Tablets for the treatment of gout
The joint is destroyed by crystals of uric acid
Such a disease as gout is known to mankind since ancient times. The cause of its occurrence is an increase in the level of uric acid in the blood. Excess uric acid leads to the fact that the kidneys do not have time to remove it from the body. As a result, salts are deposited in the joints, which causes severe inflammatory processes.
Successful treatment of ailment largely depends on nutrition. From the diet should exclude all products that promote the formation of uric acid. Drug treatment for gout is prescribed when compliance with the diet does not bring relief and the level of uric acid in the blood is still high.
Features and symptoms of the disease
In the old days gout was considered a disease of aristocrats, as it developed as a result of excessive consumption of meat and alcohol, which the poor could not afford. Today, when meat products and alcohol became available to almost everyone, almost all strata of the population were affected. Prevalence of gout is low: on average, there are only 3 cases of diseases per 1 thousand people, while men suffer from it more often than women.
The peculiarity of the ailment lies in the fact that it has a chronic form and is not completely cured. If a person has been diagnosed with gout, he will need to adhere to a special diet to avoid exacerbations until the end of his life, eliminating meat and alcohol from the diet. The drinking regime is also very important. To remove uric acid from the body, the patient should drink 2-2.5 liters of fluid per day. But only if he does not suffer from kidney disease.
Gout is characterized by a paroxysmal course. Its symptoms are difficult to confuse with the manifestation of some other disease. The gouty attack always begins suddenly and is accompanied by unbearable pain and increased sensitivity of the area around the joint, inside of which accumulated salts of uric acid. At the initial stage of the disease, the pain is localized in the joint of the big toe. It becomes hot and red.
Manifestation of an acute attack of the disease
An attack occurs most often at night, when a person is at rest. If the patient does not pay attention to the alarming symptoms, does not go to the doctor and does not begin treatment, the ailment will progress and spread to other joints. A distinctive feature of gout is tofusi( gouty buds), formed on the site of a cluster of crystals of uric acid. If the disease is started, it will lead to serious impairment in the functioning of the kidneys.
Many people who suffer from bouts of gout, the question arises: how to treat this disease? Noticing the symptoms of ailment, the patient should apply to a medical institution and undergo an examination. If the result is that the level of uric acid in the patient's blood is increased, he will be prescribed medication.
There are not many medicines for the treatment of gouty arthritis in modern medicine. They are divided into 2 groups:
- medications used by patients during an attack;
- tablets intended for long-term administration during remission.
Drugs used during the attack of
In the treatment of gout, the anti-inflammatory and anesthetic drug colchicine is widely used, its action is aimed at normalizing the exchange of uric acid in the body. Colchicine in tablets is intended for relief of acute attacks and reception as a preventive agent. It has a complex effect on the body:
- relieves pain;
- lowers the migration of leukocytes to the site of inflammation;
- reduces the production of uric acid salts and prevents their accumulation in the joints.
Treatment of gout with colchicine should be carried out at the initial stage of the attack, in this case the drug has the maximum therapeutic effect on the patient's body. If tablets are taken from gout at the height of an attack, they can not quickly remove its symptoms. To treat the acute form of gout on the legs and other inflamed areas, colchicine should be taken only as directed by the doctor. The duration of anti-gout therapy is determined by a specialist.
Before drinking colchicine, you should read the contraindications for its use. These include:
- hepatic and renal insufficiency;
- advanced age;
- is an individual drug intolerance.
The most common side effects in the treatment of the drug are allergic reactions, abdominal pain, vomiting, diarrhea, anemia. Long-term use may cause thrombocytopenia.90% of patients say that treatment of gouty arthritis with colchicine produces a positive therapeutic effect. Its analogues are such agents as colchicine and colchimine.
Today, gout attacks are successfully stopped by non-steroidal anti-inflammatory drugs( NSAIDs).These include phenylbutazone, methindole, indomethacin, ketazole, butadione and other drugs. Medicines from the NSAID group effectively relieve the pain syndrome in a gouty attack, reduce the temperature and contribute to reducing the inflammatory process in the affected joints. They are more effective than colchicine, and are better tolerated by the patient's body. The question of which of the non-steroidal preparations is best to choose is the doctor's decision. He will also prescribe the dosage of the medication and the duration of his admission.
Since gout reminds itself of itself is always unexpected, it is advisable for the patient to constantly carry with him the prescribed pills and in case of an attack immediately take them.
Medications for the prevention of exacerbations of
If a person has chronic gout, treatment is carried out with preventive medicines intended for long-term use. This drug is allopurinol - a drug whose main effect is to reduce the amount of uric acid in the body. Tablets are available in dosages of 100 and 300 mg. For the removal of seizures, this medication is not used, it is prescribed during remission, when the joint is not inflamed.
The doctor selects the dose of allopurinol individually for each patient, based on the results of his analysis. The minimum dosage of the drug is 100 mg, the maximum dosage is 800 mg per day. To avoid negative consequences, allopurinol treatment is started with a minimal dose. Drink the medicine after eating. To achieve a positive therapeutic effect, allopurinol should be taken for several months. Contraindications for treatment with this medication:
- pregnancy and lactation;
- kidney failure;
- individual intolerance of the components of the drug.
Usually patients tolerate allopurinol well if it needs to be drunk. In rare cases, they may experience side effects in the form of insomnia, depressive state, nausea, vomiting, diarrhea, blood diseases. At the initial stage of taking the drug, the aggravation of the illness is possible due to the release of uric acid from the gouty tofusi and other places of its concentration. If you feel worse when taking medication, the patient should consult a doctor.
In addition to allopurinol, antidotagric drugs that reduce uric acid levels are thiopurinol, probenecid, benzobromarone, anthuran. They are also designed to prevent gout exacerbations and are prescribed for a long period.
