Monday, March 4, 2013

What medication can be used to treat an Acute attack of gout

The best gout treatment is generally not pharmaceutical based-gout natural remedies and dietary changes are the best way to combat gout. However, in many cases when the pain is unbearable (which it usually is), you need some kind of drug based gout treatment to relieve the pain. Then you can get on with looking for a longer term remedies like this cover in the report of the Remedies gout (find the link in the right sidebar of this site for more info on that).

So, what we want to know is:

What medication is available?What are the benefits and the side effects of each?

Only three types of medication are used to treat an acute attack of gout:

colchicinecorticosteroids, or by injection into the affected joint, taken orally or by intramuscular injection, andnon-steroidal anti-inflammatory drugs (Nsaids).

gout treatmentsThese need to be prescribed and may be administered by a doctor. The first few attacks of gout should probably be seen by a doctor, at least to determine the diagnosis. However, once the diagnosis has been established, self medication of previously prescribed medication is both necessary and desirable.

The sufferer gout can usually the beginning of a further acute attack the diagnosis accurate and at an early stage. Because early treatment can limit the duration of the attack, it is important that the person in danger of an attack of gout has access to a form of treatment that can be taken at short notice at any hour of the day or night.

When choosing between different therapies, a doctor has to weigh both the likely success of the therapy and the risk to the patient of possible side-effects. In relation to the attack of gout itself, its severity, the frequency of attacks and previous response to therapy useful guidelines.

However, the severity and risk of side effects varies from patient to patient, so that the selection of the treatment must be individualized and there are no specific criteria that apply for all patients. The possible side effects will be known for the individual therapies, but in each case the doctor will try to balance the risks associated with the benefits. Colchicine can thus be chosen as non-steroidal anti-inflammatory drugs should be avoided. You can also steroids can be administered by injection into a joint when medication cannot be taken by mouth, for example because the patient a recent operation, or if, for some reason, colchicine and non-steroidal anti-inflammatory drugs are not suitable.

It is important to again stress that there is nothing to do that will either increase or decrease the serum concentration • Urate lowering while a persistent gouty inflammation is.

Drugs to lower the serum Urate should not be held while • there are no symptoms of gout in a joint. Drugs, which the serum • Urate controls also should not be stopped because an acute attack of gout has developed. As acute gout develops, it should be treated on its merits and at that time nothing should be done to correct the associated high • Urate concentration or to stop drug treatment to determine this.

(There is only one special case when the doctor can decide not to follow this rule. That's if the first administration of a drug to lower the serum concentration • Urate induces an acute attack of gout. In such a case, it may be desirable to stop the drug • Urate-lowering, but this is not a decision to be made by the patient. I accept that this advice can be a little confusing but it is a special case and does not change the fundamental advice is not to change the • serum Urate during an acute attack of gout.)

Tagged as: colchicine, corticosteroid, gout remedies, gout treatment, Nsaids


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