Gout Treatment Explained: Why Allopurinol Alone Causes Flares | Dr. Clifford Stermer

In this video, Dr. Clifford Stermer from One Rheumatology explains the proper way to treat gout, why many patients are treated incorrectly, and why this leads to more painful flare-ups. Gout occurs when uric acid levels rise, forming crystals in the joints that trigger severe inflammation. The standard long-term treatment is allopurinol, but starting it incorrectly can actually make gout worse. Dr. Stermer covers: Why you should never start allopurinol alone Why starting allopurinol triggers more flares in the beginning Why colchicine is used as gout prophylaxis How to safely start treatment and reduce flare risk The correct dosing progression: 100mg → 200mg → 300mg Target uric acid levels: the goal is to keep levels below 6 mg/dL, or between 4 and 5 mg/dL for severe gout. How long you should stay on colchicine (around 6 months after reaching goal) This video is for educational purposes only and is not medical advice. Always talk to your doctor about your gout symptoms, medications, or flare frequency. Have questions about gout, uric acid levels, or treatment plans? Leave a comment below!