The use of diclofenac and other drugs for gout
Gout, or gouty arthritis, is a systemic joint disease. The ailment comes suddenly, manifested by acute, sometimes intolerable pain, redness of the joint. Treatment for gout is a long and rather complicated process. In the modern world, this disease battles various categories of people. Physicians have the experience of treating the disease, while acknowledging that it can not be finally won.
Gout develops in 3 stages. Initially, when there is a metabolic disorder in the body, the level of uric acid changes, it rises. Significant symptoms are not observed. In this premorbid period, it is difficult to establish a diagnosis of gout.the disease begins asymptomatically. In the next stage, acute attacks of the disease alternate with asymptomatic intervals. This form is considered an intermittent period. The third, difficult period of gouty arthritis is chronic.
Having identified the problem of the formation of excessive uric acid at the onset of the disease, specialists prescribe various auxiliary drugs that reduce the oxidation of the chemical composition of urine, restore normal metabolism. Among such medications are bleached, diprospan and others. In addition, that it bleaches with urine, it helps to reduce the excretion of calcium from the body, reduces the formation of calcium oxalate crystals in the kidneys, joints. Blemaren is able to dissolve calcium oxalate stones. Blermaren is offered in the pharmacy network in the form of effervescent tablets and granules. Diprospan acts on various types of metabolism and has an immunosuppressive effect. Often, diprospan is prescribed as an anti-inflammatory drug.
Drugs that are used for gout have another purpose. They can act on the problem from different angles. In this regard, it should not be surprising that the doctor changes the appointment. Means for normalizing metabolism, reducing urine acidity and reducing inflammation are often prescribed in a variety of combinations. It should be noted that the antibiotic for gouty inflammation of the joints is not used. Antibiotics are necessary for purulent arthritis.
One of the most common methods of excretion of acidity from urine was considered until recently the use of acetylsalicylic acid( aspirin).This drug is known since the middle of the 19th century. Aspirin in modern medicine is not considered the best way to treat gout. You can use aspirin only with the permission of a specialist, otherwise the attack of arthritis can worsen. In addition, using aspirin, it is worth paying attention to the state of the stomach, liver and kidneys. Also, the drug is contraindicated to people prone to bleeding.
Drugs that remove inflammation
Among drugs that treat gout, blemaren, diprospan, teraflex, ibuprofen, nimesil, diclofenac, etc. If bleeding with a gout can normalize the chemical composition of urine, diprospan is necessary for the normalization of metabolism. Such drugs as diclofenac, teraflex, nimesil, relieve inflammation, have a certain curative effect.
Reducing pain, teraflex prevents the destruction of cartilage, stimulating the formation of tissues that protect the damaged cartilage. Teraflex is a much in demand chondroprotektor. It can be taken very cautiously to people suffering from diabetes. It is not recommended teraflex for bronchial asthma.
In the treatment of gout, a non-steroidal nimesil drug is used. The remedy primarily relieves pain and fever. The therapeutic duration of the use of nimesil can be determined by the doctor. Most often, nimesil is used for 10-14 days, until the symptoms of arthritis subsided. With prolonged relapse, treatment with nemesil is prolonged. The evidence of the scientists confirm the rather effective treatment of chronic gout with nemesil. The best effect is seen when using nimesil in granular form.
Diclofenac sodium is an anti-inflammatory non-steroid drug. Diclofenac is available in a variety of dosage forms. Has a strong analgesic and anti-inflammatory effect. Intramuscular administration of a solution of diclofenac is the most effective method of treatment. In addition, the specialist can suggest the use of diclofenac in the form of ointments, gels, tablets, suppositories. The strength of the drug diclofenac is based on the suppression of the enzyme, which regulates the pain sensation in the body.
It is necessary to pay attention to the fact that all drugs react differently both among themselves and when taking with different foods. For example, diprospan weakens the action of insulin and diuretics. The effect of the drug diprospan can enhance the effect of hormonal drugs. Use blemarin for gout is contraindicated in patients with infectious processes in the genitourinary tract. Receiving by appointment blemaren or other medications, it is important to notify the doctor about other medications taken.
