Preparations for the treatment of gout on the legs

Drugs for gout: what medications help cure gouty arthritis

Gout is a disease in which deposits of uric acid salts are deposited in various tissues, including in the joints of the legs( most often the big toes), whose crystals cause pain and inflammation in thethe joint. Gouty arthritis is a metabolic disease, so its treatment should be comprehensive and include a variety of medications. We will now tell about them.

The list of medicines that help to relieve an attack of the disease
Medications for treatment outside the attack of arthritis
Folk remedies
Diet - your main assistant + video

If gout is detected for the first time, then for the primary diagnosis of this disease and the appointment of competent treatment,to undergo in-patient treatment in the rheumatological department of the hospital.

Usually, in order to go through all the necessary examinations, put an accurate diagnosis and appoint a suitable treatment, doctors need one to two weeks, which, by and large, is not such a long time. But in the future, gout treatment can be performed on an outpatient basis, under the supervision of a rheumatologist or nephrologist. They will prescribe medications that will help stop the disease and reduce pain in the joints.
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The main group of medicines for treating gout

Since the main manifestation of gout is an attack of acute gouty arthritis, accompanied by severe pain in the leg, the entire treatment of gout and the medications used for this can be divided into two broad groups: drugs for arresting an attack of gouty arthritis and drugs fortreatment of this disease outside seizures - in a relatively quiet period.

Drugs that help to relieve an attack of the disease

Colchicine and non-steroidal anti-inflammatory drugs( NSAIDs) are used to relieve pain with specific arthritis caused by gout and to relieve concomitant inflammation.

Colchicine

colchicine

Colchicine is a special substance isolated from plants, the main feature of which is to stop cell division. Therefore, it is called a cellular poison. Of course, this does not mean that it is a poison for a person, but it is a strong enough drug, which, like any other medicine, has side effects.

Colchicine well helps relieve pain and inflammation in gouty arthritis. It is usually prescribed at the height of the attack, every hour for half a milligram of this drug or one milligram every two hours. In this case, the doctor closely follows the patient's condition, since colchicine has many side effects, when the appearance of which the drug must be canceled.

This medication is continued until:

  • the patient's condition improves and the attack is stopped;
  • there will be no side effects( usually on the part of the gastrointestinal tract) - in this case colchicine is canceled and other medicines are prescribed to stop inflammation and pain( hormonal and non-steroidal anti-inflammatory drugs);
  • the total dose of the taken medicine will not reach six milligrams, and the effect of treatment will not arise;in this case, we can assume that the drug did not work, and this patient needs another remedy.

Sometimes, in order to avoid strong side effects from the stomach and intestines, the doctor can prescribe the introduction of colchicine intravenously. In this case, since this agent has a strong irritant effect on the tissue adjacent to the vein, this intravenous administration is extremely slow and under the supervision of the doctor. It can take up to several minutes, and this is normal.

Non-steroidal anti-inflammatory drugs( NSAIDs)

If colchicine does not work, gave strong side effects or for some other reason to stop an acute attack of arthritis with gout doctor can be prescribed medications from a completely different group - non-steroid pain medications. These include drugs such as naproxen( sanaprox, nalgezin-forte, aliv, apranax), all known indomethacin( methindol, indocid, inddeene, indotard) and other NSAIDs. Initially, indomethacin for an acute attack of gouty arthritis is prescribed in a certain dose, after which every 6 hours, another amount of the drug is taken. What is characteristic, the earlier the intake of indomethacin in the attack of gout began, the faster it is possible to stop the attack. After a day, against the background of the drug effect, the dose is gradually reduced.

Please note: the names of the drugs and their doses are indicated for information purposes only! Do not try to self-medicate, this can lead to unpredictable consequences! If you have symptoms of an acute attack of gout, always consult a doctor!

