Interim control-how to reduce the risk of gout attacks

You should still be the risk of acute gout while you wait for your • Urate serum be corrected.

The remedy gout report (see the link on the review in the sidebar on my blog = = >) shows how the risk reduce and even eliminate the condition completely by changing a few of your lifestyle habits, and some healthy gout foods to consume.

If you prefer a pharmaceutical gout treatment to take, there are two drugs that prevent acute gout, nor that can of that intrinsic effect on the serum • Urate concentration. These are the colchicine and the Group of NSAID drugs. The dose used depends on the purpose for which they are used. When they are used prophylactically (preventive), a low dose is used every day. When they are used for the treatment of an acute attack, a large dose is used initially tail off pretty quickly if the acute gout is decreasing.

A prophylactic (preventive) dose of colchicine varies between 1 and 2 tablets (each by 0.5 mg) a day. This interferes with the reaction of the polymorphic white blood cells on each • urate crystals, reducing the potential for an inflammatory response. In acute gout the dose is usually sufficient to induce diarrhea, but the prophylactic dose should not produce a gastrointestinal side effects such as nausea, abdominal pain and diarrhea.

If so, the dose should be reduced to it produces no side effects whatsoever. There are rare cases of muscle pain and weakness in the lower extremities in patients with renal insufficiency that prophylactic colchicine have taken long-term. The value of prophylactic colchicine is sufficient to justify my continuing to recommend patients to use, even if they have some kidney failure, although they should be advised to stop the colchicine if they weakness or pain in the leg muscles develop.

Many of the non-steroidal anti-inflammatory agents (Nsaids) are also useful curative against acute attacks of gout. However, their side effects are potentially more serious than those of colchicine.

Colchicine is therefore preferable prophylactic agent and it's completely in 80 percent of patients effective and ineffective in just 5 percent.

The use of prophylactic colchicine is particularly valuable in: patients with hyperuricemia between attacks for • Urate-lowering therapy is started or during the investigation of the causes of hyperuricemia; during treatment to lower serum • Urate to within the normal range, a situation in which, as we have seen, there is an increased risk of acute gout; Precipitating and in patients whose serum • Urate is restored to the normal range by lifestyle or dietary modification or by the use of drugs.

In this last group of patients, the risk of gout may continue for about a year of normal • Urate concentrations and can be reduced by continuation of prophylactic colchicine. However, after a patient has had a normal serum • Urate and no acute attacks of gout for 12 months, the prophylactic colchicine can be stopped.

Some patients who regularly large doses of Nsaids to prevent frequent repeats of gout can take a very severe attack of gout with the formation of large tophi develop without prior warning. This is rarely a problem with colchicine prophylaxis (prevention).

Tagged as: colchicine, gout remedies, gout treatment