Nutrition for gout
Having received the diagnosis of gout, it is not necessary to abuse, and it is better to completely eliminate alcohol from the diet. Drinks containing a certain percentage of alcohol, getting into the human body, increase the formation of uric acid. In a special case, when alcohol has to be taken, mitigate the risk of taking absorbing carbohydrates. They are contained in crackers, fruits and cheeses. It is important to remember that not every food is shown in gouty arthritis. The diet should be discussed with your doctor. The substance purine helps to increase uric acid. To reduce, if absolutely impossible to exclude, the receipt of this substance, you need to know what products it contains. These are cereals, bread, yeast, meat, fish, asparagus, etc. It is enough to limit the portion of these products with gout up to 100 g per 1 reception.
Patients with a diagnosis of gout do not need to get involved in fashionable diets. When excess weight is worth losing weight, but to carry out this process under the supervision of a specialist. Vitamins useful for the human body can only be taken with caution.some nutrients cause a relapse of gout.
Water in human life is of great importance. With gout, the importance of the fluid is increased. A large amount of water helps to get rid of the formation of kidney stones, crystals of uric acid. Approximately 5-6 glasses of water should become the daily norm. An acceptable way to replenish your body with liquid is the reception of tea on herbs. Especially useful are dogrose, mint, aralia, yarrow.
Symptoms of gout consist in pronounced inflammation in the area of ligaments - redness, swelling, and temperature. A person can experience sweating, an increase in heart beat frequency. Later, in chronic course, in the area of the hands, feet, ears, tongue, there is an accumulation of crystals of urinary salt. When the process is neglected, the joints are destroyed and, as a consequence, leads to a tightness of movement, problems with the kidneys.
Treatment and role of Diclofenac
For the treatment of gout, seek the help of a specialist. After the diagnosis, he recommends the means to restore protein metabolism, thereby eliminating the root cause of the disease. To reduce pain, an anti-inflammatory drug is attributed to a patient with gout. The most effective remedy for the treatment of gout is Diclofenac.
Diclofenac is a drug that is produced in the form of tablets, capsules, dragees, powder, solution, gel, emulsifier, candles. This drug is used to treat a specific list of diseases associated with the locomotor apparatus and vision. Among them, there is gout, so the drug can be used in both acute form of the disease and chronic.
How does the drug
The effect of diclofenac on gout is based on reducing inflammation in the body, as well as analgesic and antipyretic action. Active drug substances inhibit the synthesis of prostaglandins, which reduces the manifestation of inflammation in the body:
- decreases temperature,
- decreases swelling and redness.
Diclofenac helps reduce prostaglandins in the blood. In addition, this medicine perfectly reduces the pain syndrome with gout.
Diclofenac is not dependent on the form of the drug, it is well absorbed by the body. After taking the drug, the substances that make up it reach the maximum level in the blood in an hour, and in the synovial fluid - after 3 hours. Partially the drug begins to leave the body 12 hours after the assimilation of all active substances.
Diclofenac is excreted from the body first through the urinary tract, and in the subsequent - through bile and feces. The assimilation and excretion of this drug is not affected by age or the presence of kidney and liver diseases.
Dosage and course of treatment
The use of a medicine depends on the nature of the gout. If the disease has an acute phase, then Diclofenac is prescribed in tablets at 50-75 mg three times a day. In some cases, depending on the severity of the signs of the disease, the use of tablets 4 times a day for 25 mg can be recommended.
When gout has acquired a chronic form, diclofenac is applied three times daily for 25 mg. The course of treatment lasts for 35-40 days at a daily dose not exceeding 300 mg.
Regardless of the form of the disease, diclofenac is administered as a solution into the body via the gluteus muscle. The daily norm is 150 mg. The injections are prescribed twice a day - in the morning and in the evening. The solution quickly spreads through the body and begins its action. The course of treatment in the form of a solution is no more than 5 days.
With gout, it will also be effective to use the product in the form of a gel. For treatment, they should rub the affected areas on the body. Apply gel-ointment should be three times a day, but not longer than 10-14 days. Diclofenac in the form of a gel has an active local effect and perfectly relieves pain and other external signs of gout.
Side effects of
In the case of using Diclofenac in larger quantities, a person may experience:
Gout remedy: injectable drugs and tablets
When choosing a regimen for gout treatment, the need for a multidirectional curative effect should be considered. The gout medication should provide rapid elimination of pain, prevent repeated seizures and long-term complications.
