Gout (MedPro 1)

If 'Yes' - which medicines are you taking?

- You undergo haemodialysis

- Kidney or liver problems

- Severe blood disorder

- Stomach ulcer or bleeding

- Inflammatory bowel disease like Crohn’s or Ulcerative Colitis

- Asthma

- Heart problem, heart failure or major heart bypass surgery

- Epilepsy (fits)

- Porphyria, any abnormality of the blood

- Connective tissue disorder e.g. Systemic Lupus Erythematosus (SLE) resulting in joint pain, skin change and disorders of other organs

- A problem with the metabolism of sugar in your body

- Antibiotics: clarithromycin, erythromycin, or telithromycin

- Ciclosporin

- Antifungal drugs: ketoconazole, itraconazole, voriconazole

- Drugs to treat or prevent HIV/AIDS

- Verapamil or diltiazem

- Disulfiram, Quinidine,Cimetidine, Tolbutamide, Cyanocobalamin

- Grapefruit juice

- High cholesterol drugs: statins or fibrates

- Anticoagulants ( e.g. warfarin, heparin)

- Diuretics or high blood pressure medication

- Lithium (for depression)

- Medicines for treatment of heart conditions (e.g Digoxin)

- Quinolone antibiotics (e.g. ciprofloxacin, norfloxacin and nalidixic acid)

- Any other NSAID ( e.g. aspirin, COX-2 inhibitors like valdecoxib, paracoxib and refocoxib, ibuprofen)

- Mifepristone (used to terminate pregnancies)

- Methotrexate, Ciclosporin or tacrolimus Corticosteroids

- Probenecid used in treatment of swollen joints

- Drugs used in diabetes (e.g. glibenclamide)

- Gentamycin, Neomycin, Kanamycin

- Zidovudine (an anti-viral drug)

- SSRIs (e.g fluoxetine, sertraline, for depression)

- Two or more gout attacks in 12 months

- Tophi (gouty growths on the joint under the skin)

- Chronic gouty arthritis

- Joint damage

- Kidney problems

- Anyone with bladder or kidney stones

- Those taking diuretics (water tablets)

- Being diagnosed with gout at a young age

If any of this applies to you, please speak to your GP asap before you develop joint damage as a result of repeated attacks.

- Fever

- Sore mouth

- Sore throat

- Prolonged bleeding

- Bruising

- Skin rashes

- Nausea or vomiting

- Abdominal pain

- Diarrhoea which does not settle when you stop taking the medicine

- Pain or blood when having a bowel motion

- Rest and raise the limb

- Keep the joint cool – apply an ice pack, or a bag of frozen peas wrapped in a towel, for up to 20 minutes at a time

- Drink lots of water (unless a GP tells you not to)

- Try to keep bedclothes off the affected joint at night

Providing us with your physician's address means that you allow us to share this information with him/her for updated medical records if need be. It also allows our clinician to access your medical records if there is a need for that. We advice you share this treatment with your doctor for him/her to update your medical records.

- You will read the patient information leaflet supplied with your medication.

- You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication or if your medical conditions change during treatment.

- The treatment is solely for your own use You have answered all the above questions accurately and truthfully.

- You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health.