Four years ago, I started practicing pharmacy in a tourist area, so I see at lot of out-of-town visitors at the counter. When one of these customers asked for my advice recently, I knew exactly what to do. He had left his gout medicine at home, and wanted to know if some over-the-counter Advil might “get me by until I can get home.”
“Yes” I said, “But we can do better than that.” Much to his surprise, I was able to look up his prescription profile, refill his prescription, call his insurance company for a vacation override, and send him on his way with a new supply.
That is the most important thing to remember about your prescriptions while traveling. Most chain pharmacies today use common prescription databases, and most insurance companies will grant overrides to pay for an emergency supply of medication.
Don’t worry if you can’t find the chain store you normally use. If you find yourself away from home without your prescriptions, almost any pharmacy will be able to take care of you. What can’t be done electronically can be done with a phone call between two pharmacists.
Medicines to take with you
Having access to your prescriptions to prevent gout may not help if you suffer an acute attack while traveling. Ask your doctor about writing a prescription to treat a gout attack that you can take with you when you’re traveling. This will most likely be an anti-inflammatory steroid such as prednisone and/or a non-steroidal anti-inflammatory drug (NSAID) such as indomethacin, naproxen, or ibuprofen. Both types of anti-inflammatories can cause stomach upset, so it’s a good idea to pack an antacid along with those spare prescriptions.
Don’t use aspirin to treat a gout attack. At the standard pain-relieving dose of 650 to 1000mg every 6 hours, aspirin can increase the level of uric acid in your bloodstream, as well as interact with the prescription gout medicines probenecid and sulfinpyrazone. A low-dose “baby aspirin” however, is generally not a problem for people with gout.