Neglect of the medical process, carries the threat of destruction of the kidneys and joint damage. The tactics of treating gout involves combining drug therapy and a number of restrictive measures. With the optimistic development of the scenario, the treatment not only ends with a complete victory over the pain, but also with a high degree of probability excludes its return in the future.
A prerequisite for the proper selection of treatment methods and the optimal choice of medicines is the correct definition of the causes that triggered the disease. As you know, gout, stubbornly pursuing mankind for centuries, causes excessive content of uric acid salts in the body. They become the fatal factor leading to the development of this serious joint disease. Therapy for gout, in addition to medical assistance, provides for a strict diet.
Treatment of gout requires the selection of a drug combination that includes drugs for short-term and long-term exposure. The first include means to quickly eliminate pain. To combat acute attacks, primarily non-steroidal and corticosteroid anti-inflammatory drugs are used. Consider the most popular means of treating gout.
Colchicine belongs to the alkaloids of the tropane series. The preparation has a plant base, the main component of which is autumn autumnal.
Successfully cures painful attacks during periods of exacerbations. Very effective and practically safe. Part of the drug is absorbed from the intestine, part of it, being decomposed in the liver, is eliminated naturally.
The main thing is to take the pill correctly: at the onset of the disease( the first day) or with an exacerbation, every hour 0.5 mg is used. The course ends when an explicit result is achieved. Single dose should not exceed 1 mg.
The final scheme of the appointment is appointed by the doctor after the examination. In any case, the maximum daily dose is 10 tablets( 10 mg).In addition to the therapeutic function, Colchicine can also implement preventive goals.
Colchicine is contraindicated in case of individual hypersensitivity, hepatic or renal insufficiency. With special care it is used during pregnancy - it is necessary to observe the doctor.
The presence of contraindications or overdose may cause nausea, vomiting, diarrhea. If any other side effects occur, you should immediately stop taking the drug.
Fullflex in the form of cream and tablets are used to treat gout, osteochondrosis, myalgia, arthritis and rheumatism. It has, at the same time, an anesthetic, anti-inflammatory and antirheumatic effect.
The active ingredient of the preparation is made up of herbal components - fragrant martini extracts, birch and willow bark, vulgar and horse chestnut twigs, as well as essential oils of eucalyptus, juniper and sage.
Also Fullflex contains rutin, vitamins E and PP.Note that the fragrant martinia has long been used to treat gout. Eastern doctors used this plant to combat swelling and inflammation.
In addition, martinia helps to remove pain and remove uric acid salts from the body. And, finally, this plant lowers the cholesterol content in the blood. Each plant ingredient used has a certain curative effect, and the drug itself, made from natural raw materials, is as safe as possible.
The drug is taken for a month at the rate of one capsule or tablet per day. The cream is rubbed twice a day. Pregnancy and lactation is a serious contraindication to the appointment of Fullflex. Nothing is known about the side effects of the remedy.
Allopurinol is a prophylactic drug designed to reduce uric acid levels and prevent gout complications. The active substance - allopurinol, is an inhibitor of the enzyme xanthine oxidase, which catalyzes the oxidation of xanthine to uric acid.
Therapy begins with a minimum dosage( 100-300 mg), which is divided into three doses. In the future, the dosage can be increased - every two weeks by 100 mg. Monthly it is necessary to donate blood for the analysis of the amount of uric acid. The maintenance effect is achieved by taking 200-600 mg of the drug. The maximum dose can reach 800-900 mg.
The uric acid content decreases already at the beginning of treatment. Allopurinol is not prescribed during the gouty period. If the attack develops when taking the drug, it should not be canceled. To prevent this effect, small doses of diclofenac or colchicine are prescribed before starting therapy.
Allopurinol requires careful use in the presence of concomitant diseases. Under special control should be the liver. If the kidney function worsens, the dosage is reduced. At the use of a preparation the daily minimal urination is 2 liters. The drug has no analgesic effect. If side effects occur, treatment should be discontinued. The doctor must prescribe another drug.
Diclofenac is a popular anti-inflammatory drug. Do not take more than 200 mg daily. Contraindicated in diseases of the gastrointestinal tract and stomach ulcer. Produced in different forms( tablets, gel, suppositories, ointments, injections).
Indomethacin acts similarly to Diclofenac.
Naproxen is an analgesic and antipyretic drug. It is taken twice a day according to the schedule prescribed by the doctor. Has contraindications: ulcerative lesions of the digestive tract, renal failure, bronchial asthma, pregnancy, lactation.
