 [ Symptoms ] is bactrim ds ever given for gout with tophi  i am a caregiver and have concerns for my client she has inflammation swelling and what is described as tophi in her r pinkie finger her pcp diagnosed this as gout and prescribed bactrim ds i can not find where this is the medication of choice for this condition corticosteroids and or nsaid is are used can you please set my concerns at ease by giving me your input on this matter i trust this site for medical questions thank you very much have a blessed day sincerely jeanette lewis [ Disease ] many people have cold sores in their past history but do not remember or they went unnoticed as being something else once you have antibodies for the herpes simplex virus it can reactivate at any time in your life forever mono is an entirely different and unrelated virus mono cannot cause herpes but if a person already has herpes antibodies exposure to an illness or getting an illness could trigger this reactivation response there can be many reasons for your symptoms so please see your medical provider so you can be properly examined and diagnosed