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Oral ulcers

Coeliac


Hand Foot and Mouth

When to start Allopurinol (4)

1. if recurrent attacks


2. if renal issues


3. if Tophi


4. if on diuretics

How to start Allopurinol

1. > 2 weeks of attack and low (causes gout)


2. low dose 100mg OD


3. titrate slowly, aim Uric acid <300


4. NSAIDs cover until titrated up

Lifestyle changes Gout

1. not fatty stuff seafood/offal


2. loose weight


3. reduce alcohol


4. use Vitamin C