If a person is ill with gout, then medications, as in the case of other joint diseases, should be prescribed exclusively by a doctor and exclusively individually. Therefore self-treatment, as well as following the recommendations of acquaintances, in this case is unacceptable.
Treatment of gout drugs
Do not forget that the treatment of gout takes a long time and is aimed at both eliminating an acute attack( of course, arthritis is hardly pleasant, but it does not pose a threat to life), and to eliminate metabolic disorders.
Gout -
Scheme All these conditions can lead to kidney stones that are removed during surgery, and kidney failure, which can only be completely eliminated by transplantation of a new organ.
material content
- 1 gout treatment drugs
- 2 Means for temporary relief of attack( short)
- 2.1 Colchicine
- 2.2 NSAIDs
- 2.2.1 Voltaren
- 2.3 Glucocorticosteroids
- 3 Formulations lowering uric acid levels( long acting)
- 3.1 1. Colchicine
- 3.2 Video - Colchicine in the treatment of gout
- 3.3 2. Allopurinol
- 3.4 3. Fullflex
- 3.5 Video - Fullflex for gouteskom arthritis
- 4 about new tools for the treatment of disease
- 5 In conclusion
Treatment of gout drugs
therapy of this disease is carried out in two stages.
- First, the symptoms of an attack( pain, swelling, inflammation) are eliminated, using short-term medications. When the symptoms disappear, you can proceed to the second stage of therapy.
The doctor prescribes medications to the patient
- . Further, when the inflammatory symptoms have disappeared, other drugs can be started that lower the level of uric acid and, as a consequence, the frequency of future seizures. As a rule, doctors advise taking these drugs at least a few days after the attack.
Take medicine strictly as directed by your doctor
You need to know that the drugs that reduce the concentration of uric acid are not taken until the attack of the disease ends. If you take them before the end of the attack, the salt deposits can begin to move around the body, because of which the patient's condition only worsens.
Means for temporary arrest of an attack( short-term)
A person suffering from gouty arthritis is required to remember that certain drugs during taking attacks are prohibited or, as an option, they should be taken solely under medical supervision. When the attack develops in order to stop it, the patient is assigned only anti-inflammatory drugs - taking drugs against gout( aimed at reducing uric acid level) during this period can worsen the condition.
Ibuprofen is a medicinal, non-steroidal anti-inflammatory drug
Important Information! If the patient has previously been prescribed drugs for gout, then the reception should be continued at the previously prescribed dosage.
NSAIDs with gout help to relieve the attack
NSAIDs
With the development of the disease, taking medications will help to relieve pain, reduce inflammation and swelling, restore the former performance of joints. Below are the preparations with which help stop seizures.
Colchicine
Colchicine
A unique drug that is used in both stages of therapy - both during an exacerbation, and with further therapy. Colchicine reduces the severity of symptoms. More details will be considered in the next paragraph of the article.
Non-steroidal anti-inflammatory drugs
Any drug that belongs to the NSAID group - ibuprofen, movalis, indomethacin, voltaren( we'll talk about it separately), nimesulide can be used to eliminate gout symptoms.
Movalis - tablets
Indomethacin
All these tools effectively relieve pain and reduce inflammation. The only drug from the NSAID group that can not be used during attacks of gouty arthritis is aspirin. This is due to the fact that aspirin can reduce the content of uric acid and lead to an exacerbation of the attack( as well as long-acting drugs).
Quite often, attacks of the disease are stopped with voltaren, so it should be discussed separately.
Voltaren
Voltaren
The drug is available in the form of ointments and tablets, and the desired effect is achieved by the simultaneous reception of both. On the first day of intake, the dose of the tablets should be a maximum of 200 mg, in the following days it can be reduced to 150 mg. In addition, the patient's joint should be rubbed with ointment twice a day.
Voltaren emulsifier
It is worth noting that this effect has other preparations of the group, but only Voltaren has release forms( candles, injections, ointments, tablets).In addition, all NSAIDs are prohibited for admission during pregnancy.
Rectal suppositories Voltaren
Voltaren injections
Glucocorticosteroids
Glucocorticosteroids are synthetic preparations( analogues of endogenous hormones produced by the adrenal cortex) that exert anti-inflammatory, desensitizing, immunosuppressive, anti-shock and antitoxic actions.
These drugs are taken in the form of tablets or injected in thosecases, when colchicine or preparations of the NSAID group do not give any effect.
Hydrocortisone - a natural glucocorticosteroid
Also glucocorticosteroids can be prescribed to people who, for one reason or another, are contraindicated in NSAIDs( for example, patients with kidney or heart failure, the same pregnant).Finally, corticosteroids are taken by those patients who previously had been prescribed an anticoagulant( eg, warfarin).
Important Information! During an exacerbation ointment from a gout in itself is ineffective - it needs to be combined with tablets or nyxes( as in a case with Voltarenom) or in general to replace on them. The use of the ointment is allowed during the period of the subsidence of the disease, and only as a supplement to the already prescribed systemic therapy.
