac function, 12-15 reduce left ventricular dimensions, 16-18 and reduce mortality. 19 Small clinical studies with allopurinol have demonstrated.
  5. After having regular gout attacks my doctor has put me on allopurinol. I had to take colchicine for 2 weeks before I started taking one tablet (100mg) of allopurinol per day. I had to continue on the colchince along side the allopurinol for a further 2 weeks in case the allopurinol caused a gout attack (which it did) I had numerous attacks in.
  6. The fourth study, by Coburn et al., included 6,428 patients with gout who escalated their allopurinol doses with a goal of serum urate below 6 mg/dL, comparing them with an equivalent number of.

Video: 2020 American College of Rheumatology Guideline for the

Gout, flares, and allopurinol use: a population-based stud

For gout, allopurinol (Zyloprim) lowers uric acid to prevent gout flares. It won't work to lower pain and discomfort during a gout attack. It can take weeks to months to get to the correct dose of allopurinol (Zyloprim) and some people experience more gout attacks/flares during this time Allopurinol is a medication used to treat gout. It is taken for chronic gout to reduce flare ups. This lesson will discuss the dosage, withdrawal symptoms, and toxicity of allopurinol The dosage of ZYLOPRIM (allopurinol) to accomplish full control of gout and to lower serum uric acid to normal or near-normal levels varies with the severity of the disease. The average is 200 to 300 mg/day for patients with mild gout and 400 to 600 mg/day for those with moderately severe tophaceous gout Allopurinol (Aloprim, Zyloprim)reduces uric acid production. Colchicine (Colcrys, Mitigare) reduces inflammation . Febuxostat ( Uloric ) reduces uric acid production Is Allopurinol (Zyloprim) a Safe and Effective Gout Treatment? ALLOPURINOL (Zyloprim) inhibits uric acid synthesis and has been linked to skin eruptions, inflammation of the blood vessels, and liver toxicity. Periodic liver enzymes, renal function tests and complete blood counts should be performed in all patients on allopurinol

So, I believe high doses of allopurinol, within the bounds of side-effect safety checks, is the safest way for gout patients to recover. Also, Ruben has taken allopurinol before, so it should be safe to move forward quicker than the average gout patient. Assuming adequate safety tests were performed during earlier therapy About 5 weeks ago Doctor put me on 0.5mg twice a day colchicine to clear a recent gout attack then after 6 gout free days go onto Allopurinol 100mg per day (forever!). I am happy to take allopurinol, I have read its kind to the kidney and see it as a possible way out of gout but the colchicine I am a bit worried about Tophi are hard, uric acid deposits under the skin. For people with frequent acute flares or chronic gout, doctors may recommend preventive therapy to lower uric acid levels in the blood using drugs like allopurinol, febuxostat, and pegloticase. In addition to medical treatment, you can manage your gout with self-management strategies Have had gout for 35 years took allopurinol for 25, 1 year ago decided to stop, a few tweek's, nothing serious, big parma on the make again, same, ol thing. April 28, 2020 at 2:12 pm #9412. Keith Taylor. Participant. I also stopped allopurinol for a few years. It took about 5 years until uric acid built up enough to start gout attacks again Treating gout with colchicine and allopurinol. Colchicine is a medicine that treats gout, extracted from plants of the Colchicum genus, a highly poisonous plant that has no antidote and is known to be toxic. It has been used for about 2000 years as an effective treatment for gout, and its modern use in pill form began in 1936

Allopurinol (Oral Route) Proper Use - Mayo Clini

On the other hand, Allopurinol is a medicine used for chronic gout. It works by decreasing the production of uric acid. It does not have any effect during a gout attack, however, it is recommended to continue its daily use, even during acute gout flare-ups. 8 Prevention Methods For Gout #1 Avoid Alcoho Monitoring gout. There are three types of monitoring for people with gout: 1. Regular blood tests around once a month after starting daily ongoing treatment (e.g. allopurinol) These tests are needed to check that uric acid levels are low enough (below 360µmol/L) to prevent attacks and long-term problems. If the blood test shows they are still.

