If recurrent attacks occur, the dose may need to be adjusted. Usually 200-300 mg will suffice depending on ones weight. Allopurinol is very well tolerated except for an occasional allergic reaction. These are peculiar and can occur months or years after starting allopurinol. They can result in death in occasional cases.
Different drugs are notorious for inducing gout attacks and particularly diuretics.
Avoidance of diuretics is necessary for those predisposed to gout, as well as those taking allopurinol. A low purine diet is also still of use. Pseudogout refers to the inflammation causes in joints by the attack of the body s immune system against calcium crystals. This is termed pseudogout because it tends to look similar. Consequently, it is important to make the diagnosis by joint aspiration to tailor the treatment to the disease.