Hormonal medications( glucocorticoids)

interrupt the attack of gout help the injection of hormones into the joint region of

If treatment of an acute attack of arthritis caused by gout with colchicine or non-steroidal anti-inflammatory drugs did not lead to the desired result, the use is "heavy artillery": the doctor appointshormonal agents that reduce inflammation - the so-called glucocorticoid hormones.

The doctor can use single injections or short courses of such drugs as betamethasone and methylprednisolone for this. The use of such drugs can certainly reduce arthritic inflammation with gout and relieve the pain.

Since an attack of arthritis with gout gives a pronounced inflammation in the joint and pain, it is very important to stop this attack as quickly as possible. Usually, in order to interrupt this inflammation, it takes no more than two days.

Medications to treat an attack

After an acute attack of gouty arthritis is lifted and the diagnosis is made, it's time to think about what to do next. There are special preparations for the treatment of gout in out-of-impulse periods( which, by the way, do not work during an attack).Let's talk about them.

Purinol( allopurinol)

Because gouty arthritis is a disease in which deposits of uric acid salts accumulate in the tissues, accumulating in the body excessively, the doctor prescribes medicines for its treatment that enhance the excretion of urate from the body.

These drugs include purinol or allopurinol. During an attack of arthritis, these drugs do not work. It is understandable, because purinol does not affect pain and inflammation.

But if after the first attack to take treatment with purinol, then the probability of repeated attacks is significantly reduced - up to the fact that a year later, in an even disease, the doctor may even suggest that you gradually give up this medication.

Of course, the decision to abolish therapy should only be made by a doctor based on your condition and test data. Independently to cancel treatment in no event it is impossible!

Folk remedies

treatment of gout with folk medicine: only under the supervision of a doctor!

Generous nature is rich in medicinal plants that help from a variety of ailments;there are herbs on the basis of which you can prepare medicinal tinctures, lapping and compresses, helping to improve well-being and gout.

More details about them you can read in the article National treatment of gouty arthritis.

Just remember that the use of medicines based on folk recipes, from whatever reliable sources they do not appear, must necessarily be agreed with the attending physician and should not be used instead of medical treatment, but with it!

Diet

Surprised? Yes, a diet can also be a cure! And if it is a question of such an exchange disease as gout, then the right therapeutic diet may well be the main assistant in recovery. It is compliance with the diet for gout that makes it possible to control this disease and avoid bouts of the disease in the future.

red meat is the most harmful product in the diet for gout

The main principle of therapeutic nutrition for gouty arthritis is to avoid products that contain a large number of urates or substances that can turn into urate inside our body( products with a high content of purine bases).

These foods primarily include meat, especially lamb and veal, as well as meat by-products( liver, kidneys), meat broths and soups, cold meat, some fish( mackerel, sardines, herring), and alcohol. However, products such as pasta, bread, milk and its derivatives, cheeses can be eaten without restrictions.

Actually, only compliance with a diet with this disease can help to forget about this disease with time, so it's worth taking this information with special attention. For more information on how to eat properly in this disease, we wrote in the article Diet and therapeutic nutrition for gout.

As you can see, in order to defeat gout, not so many medicines are required. The main thing that is important in this disease is not to engage in self-medication, in time to see a doctor and observe the prescribed diet.

Be Healthy!

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Tablets for the treatment of gout

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 in order to avoid exacerbations until the end of his life, eliminating meat and alcohol from the diet. The normal 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

It 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 that 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 use during remission.

Drugs used during the attack

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 syndrome;
  • 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 failure;
  • pregnancy;
  • advanced age;
  • neutropenia;
  • 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, ketazol, 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 always unexpectedly, it is advisable for a patient to constantly carry with himself the prescribed pills and in case of an attack immediately take them.


Drugs for the prevention of exacerbations

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. To remove attacks, this medication is not used, it is prescribed during remission, when the patient joint is not inflamed.

The doctor selects the dose of allopurinol individually for each patient, based on the results of his analyzes. 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 to the components of the medication.

Usually patients tolerate allopurinol well if it is 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, anti-gouty 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.