Allopurinol, sold under the brand name Zyloprim among others, is a medication used to decrease high blood uric acid levels. It is specifically used to prevent gout, prevent specific types of kidney stones and for the high uric acid levels that can occur with chemotherapy. It is taken by mouth or injected into a vein.. Common side effects when used by mouth include itchiness and rash Allopurinol Hypersensitivity Syndrome. Allopurinol hypersensitivity syndrome (AHS) is characterized by severe rash, fever, eosinophilia, hepatitis, and renal failure. [] It is a feared, albeit. Allopurinol 100-300 mg/day. Use lowest dose to keep Uric Acid <6 mg/dl (<5 mg/dl if symptomatic) Probenacid may be used with Allopurinol if GFR>50 ml/min and normal Urine Uric Acid normal; Duzallo (Allopurinol with Lesinurad) is an expensive alternative to Probenacid and Allopurinol; Initiating dose. Start: 100 mg daily for 2 week Rated for Gout Report . Allopurinol helped with the condition of gout but the side effects were really bad and although on a dose of 300mg a day I still had lighter attacks so about 5 years ago after extensive study I landed up taking 2 x cherry supplement tablets a day and have not had any sign of an attack since and can eat anything even foods that before I couldn't look at (tomatoes, liver. Allopurinol reduces the production of uric acid in the body. Allopurinol is used to treat gout or kidney stones. Allopurinol is also used to decrease levels of uric acid in people who are.

Allopurinol: 7 things you should know - Drugs

Allopurinol is very effective at reducing urate levels and the frequency of flares in patients with gout, but it would be misleading at this time to suggest that this treatment also improves. Usually gout symptoms develop suddenly and involve only one or a few joints. The big toe, knee , or ankle joints are most often affected. Gout is caused by too much uric acid in the blood Allopurinol and oxipurinol have been found in milk of mother who was receiving drug; since effect of allopurinol on nursing infant is unknown, exercise caution when therapy is administered to nursing woman. Pregnancy Categories. A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk. B: May be acceptable Allopurinol used for gout, 100 mg and 300 mg dosage and side effects are the main topics of discussion.Complete Topics IncludeWhat is AllopurinolUses for All..

gout and anti gout drugs pharmacology

Allopurinol Dosage Guide + Max Dose, Adjustments - Drugs

Okay, the advice I then had was conflicting because some doctors then said, Right, when you have an attack of gout, stop taking the allopurinol, take the anti-inflammatory, get it back under control, go back onto the allopurinol. Now other doctors have said, No, keep taking the allopurinol, take the anti-inflammatory and keep going. Gout occurs more often in men, primarily because women tend to have lower uric acid levels. After menopause, however, women's uric acid levels approach those of men. Men are also more likely to develop gout earlier — usually between the ages of 30 and 50 — whereas women generally develop signs and symptoms after menopause The risk goes both ways: Elevated uric acid in gout can cause kidney problems, and kidney problems can cause gout, explains Dr. Shailendra Singh. Diabetes. People with diabetes have more gout than the general population, and those with diabetes are more prone to gout. Having diabetes also increases the risk of severe COVID-19 complications and. I take colchicine with allopurinol for 3 months. if no gout attack i'll reduce the colchicine but continously take allopurinol. do this regime is ok? 1 doctor answer • 1 doctor weighed in I've had a gout attack yesterday after 5 years & took Allopurinol 2 X 100mg yesterday & 1 X 100 mg today 1 INTRODUCTION. Gout is a common clinical metabolic system disease and may contribute to many adverse health events. Evidence shows that the risk of hyperuricemia increased with advanced age in both sexes. 1, 2 At present, drugs are the first choice for the treatment of gout in clinical practice. Studies have found that the treatment of gout with xanthine oxidase inhibition (allopurinol.

