Rheumatology-Gout

hussam abdalgany
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Joined: 16 Mar 2013, 17:23
University: Science and Technology - Omdurman
Degree (College): MBBS
Graduation Year: 2012
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Speciality: Emergency Medicine
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Rheumatology-Gout

Unread post by hussam abdalgany »

Alsalam 3alaykom w rahmatollah :)
I just wanted to ask aquestion :
If allopurinole is to be given as a prophylaxis in a patient with gout who is known to be diabetic with kimmel steil wilson's disease (diabetic nephropathy) and his creatinie clearance has recently fall to < 10 ml/min ,, he is taking warfarine because of his atrial fibrillation ,, what co-medications which can be given to decrease the symptomatic deterioration usually occurs when commencing the treatment ???
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