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Effective treatment of gout with folk methods

Gout is one of the oldest diseases on the planet, which is a consequence of metabolic disorders. The disease occurs due to the accumulation in the body of salts of uric acid, which form crystals in such tissues as tendons, cartilage, joints. Gout can affect any joints, regardless of their size and location: on the fingers and toes, joints of the knees, shoulders, elbows.

But especially often from this disease suffer the joints of the foot, which manifests itself in the form of painful cones on the thumbs. In order to treat traditional or traditional medical products was effective, first of all it is necessary to conduct a comprehensive examination of specialists. The disease can appear not only because of a metabolic disorder, but also against other diseases - oncology, kidney failure, etc.


Symptoms and forms of the disease

Gout is usually characterized by the onset of inflammation in any joint. A person feels sudden sharp pain, fever in the joint, redness of the skin in this place. Often, such seizures are compared with the pain of fractures: the sensitivity of the affected joint is extremely high, the pain can arise even from the touch of clothing or bedding.

As a rule, gout attacks happen at night and can last from 2 days to a week. With properly selected therapy, the inflammatory process can be eliminated within 1-2 days. The risk group includes, first of all, men aged 40-50 years, in women of this age category, the disease occurs 20 times less often.

Gout is highly likely to occur in people with high blood pressure, overweight, prone to eating large amounts of protein foods and alcoholic beverages.

Uric acid salts accumulate in the diseased joint and corrode cartilaginous tissue

Modern medicine classifies gout as acute and chronic. Acute gout is the initial stage of the disease. At this first stage of the patient, sharp pains are excruciated.

The frequency of recurrence of seizures depends on the general condition of the body, as well as on the measures and means of treatment. Proper treatment at this stage allows, if not completely get rid of the disease, then significantly delay the timing of the next attack.

In chronic disease, pain in the affected joints can persecute a person for a long time, accompanied by a characteristic crunch during movement, stiffness and increased pain during exercise. The treatment of gout at this stage is often complicated by the damage to the kidneys, heart and other internal organs.


Diagnosis and traditional treatment of gout

Diagnosis of the disease on the basis of data obtained from laboratory studies, radiography, ultrasound of the kidneys and visual inspection. If you suspect a podagra, the therapist first checks the results of the ultrasound of internal organs and the radiography of the joints for the detection of gouty nodules in the subcutaneous tissue.

The most informative method of diagnosis is the analysis of the joint fluid. The presence in it of crystals of salts of uric acid allows to correctly determine the correct diagnosis and select the most effective methods of treatment. Gout refers to the type of diseases that need to be treated by a number of specialists: the therapist, nephrologist, rheumatologist, urologist.

Treatment of gout should necessarily be complex and consist not only in the elimination of periodically arising painful sensations, but also in changing the whole way of life of a person. Both folk methods of treatment and medication must be coordinated with the attending physician. To get rid of a disease like gout, you need a correction of many habits. We need a special diet, control of body weight, the use of appropriate medications, the treatment of folk remedies, increased level of motor activity, refusal of alcohol.

In addition, it should be taken into account that the disease can affect the neighboring joints. Therefore, prevention and treatment must be treated with all seriousness, until the joints are irreversibly changed. Both folk and medicamentous treatment of gout is aimed at reducing the volume of uric acid in the body and its complete elimination, which prevents the formation of crystals. All medicines are divided into two groups: for relief of acute inflammatory processes and for preventive treatment during periods between attacks.

For the removal of pain and neutralization of inflammation, non-steroidal agents are usually prescribed:

  • indomethacin;
  • diclofenac;
  • is Voltaren;
  • Naproxen.
In more serious cases, hormone medications are prescribed as single injections:
  • betamethasone;
  • methylprednisolone;
  • dexamethasone.

In periods between attacks, treatment with folk methods in combination with proper diet, joint gymnastics and rejection of bad habits is very effective. For the removal of acute pain, folk methods recommend the use of ice packs.