The risk of gout flare is particularly high when initiating febuxostat. Advise the person that: Urate-lowering medication is normally lifelong and regular monitoring is needed. Allopurinol or febuxostat may increase the risk of acute attacks of gout just after initiating treatment, and for some weeks afterwards If You Have Uncontrolled Gout and Experience Symptoms, Learn About a Treatment. Uncontrolled Gout Can Get Worse Over Time. Talk to a Gout Nurse Advocate xanthine oxidase inhibitor, allopurinol, was as effective in gout as the uricosuric agents. In very severe disease, or in cases with impaired renal func-tion orurate stones, its usewasofprimeimportance andoften gave the best results in combination with colchicine. It was well tolerated when given i Allopurinol can also be used to control frequent gout attacks, help reduce tophi ( clumps of uric acid that crystallize and can appear on the ear lobe or on the elbows and hands in a lump form )This drug is also used for people with uric acid kidney stones and poor kidney function. gout the dosage is around the 400-600mg per day Allopurinol is a medication for the treatment of gout and for controlling high levels of uric acid in the body. It's prescribed in cases where the gout is due to side effects caused by other drugs. For instance, those used for the treatment of cancer and kidney stones

Allopurinol Side Effects, Dosage, Uses & Mor

Allopurinol . Allopurinol is a well tolerated, inexpensive, and commonly used uric acid lowering agent. Allopurinol can be started at doses as low as 100 mg daily (100 mg qod if creatinine clearance < 10 cc/min) and titrated by 100 mg every 10-14 days to achieve a serum uric acid level of 4-5 mg/dl Allopurinol, which reduces the production of uric acid in the body, is the most commonly-used first-line treatment for gout and hyperuricemia; it has been around for 50 years. The risk of developing SJS/TENS for Asian Americans who take allopurinol is 12 times greater than for white and Hispanic Americans; for African Americans, it's 5 times.

LONDON - Many patients with newly diagnosed gout who are prescribed allopurinol to reduce their uric acid level and prevent recurrent episodes fail to stick with their treatment, according to an analysis of more than 47,000 U.K. gout patients who received prescriptions for allopurinol during the 28-year period of 1987-2014 This allopurinol for heart failure discussion is quite old. Please see Have A Heart! Allopurinol Helps More Than Gout. If you still have questions, start a new discussion here. There have been many suppositions relating uric acid to heart disease. It is an important topic for those of us with gout. Here's some hopeful information on the topic

Increasing Allopurinol Dose May Better Control Gout - Gou

Its a major B12 hit and a very good hangover prophylaxis. Considering how much i use to eat im suprised i didn't come down with gout sooner. I guess i will start taking Allopurinol tomorrow (didn't talk to the Doc, just a letter with blood test results and a message on my voice mail) and test my levels in a month to check my UA and liver. Drugs such as allopurinol (Aloprim, Lopurin, Zyloprim) and febuxostat (Uloric) help limit the amount of uric acid your body makes. Side effects of allopurinol include fever, rash, hepatitis and kidney problems. Febuxostat side effects include rash, nausea and reduced liver function. Febuxostat also may increase the risk of heart-related death

Keith Taylor (GoutPal Admin) Participant. The purpose of allopurinol is to lower uric acid to safe levels. For most people, the safe level is 5 mg/dL (0.30 mmol/L) or below. When you start taking allopurinol, you should get blood tested for urc acid, liver function, and kidney function at least once a month When cherry intake was combined with allopurinol use, a prescribed medication for gout and kidney stones, the risk of gout attacks was 75 percent lower. Cherry juice, then, has very similar benefits to celery juice: It reduces inflammation and uric acid buildup in the body Which is great news for us gout sufferers because cooked and canned salmon are rated as being moderately high in purines, i.e. containing 100-200 mg uric acid per 3.5 oz (100 g) serving. So grilled or baked salmon, for example, may be eaten in moderation, which means limiting your intake to 1 x 3.5 oz (100 g) serving per day

