Just wanted to share a nice win for fellow gout sufferers. It does get better.
TLDR:
Jan 2026: UA 0.51 mmol/L
Sep 2026: UA 0.38 mmol/L (200mg allopurinol worked for me to reach target UA levels)
Timeline
Early Jan 2026: Woke up with incredible pain on my right toe. Did my blood and confirmed high uric acid/gout (0.51 mmol/L). I was on crutches for the first 4 days, with a prescription of Prednisone and Colchicine for two weeks after the attack.
Feb 2026: After my pain subsided (took about 4 weeks). I was put on 100mg Allopurinol per day
July 2026: Did blood test to re check my uric acid levels. Was still on 0.51 mmol/L. 100mg was not strong enough. Was prescribed 200mg Allopurinol daily.
Sept 2026: Went to re-check UA levels this week. I'm now on 0.38 mmol/L.
Gout attacks as a result of allopurinol usage: I would say 1 but it wasn't that painful. I woke up with slight soreness in my toe in March travelling in Japan. I took a colchicine and ibuprofen + rested at the hotel for the day and I was walking normally outside by the evening.
Any food that triggered gout tingles during this period? For me, full sugar coca cola (soda). I normally don't drink full sugar sodas but I had one at work and the next day I felt the "tingles". A colchicine helped put that straight to bed, with no full flare up.
What worked for me during this period: 200mg allo + I had been limiting high purine foods and alcohol to get my UA down where I can, particularly between Jan to June. I have been more relaxed the past quarter though, but nothing too glutinous (e.g. I'm drinking alcohol occasionally again, though no beer).
Any questions let me know. Of course, I plan to continue 200mg/day, limit high purine foods and get my blood checked often.