Use in the treatment of salt and iodine

Treatment of gout with folk methods involves the use of both external and internal remedies. Their action is aimed at the removal of inflammation, the normalization of metabolic processes and the removal of excess uric acid from the body.
Since it is necessary to treat gout complexly, it is not recommended to focus on only one joint healing. In any case, you should not allow a sharp decrease in weight, tk.this leads to an increase in the amount of uric acid in the body.

Coffee and tea must be replaced with medicinal herbal decoctions and alkaline mineral water. With the use of herbal infusions, unusual sensations in the bladder can arise - this is caused by the dissolution of salts that slightly irritates the mucous membrane of the internal organs.

Folk treatment of the disease with the help of external means is based on the use of generally available and inexpensive drugs. So, the use of iodine at the initial stage of the disease gives good results. The most effective folk remedy for iodine treatment of the joints of the feet, elbows and hands is a warm bath, which is done regularly in the evenings for 10 days. To prepare a tray in 3 liters of warm water, dissolve 2 tablespoons.soda and 10 drops of iodine. The patient's joint is heated in warm water for 10 minutes, after which it is wiped dry, iodized with 5% iodine and warmed with woolen cloth.

Traditional treatment of gout involves the preparation of iodine trituration: in 10 ml of iodine, dissolve 5 tablets of conventional aspirin. This mixture is smeared with sick joints before going to bed, then they are warmed with a woolen handkerchief, which is left until the morning. A similar course of treatment for gout is at least a week.

No less popular folk remedy is a compress made of vaseline and iodized salt.0.5 kg of salt is poured with water so that it covers a layer of salt, after which the mixture is boiled over low heat until the water is completely evaporated. The resulting precipitate is thoroughly mixed with 200 g of Vaseline or interior pork fat. The ointment is applied to a tissue flap and fixed in the area of ​​the affected joint for several hours.


Use of decoctions and infusions of herbs

Gout at the initial stage of development is treated with saturated chamomile broths. Chamomile has anti-inflammatory properties. This allows you to use decoctions of her flowers for the preparation of compresses and medicinal trays.

The most common folk remedy for gout is a decoction, consisting of an equal number of chamomile flowers and black elderberry. Plants pour a small amount of hot water, bring to a boil and insist for about 10 minutes. In still hot liquid, wet the strip of tissue that fixes over the diseased joints.

Treatment of gout with internal means can not only relieve pain and improve metabolism, but also improve the body as a whole. Known popular means for successful treatment of gout, used inside. These are broths, infusions and juices of medicinal plants.

An ancient folk method of treatment recommends the use of infusion of chicory, boiled with steep boiling water. Chicory is able not only to effectively treat joint diseases, but also beneficial effect on the work of the heart and liver.

Another folk remedy is well combined with the need to adhere to dietary nutrition. Wheat porridge will help to get rid of salt crystals. It should be boiled on water with a small piece of high-quality butter.

The same purpose is served with onion soup.2-3 uncleaned bulbs fill with a liter of filtered water and boil on low heat until ready. The broth is filtered and drunk daily before meals for 10-15 days.


Treatment with exotic folk methods

A rather unusual folk remedy has been used for a long time by seaside peoples to treat gout at any stage, relieve pain in the feet, and eliminate heel spurs. The medicine is a compress made from 2 kg of fish scraps. Meat is separated from ridges, divided into 10 equal parts and cleaned into the freezer. Every day one part of the fish fillet is thawed before going to bed, the fish is placed on top of the diseased joint, it is well fixed and warmed with woolen cloth. The compress is left to act all night, the used fish is discarded in the morning. The course of treatment is designed for 10 days.

No less original folk method of treating gout is the use of contrasting temperatures. To do this, prepare two vessels: one - with very cold water, the other - with the grains of any cereal plants, filled with boiling water.

The joint is dipped for a few seconds in cold water, then immediately placed in a vessel with steamed grains. When the grain cools down, the joint is tied with a warm cloth to preserve heat. Treatment should be long - at least 2-3 months.