For oral dosage form (tablets): For prevention of gout attacks: Adults—0.6 milligram (mg) 1 or 2 times a day. Your doctor may increase your dose as needed and tolerated. However, the dose is usually not more than 1.2 mg per day. Children—Use and dose must be determined by your doctor. For treatment of gout attacks What is Allopurinol? Allopurinol has active ingredients of allopurinol. It is often used in gout. eHealthMe is studying from 144,883 Allopurinol users for its effectiveness, alternative drugs and more. What is Gout? Gout (uric acid crystals building up in the body) is found to be associated with 1,899 drugs and 1,206 conditions by eHealthMe Allopurinol and febuxostat are first-line medications for the preven- tion of recurrent gout, and colchicine and/or probenecid are reserved for patients who cannot tolerate first-line agents or in. Allopurinol decreases the making of uric acid in the human body. The accumulation of uric acid in the body can cause kidney stones or gout.The drug is commonly taken for the treatment of kidney stones or gout and also to reduce the concentration of uric acid in the body of individual getting treatment of cancer

Allopurinol Side Effects: Common, Severe, Long Term

weeks from the allopurinol maintenance dose to the maximum dose needed to achieve the serum urate target. This approach may reduce the risk of early gout flares after ULT initiation, as well as the occurrence of allopurinol-induced hypersensitivity (AHS) reactions.14 AHS can cause symptoms of Stevens-Johnson syndrome and toxi The Side Effects Of Allopurinol In The Liver. Allopurinol, basically adds to the burden of the liver and the kidneys. However, this is just a minor effect. The allopurinol is a xanthine oxidase inhibitor. This just means that it is capable of bonding with the xanthine oxidase, the enzyme that bonds with the purine Allopurinol (Lopurin and Zyloprim): This is the most commonly prescribed medication for lowering uric acid levels. It may take several weeks to take full effect, so you may experience a flare.

Concomitant Septic Arthritis and Tophaceous Gout of the

Allopurinol - The Gout Kille

WebMD provides common contraindications for allopurinol oral. Find out what health conditions may be a health risk when taken with allopurinol ora Allopurinol works to prevent gout attacks; it does not help to treat attacks that are already occurring. In fact, it can temporarily worsen gout, especially at first. For these reasons, allopurinol is usually used along with other gout medications, especially for the first few months When treating a patient with gout, lowering uric acid levels too quickly can cause adverse events, such as triggering an acute attack.This has led some physicians to caution against the use of Urate Lowering Therapy (ULT) until an acute attack subsides. 1-4 However, a new study may dispel these claims. After comparing patients taking allopurinol, an xanthine oxidase inhibitor used for ULT. Allopurinol and Renal impairment. One of the only ways allopurinol will be forbidden from therapy in gout is related to renal impairment. Patients with kidney damage can have life-threatening complications when they start using allopurinol, either in the acute or the chronic phase The number of people taking the gout medication allopurinol has been rising as gout becomes more prevalent. Prescriptions also got a boost after the U.S. Food and Drug Administration limited the use of Uloric (febuxostat) in 2019, effectively leaving allopurinol as the primary first-line medication option for gout patients

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Allopurinol is a medication used for the treatment of gout. It is an anti-inflammatory medication a doctor may prescribe to minimize the effects of the inflammatory process related to gout Yes, there are other long-term drugs that can be used to reduce uric acid levels and clear tophi. Depending on your kidney function and history of kidney stones you might be a candidate for medications which can leach the uric acid from the body by increasing the excretion of uric acid through the kidney. These medications include probenecid (Benamid) and sulfinpyrazone (Anturane) Allopurinol and gout treatment in cockatiel. I have a 26 year old cockatiel and about 4 weeks ago I noticed white lumps on his legs under the skin and his toe joints and feet are also swollen, the vet thinks it is gout and has given me allopurinol 0.15ml to be given twice a day as well as a pain killer. He now sleeps a lot but is still eating