Drugs that reduce the level of uric acid( long-acting)
Uric acid
Such drugs are aimed at normalizing metabolic processes and reducing the frequency of attacks of the disease in the future. In reality, these medicines are not so many, or rather, there are only three. Let's consider features of each of them.
1. Colchicine
Colchicine - tablets
Vegetable preparation, a representative of a group of tropelin alkaloids. It is made on the basis of autumn autumnal and has a powerful analgesic effect, so it can be used for acute attacks of ailment( as mentioned above).
Colchicine, manufactured in Germany
Colchicine is absolutely safe. Most of the drug is absorbed by the intestines, the rest disintegrates in the liver and leaves with urine. During the attacks you need to take one tablet( 1 mg), after a couple of hours the dose should be repeated. In most cases, this is enough to eliminate pain - improvement is already in three hours.
Colchicine is also used directly for the treatment of gout, since it interferes with the deposition of salts and reduces the activity of migration of leukocytes in the affected area. After the examination, a large dose of Colchicine may be prescribed to the patient, but it is worth remembering that you can not take more than ten tablets a day. The duration of the course is determined by the attending physician individually for each individual patient. Also, the drug is used for preventive purposes.
Kolchicin also has contraindications - hypersensitivity, hepatic and renal insufficiency. The drug should be taken by pregnant women only under medical supervision.
As against side effects, they often occur when the dosage is exceeded and include:
- diarrhea;
- for leukopenia;
- neurosypes;
- nausea, vomiting;
- sperm deficit;
- hives, burning and itching of the skin;
- muscle dystrophy.
If there is at least one of the signs, then from the further reception of the drug should be discarded.
Video - Colchicine in the treatment of gout
2. Allopurinol
Effective agent in increasing the concentration of uric acid and further complications, i.e. gouty arthritis. Produced in the form of tablets, which should be taken only as prescribed by the doctor.
Allopurinol for gout
In the treatment of gout, the daily dose should not exceed 1-2 tablets( 100-200 mg);if the disease is of medium severity, then the dose can be increased to 4-5 tablets;If gout occurs stiffly, it is possible to take up to 9 tablets per day. The extent to which the treatment is effective can be determined by analyzing the patient's blood for the concentration of uric acid before and after administration. Often the concentration decreases after 24-48 hours after the start of therapy.
Drug Allopurinol
Important Information! Especially cautious during the course should be patients suffering from concomitant diseases. During the first few days the doctor should check the liver regularly. In addition, if the kidney function decreased, then the dose should be reduced by half.
During treatment urine should be allocated at least 2 liters per day. The feature of allopurinol is that it does not reduce the pain syndrome, and therefore, during attacks it does not need to be used. But the drug can stop the appearance of such attacks in the future.
Allopurinol tablets.100 mg No. 50
Allopurinol is contraindicated in lactating mothers and pregnant women.
Side effects are as follows:
- bradycardia;
- urticaria;
- diarrhea, nausea and vomiting;
- insomnia;
- edema( occur infrequently), uremia;
- stomatitis;
- migraines, dizziness;
- lethargy, fatigue;
- depression.
If any of the symptoms appear, stop the course immediately and consult a doctor for another medication.
3. Fullflex
Fullflex - capsules
Vegetable agent, the main active components of which are: fragrant martinia, juniper, eucalyptus, birch and willow bark, eucalyptus, birch and willow bark. Another Fullflex is rich in routine, vitamins E and PP.All components are natural, so the drug is absolutely safe for health.
Preparation Fullflex
It is available as a cream for external rubbing and capsules. The course of treatment with capsules is 30 days. Each day, you need to take one capsule during meals. Cream Fullflex should be rubbed into the knee joint twice a day. The cream is stored at a temperature of up to + 20 ° C in a dark place inaccessible to the sun.
Cream Fullflex
Before starting reception, you should consult a doctor. Contraindications are the same as those of the previous two drugs - breastfeeding and pregnancy. As for the side effects, so far they have not been identified, which is why Fullflex is so popular.
Video - Fullflex for gouty arthritis
On new drugs for the treatment of
disease Numerous studies are underway to develop drugs not only to eliminate symptoms of arthritic arthritis, but also to reduce the level of uric acid.
- It has been found that Losartan, with which hypertension is treated, also lowers the concentration of uric acid in the body.
Losartan
- Y-700 has the same effect. It can be prescribed to those to whom the intake of allopurinol is contraindicated.
- Fenofibrate is used to control a number of fats in the body, although it can also increase acid excretion activity.
Fenofibrate
- Urotoxidase converts uric acid into absorbent molecules. Now this drug is being tested in the United States.
As a conclusion
As a result, we note that the effectiveness of gout treatment depends not only on compliance with the dosage, but also on the duration of the course. Do not stop therapy if the signs of the disease have disappeared or the patient is sure that the gout has receded. Even after relief of pain syndrome, the drug should be taken until the end of the course. Due to observance of terms and absence of self-treatment( that is, taking medications without medical supervision), one can effectively cure the disease and forget about pain forever.
Take the medication systematically and in accordance with the doctor's recommendations to permanently get rid of the gout