An ancient folk remedy used to treat gout that affects the joints of the fingers, also takes a long time, but is no less effective than heating the grain. Unsalted lard is cut into small slices, laid on the diseased joints and rubbed until the slices become thin and small. For severe pain, it is recommended not only to rub the fat into the joints, but also to leave its small slices for the whole night, fixing with a bandage or plaster.

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Gout is an ancient disease described by Hippocrates. Pan's twig, a disease of kings and aristocrats. But behind these beautiful words are hidden periodic very painful attacks, accompanied by painful pains. After all, with gout affected joints and most often on legs, they are deposited crystals of uric acid - urate. As a result, the joints of the legs periodically become inflamed, swell and hurt. And without taking action, these attacks will increase. Treatment of gout on the legs is always performed in a complex and consists of several main tasks:

  • rapid removal of an acute attack of gout;
  • relapse prevention;
  • therapy during the period between seizures.

Relapse therapy

To stop an acute attack or attack with gout, a colchicine drug is used. It effectively stops the attack, reducing the level of uric acid to normal, reducing pain and inflammation in the legs. In the first 12 hours there is relief.

The drug is injected slowly intravenously with saline, starting at 1 g. Maximum at a time you can enter 2gr. After the injection of 7 days, the remedy is not applied. If before this medicine was prescribed inside, it can not be stabbed.

Treat with colchicine with caution in diseases of the liver and kidneys, in the elderly. For them, there are sparing schemes for taking the drug. It is not applied in renal and hepatic insufficiency, infringement of a glomerular filtration. Long-term treatment leads to a reduction in the number of red blood cells and white blood cells.

Acute attack can be treated with large doses of drugs from the NSAID or NSAID group. They are carried by the body of patients much easier. When there are side effects from one remedy, it is possible to replace it with another.

The most widely used will be voltaren. Assign it with gout on the leg intramuscularly up to two times per day. First day, add 200 mg, then 150 mg. The drug is well tolerated, very effective in prolonged forms.

The safest in the treatment of the occurrence of various complications are inhibitors of COX or cyclooxygenase( nimesulide, meloxicam).

If, for any reason, the listed drugs are not suitable, or there are contraindications( ulcers, kidney failure), you can cure an acute attack using glucocorticosteroids. Their introduction in the form of injections gives a quick and persistent therapeutic effect, although occasionally treatment can be complicated by short-lived hyperglycemia.

Interstitial period

To prevent relapses and treat gout during the interictal period, two types of drugs are administered:

  • drugs that increase uric acid release;
  • drugs that reduce its synthesis.

Treatment with allopurinol reduces uric acid in the blood, prevents the formation of urate stones in the urinary tract. Initiate therapy with an initial dose of 50-100 mg and increase to 500 mg, depending on the severity of the disease.

Principles for the treatment of gout on the legs with allopurinol:

  • is not assigned for an attack;
  • treatment starts with small doses.

No prescription for children, pregnant women, patients with impaired liver function, suffering from hemochromatosis. Has its own side effects.

The derivative of allopurinol, which inhibits the synthesis of uric acid, is thiopurinol. Patients with gout on their legs carry it easier than the previous one.

Another drug is probenecid or benemide. The usual daily dose is up to 2 mg. Sometimes the application can be complicated by digestive disorders, allergic reactions.

Sulfinpirazone or anthuran is taken after a meal and it is recommended to drink it with milk. Contraindications are gastric ulcer of the duodenum, severe kidney and liver pathology.

Benzobromarone or a disinfect is taken with food only once and requires sufficient alkaline reaction( 2L) from the patient.

Hypericum, losartan, allomarone are all these remedies, also used for gout on the legs. Treatment is carried out under the supervision of a doctor, regular monitoring of the condition of patients with the help of tests.

Successful treatment of gout is possible only with joint efforts, both physician and patient.