Gout is a disease in which the metabolism in the joint tissues is disrupted, leading to the deposition of salts and the accumulation of uric acid, with further restriction of the mobility of the joint bag.
Treatment of gout
It should be remembered that gout in neglected form represents a danger to the state of the genitourinary system and can lead to disruption of the kidneys. In the treatment of gouty arthritis, medications play a leading role in recovery. In the acute stage of the disease, the main task of the drug is to remove the pain in the affected joint. In the remission phase, drugs are used to reduce the concentration of uric acid in the joints.
Treatment of gout in the acute stage
The acute stage of the disease usually lasts 1-2 weeks. It is advisable during this period to monitor the patient in the hospital. To remove the pain attacks of the disease in the acute stage, non-steroidal anti-inflammatory drugs are used. In a hospital, injections of anti-inflammatory drugs are used. This method of drug administration ensures that there are no side effects that can occur when taking drugs orally. A set of measures aimed at arresting an attack is usually the following:
- the appointment of non-steroidal or corticosteroid drugs( Diclofenac, Nimesulide);
- bed rest;
- a strict diet and a plentiful drink.
Treatment of gout in the remission phase
After the pain is removed in the acute stage, therapy is prescribed with the help of medications that promote the improvement of metabolism in the joint and the excretion of uric acid. In the complex of drug treatment, drugs with different effects on the patient's body are used:
- means that reduce the production of uric acid salts( Allopurinol, Hepaktokatalaz);
- preparations that excrete uric acid( Flexin, Udrod).
Drugs for gout and methods from the use of
In the treatment of gouty arthritis, a complex of medicines is used, each of which is prescribed by a doctor, depending on the severity of the disease and the appropriateness of their use. By the method of application, drugs can be conditionally divided into 4 groups:
Drugs for the treatment of gout
Treatment of gout at the time of development of acute attack
A patient suffering from this disease should know that some drugs from gout at the time of an acute attackcan not be taken or treated by them only under the constant supervision of a doctor and control of laboratory blood indicators.
If the patient develops the first attack of gouty arthritis, then only anti-inflammatory drugs are prescribed for his arrest - the use at this time of drugs that reduce the concentration of uric acid leads only to a sharp deterioration in the patient's condition. These drugs cause the uric acid to "move" in the peripheral tissues of the body, the concentration of this substance in the blood increases, and it can again be massively deposited in the joints, glomeruli and tubules of the kidneys.
If the patient has previously been diagnosed with a high uric acid content and prescribed treatment for gout - drugs should be taken at previously recommended dosages of .
Drugs for arresting an attack
If a patient develops gout - treatment with medications helps relieve pain, reduce swelling and redness of tissues, restore normal mobility in the joint. To do this, prescribe:
- non-steroidal anti-inflammatory drugs - any gout tablets that include any of the drugs from this group( movalis, nimesulide, indomethacin, ibuprofen) can be used. The only drug that should be excluded is acetylsalicylic acid( aspirin) - it can cause the same changes as drugs that reduce the level of uric acid in the tissues;
- colchicine is a chemotherapeutic agent capable of reducing the severity of gout exacerbation;
- glucocorticoids are drugs prescribed only when painkillers are ineffective for gout and colchicine.
In this disease it is important to begin treatment with the administration of drugs inside or in the form of injections - ointment for the treatment of gout in the acute period of the disease is ineffective. Ointment from gout can be prescribed only if the acute inflammation subsides against the backdrop of ongoing systemic therapy.
Preparations for the prevention of an attack and the normalization of the metabolism of
Drugs for gout in the interictal period should be prescribed by very long courses, under the control of laboratory indicators and against the background of compulsory compliance with the diet. In this case, designate:
- drugs prescribed to suppress the synthesis of uric acid in the body - in our country is allowed to use allopurinol;
- agents that enhance the excretion of uric acid with the kidneys;
- colchicine is the only drug used at any stage of the disease, but under constant medical supervision
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Please tell me which painkillers help with gout?
1. Full rest. During an acute attack, keep the affected joint in a raised state, place pads under it. This advice is easy to follow, because the pain is very strong.
2. Drink plenty of water, 5 - 6 glasses a day. A large amount of fluid will help accelerate the removal of uric acid from your body. It is better to make tea from herbs, briar infusion or cowberry mors. Sugar is not added.
3. Avoid aspirin and drugs that include it. Painkillers act in different ways. Aspirin can actually aggravate gout by slowing the release of uric acid.
And of the pain relievers better PYROXIC.
4. If the affected joint allows you to touch, try attaching an ice pack to it for ten minutes. Ice will have an anesthetic effect.
5. Avoid food that increases the concentration of uric acid in the blood. These are high protein animal foods high in purine. In the early days, meat is limited or even completely excluded, fish, and every other day they arrange unloading days( vegetable, fruit, juice, dairy).Diet for gout - see below. You can not take alcohol.
D.u.k.e. = [=== & gt;
Ibuprofen( aka nurofen), and in general the drug of choice is diclofenac retard.
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The leaves of the kratom( Malaysian tree) one spoon on the floor of a glass of boiling water. You can buy in online stores.
diclofenac-anesthetizes, and the restructuring of the injection C-treats
classics - guillotine. ..
Man - you are the World, you are Eternity.
Tablets cause not to be removed.
333 gastrointestinal illnesses occur when the conditions in the body are observed
1. consumption of structured water 1.5L per day
2. cellulose, enzymes, friendly bacteria
3. purification from the aggression of pathogenic bacteria, viruses, fungi, parasites and protozoa.
For two weeks a powerful antioxidant program to restore the acid-base balance and eliminate aggression. At this stage, the mucosa is restored.