Question:
Medications for gout post-op

I'm 4 weeks post-op. My podiatrist told me today that I have gout in my left big toe. The problemmis that indocin, an NSAID, is usually prescribed. Post-os can't have NSAIDS. Are there any non nsais medication that you have had prescribed post-op for gout?    — David F. (posted on July 22, 2003)

July 22, 2003
I have had gout for 30 years. I had LAP-RNY on Oct 8, 2002. In the hospital and at home I took my usual 2 colchicine and 1 allopurinal. I have not had a gout attack since the surgery. Once I felt an attack on the way and I took an extra colchicine or two. My surgeon seems to feel that with the weight loss, the frequency of gout attacks will just not be there. I guess he knows what he is talking about. 9 and a half months, and down 121 1/2. Best thing I ever did for myself. If you want to email you can at [email protected].
   — Steve B.

July 22, 2003
Ok. I'm going to be laughed at, but I'm going to tell you what works for me. I've had gout for around 15 years, but only in both big toes. As you know, it is VERY painful. I was taking some really strong gut eating pain meds for it. Now this was years BEFORE wls! I finally had to stop the meds (before wls). Can you imagine what those meds would do to our stomachs now? Ouch. Anyway, I read something in one of the tabloid magazines that I thought was a bunch of crap. Yet, it was cheap and easy so what the heck. Some people swore that "WD-40" did the trick. And it does! I spray it on my big toes and let it soak in. Then keep spraying and let it soak in again a few more times. Then put on a pair of socks (and bedroom slippers) and go to bed. Usually one or two nights of doing this I can wiggle my toes like a well oiled machine! Really. I'm not kidding. And best of all the pain goes away for around three months. I don't think it is a placebo as I really did'nt think it would work. Even so, the pain is so bad I don't think a placebo would take it away. Perhaps this won't work for everyone, but honest, it works great for me. Some people do this for arthritus. Well I've tried it for the arthritus in my knees, neck, hands and shoulders. For me, it does'nt work for arthritus. But it is great for gout. It beats the heck out of all those expensive and gut eating medications. At least try it. It does'nt burn the skin or in anyway hurts my body. If it does'nt work, what have you lost?
   — Danmark

July 22, 2003
EAT CHERRIES, PREFERABLY SOUR CHERRIES. THEY WORK,THE CHERRIES ABSORB THE PURINES IN YOUR SYSTEM THAT CAUSE GOUT.I PROMISE IT WORKS. MY HUSBAND WAS DIAGNOSEDWITH GOUT IN HIS FOOT, HE HAS BEEN EATING ABOUT A HALF A CUP OF SOUR CHERRIES A DAY SINCE AND HAS HAD NO PROBLEMS. HIS DOCTOR RECOMENDED A BOOK CALLED GETTING RID OF GOUT AND EATING CHERRIES WAS THE FIRST THING IT SAID TO DO.
   — ROBIN H.

September 12, 2003
I had open RNY on august 6th 2003. I have had Gout on a few occasions before surgery due to my high uric acid levels. I was cautioned that rapid weight loss ca lead to Gout attack by my surgeon pre-op. I found out this week that that was very true, and very painful. My PCP prescribed IC COLCHICINE 0.6MG Tablets for immediate relief. And gave me IC ALLOPURINOL 300MG tablets to take after the Gout subsides as a maintenance medication, to prevent further attacks. He did not want to give me any anti inflamatories due to the risk of damaging the Pouch. Todays date is 9-12-03. I took the first pill 90 minutes ago, and it seems like it is feeling a little better already. Not sure it could have gotten any worse. I will take the 5 tablets of COLCHICINE every 2 hours until gone, as prescribed. Hope this helps me now, and someone else later. Best of luck!
   — [Deactivated Member]

September 16, 2003
9-16-03 Just a follow-up to my post on 9-12-03. I have experienced relief, as a result of the two meds prescribed. I spoke with the Surgeons office today, and they mentioned that when taking the Colchicine it should be injetsed with Mylanta, to minimize irritation to pouch. Also they suggested that I take the allipurinal with my chewable Pepcid, again so as not to irritate the pouch. I hope this may someday help someone else. God Bless.
   — [Deactivated Member]