An important part of this success is the change in diet and careful adherence to a special diet. These measures can significantly improve the patient's condition, lengthen the period between attacks, prevent the deposition of salts in the joints of the legs.

Health food

With gout, foods with high purine content should be excluded, salt and fats should be limited, and the number of animal proteins should be reduced. Food should contain enough vitamins, taken in small fractions and in small portions( up to 6 times).Recommended water is an alkaline reaction, a regular intake of citrus, which promote the excretion of urate. The food should be steamed or boiled. Vegetables are useful raw, boiled and baked.

Offered products:

  • bread products( minimum puff, sweet dough);
  • boiled meat, low-fat poultry, fish up to 2 times a week;
  • are all dairy, excluding spicy cheeses;
  • vegetable and butter;
  • any vegetables, limiting pickles and marinades;
  • fruit fresh and past cooking;
  • various drinks, such as juices, fruit drinks, broths of wild rose, mineral waters, weak tea.

Treatment with diets presupposes copious drinking, lack of hunger and availability of a list of products forbidden to patients:

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Drugs for the treatment of gout

Treatment of gout at the time of development of an acute attack

A patient suffering from this disease should know that somepreparations from gout at the time of an acute attack can not be taken or treatment should be conducted 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 cupping - using at this time 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 a patient already had an elevated uric acid content and prescribed gout treatment, the drugs should be taken at previously recommended dosages of .

Drugs for arresting an attack

If a patient develops gout - treatment with medications helps to 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 lower the level of uric acid in the tissues;
  • colchicine - a chemotherapeutic agent that can reduce 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 start treatment with the appointment of drugs inside or in the form of injections - ointment for treating 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 to prevent an attack and normalize the metabolism of

Preparations 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, prescribe:

  • medications 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 - the only drug used at any stage of the disease, but under constant medical supervision
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Maria SosnitskayaPisat - my favorite pastime. Sometimes it seems to me that I learned to do this before I read and walk.

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You can use ibuprofen, diclofenac, piroxicam or indomethacin in tablets and ointments.
Doctors prescribe more colchicine or prednisolone, but these drugs give side effects and without a doctor they can not.
Still need a preparation of allopurinol and a vegetarian diet, you can milk and egg white, you can not tea, cocoa, coffee and alcohol.
For this, the liver, kidneys, brains, meat and fish soups( broth, ears), mushrooms, as well as some vegetables( sorrel, spinach, asparagus, peas, beans) are excluded from the diet, meat, fish, and poultry are limited. You can eat them boiled, lightly fried. Reduced in the diet and the amount of fat, as they reduce the excretion of uric acid by the kidneys.
You have to eat dairy products, eggs, vegetables, fruits, flour and cereals. Such a diet promotes alkalinization of urine and increases the solubility of uric acid and its salts.
A sick gout should avoid dishes and drinks that excite the nervous system - hot snacks, smoked products, spices, strong tea, coffee, alcoholic beverages. Vinegar, laurel leaves, lemon juice are allowed from the seasonings.
If there are no abnormalities in the heart and kidneys, you can increase the amount of liquid to 2 liters per day. Alkaline mineral waters are useful.
Periodically, but not more often than once a week, unloading fruit and vegetable days are allowed.

Treatment of joints

Treatment of jointsGoutGout

Gout( gouty arthritis): what is it, the symptoms and treatment of Gout( gouty arthritis) is a disease in which an excess of urate salts( urates) accumulates in the body. This disease manifes...

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Treatment of joints

Treatment of jointsGoutGout

Ointments for gout: an overview of the useful tools The main symptom of gout is severe pain in the area of ​​the inflamed joint, provoked by the deposition of uric acid salts. Often, gout treat...

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Treatment of joints

Treatment of jointsGoutGout

Prescriptions for the treatment of gout with folk remedies The joint is destroyed from the destructive effect of uric acid crystals When gout, doctors primarily prescribe medicines, diet, ...

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