My father is above 85 years in age, he regularly develops gout in his toes and tie fingers which pain a lot from last 48 hrs he has again got the same problem may be because of high level uric acid in his blood kindly suggest me what medicines should be given at this age and the amount of dose.

Purvesh AgrawalInternal Medicine Specialist8yrs exp

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1. Is he already on any uric acid lowering agents? Like allopurinol/febuxostat 2. Is he is having recurrent flares - ideally uric acid loweing drugs should be stopped and he must take colchicine/indomethacine for pain relief. 3. After acute flare is resolved, uric acid lowering agents can be restarted gout is most commonly due to metabolic syndrome and dies need correction of metabolic abnormalities with medications in case of assistance with treatment, msg me his reports of Lybrate.  

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