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Gout and Methylpred dosing

Resolved Question:

Have history of gout. Had flare up last Tuesday in right foot and began round of Methylpred 4mg Pak. Just finished yesterday. Last night gout flared up in left foot. Is it safe to begin another round of Methylpred 4mg Pak so close to finishing the first round?

Category: Internal Medicine Specialist

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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Expert:  Dr. Jaydeep Tripathy
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Hello,

Thank you for choosing DoctorSpring.

Steroids are not without side effects. I assume that you already know this. To answer you specific query, practically you can take one more MethyPred pack without any added risk.

The dose need to be tapered out. And further packs beyond this is not recommended.

However steroids are usually indicated in individuals who has poor response to Colchicine and NSAIDs. If the pain is not sever you should give a NSAID - pain medication a trial. This would be more ideal that repeated dose of steroids.


In case of any unusual symptom stop the medication and contact your Doctor.
Hope this helps
Feel free to ask follow-ups
Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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