Ibuprofen is a drug that acts in the direction of anesthesia, reducing temperature and relieving inflammation. It is taken every day four times for 800 mg. The first reception - morning, is made before breakfast, all subsequent - after eating.
Butadione functions similarly to ibuprofen. Internal and external use is possible. Tablets take 0.1-0.15 g several times a day. The ointment is applied to the skin without rubbing.
Ketorolac is an excellent analgesic, with an anti-inflammatory and analgesic effect. Produced in tablets and ampoules for injection. Dosage is individual.
After the doctor's discharge of medicines you can not hesitate, you need to immediately start treatment. The timely administration of drugs will improve the condition within a day.
At the beginning of an attack, it is important to use drugs that reduce the amount of uric acid. They need to continue to take after pain relief. Such an agent is the above-described Allopurinol, also prescribed for prophylactic purposes.
In case of complications, the drug has to be abandoned. Those funds that accelerate the movement of deposits on the bloodstream, in order to prevent complications, do not take with pain.
In general, drug therapy can be divided into two stages:
- Elimination of redness, pain and swelling. Treatment continues until the symptoms disappear completely.
- Taking medications that reduce the acid content. To this stage, usually, proceed after some time after an attack.
The course of treatment is usually long-term. Before starting therapy, it is important to find out the level of uric acid in the body. The less it is, the easier it will be to cure. What medications should I use for gout? And what kind of diet is needed?
Tanya Sarbash( Ostrivnaya)
Gout, an inflammatory joint disease that causes acute pain and swelling, usually develops as a result of long-term deposition of uric acid crystals in the joints and surrounding tissues. If you are diagnosed with gout, take the following measures to treat it:
Relieve pain during a severe attack.
Provide sufficient rest for the inflamed joint until the attack begins to subside and 24 hours after the attack.
Lift the painful joints.
Remove inflammation with non-steroidal anti-inflammatory drugs( NSAIDs).Do not take aspirin, which can cause a sharp change in the level of uric acid and complicate the symptoms.
Prevent repeated attacks.
Control your weight. Excess weight is a risk factor for gout. If you are overweight, you can help a diet low in fat. But avoid starvation and too low-calorie diets. Very low-calorie diets increase the amount of uric acid produced by the body, and can cause a gout attack.
Restrict the use of alcohol, especially beer. Alcohol can reduce the release of uric acid from the kidneys into the urine, causing an increased uric acid content in the body. Beer, rich in purines, is more dangerous in this respect than other alcoholic beverages.
Limit the consumption of meat and seafood. They contain a large amount of purines and can increase the content of uric acid.
Talk with your doctor about what medicines should be taken. Certain drugs that are prescribed for other diseases, reduce the amount of uric acid that is excreted from the kidneys. In particular, these are tablets that reduce the salt and water content in the body( diuretics) and nicotinic acid. Regular use of small doses of aspirin can increase the content of uric acid. Because small doses of aspirin are important for the prevention of a stroke or heart attack, the doctor may recommend that you continue using it.
Change the risk factors.
Keep your weight within the limits of the norm, in relation to your growth.
Exercise regularly at moderate intensity.
Limit the consumption of meat and seafood. Changing the diet will help you in the treatment of gout. If you want to try a diet for treating gout, check out the lead poisoning if you were exposed to lead at work or during other activities.
Continue to take the medications your doctor prescribed you. But if you did not take medications that reduce uric acid( such as probenecid or allopurinol) before the attack, do not start taking them during an attack. These drugs will not help relieve acute pain, but rather can strengthen it.
It used to be that gout occurs as a result of excessive consumption of alcohol and foods rich in purines. Although the use of certain foods and alcoholic beverages can cause increased levels of uric acid in the body, these factors alone rarely cause gout. Gout is most often caused by excessive production of uric acid( due to metabolic problems) or poor excretion of uric acid by the kidneys.
Diclofinac and not that of salted perch fried, etc.! !!
With gout, especially harmful, foods rich in purine-fatty meat and
raspberries( in any form).And, in general, it is necessary to check the activity of the kidneys -
their functionality. Namely, the kidneys control the human-bones, joints,
teeth, hair, urine-excretory and reproductive functions.
ibuprofen, orthophene, diclofenac.with caution in stomach diseases