What medications will help cure the gout
The joint is destroyed due to the deposition of urate salts
Gout is a joint disease, which is described by ancient scientists. To combat it, use both long-known medicines and new drugs. Treatment of gout is usually done in two stages.
- First, eliminate pain, then relieve swelling. In this case, redness occurs from the sites damaged by the disease. Thus, the inflammatory process during an attack is removed. Treatment is carried out until the symptoms disappear.
- The next step is to use a cure for gout, which helps reduce the level of uric acid in the blood and reduces the frequency of seizures. For the disease to recede, the drug should be taken within a few days or weeks after another exacerbation of the disease.
The duration of the course depends on the level of uric acid in the blood. In some cases, the medicine for gout will have to be taken for several years.
Features of therapy for gout
For the treatment of gout, a combined method of using medicines is used. With a short-term therapeutic course, the administration of drugs that relieve pain and inflammation with a severe attack of the disease is prescribed. For these purposes, the patient is prescribed non-steroid drugs, and not aspirin, which can lead to an aggravation of the disease. During this period, colchicine is used, which can be recommended for long-term therapy.
The use of corticosteroids, which are sometimes injected directly into the affected joint, is indicated. This is necessary when other drugs do not work on the patient or are contraindicated to him. Many medications for gout can not be used if the patient suffers from chronic kidney failure, various gastrointestinal diseases with bleeding.
Long-term treatment uses drugs that lower the level of uric acid in the blood and remove it from the body through the kidneys. To reduce the production of this substance use allopurinol. To reduce the number of seizures will help such a drug as colchicine. It is also taken for preventive purposes to prevent an unwanted exacerbation of the disease.
If treatment is started in a timely manner, relief in case of an attack may occur within a day. To do this, the doctor appoints a one-time intake of the maximum dose of one or more drugs. Subsequently, the amount of the drug taken is reduced.
All drugs that reduce the level of uric acid have many contraindications. Therefore, the doctor and the patient should be sure of the correctness of the diagnosis. The patient should not use aspirin to reduce pain, this can only intensify seizures.
Drugs for the treatment of
There are many drugs around the world that are supposed to be used to combat gout. To eliminate the increase in the amount of uric acid in the blood, the following medicines are recommended.
- Losartan. It also uses to combat hypertension.
- Fenofibrate. It affects some fats in the blood and helps to remove uric acid from the body.
- Urtoxidase. Has the same effect as the above drug.
- Phoebusostat( Y-700).Affects the amount produced by the patient's body uric acid.
These drugs are used if the doctor for any reason can not prescribe the patient allopurinol. It is also worth studying the effect of three drugs, which are most often prescribed to patients suffering from gout.
The medicine is good for removing uric acid from the blood.
Fullflex is a remedy for gout and is used to eliminate the symptoms of myalgia, rheumatism, osteochondrosis, various types of arthritis. Has anti-inflammatory effect. Helps to eliminate pain in the attack of gout and removes uric acid from the body. It is prescribed to patients in the form of capsules or cream. Take it for a month for 1 tablet a day. The cream should be rubbed 2 times a day. Contraindicated in pregnancy and lactation.
Allopurinol as a cure for gout is used to control an increased amount of uric acid in the blood and in the presence of the complications caused by it. It is prescribed to patients in the form of tablets. Daily rate for gout 0.1-0.2 g. If the disease has an average severity, increase the dose to 3-4 tablets( 0.3-0.4 g).The decrease in the level of uric acid occurs after 1-2 days. The drug has no analgesic effect, but can reduce the number of gout attacks.
This remedy is contraindicated in cases of impaired liver function and during pregnancy. The main side effects: headache and dizziness, depression, general weakness, hematuria, nausea, diarrhea, vomiting. Perhaps the emergence of symptoms of hypertension or bradycardia, stomatitis. For individual intolerance, stop taking medication immediately and consult a doctor who will choose another medication.
The medicine well anesthetizes and relieves an acute attack of the disease.
Use a medicine called "colchicine" from gout. It has a very strong analgesic effect and is used to eliminate the symptoms of an acute attack. The drug is absolutely harmless to the body, since it has a vegetable origin. Produced in the form of tablets. Used during the next attack of the disease. The dose is 1 mg. After taking the first pill after 2 hours you need to drink the second - it eliminates joint pain, for example, with gout on the legs. The patient feels considerable relief 3 hours after the first dose, and it can last for 12 hours.
Colchicine is also used for disease prevention. Contraindications to its use: renal or pulmonary insufficiency, high sensitivity to the components of the drug. At pregnancy its use should be strictly supervised by the doctor. Side effects of colchicine: nausea, vomiting, the development of diarrhea, burning on the skin or urticaria, the appearance of muscle dystrophy. In men, a reduction in the number of spermatozoa is possible. If such events occur, you must stop using the drug.
The use of any medication prior to consultation with a physician is strictly prohibited. Only a specialist can make an accurate diagnosis and pick up medications taking into account the course of the disease and the individual characteristics of the patient's body.
Medications for gout: what to choose the set of available funds?
Drug therapy plays a leading role in the treatment of gout. And physiotherapy, sanatorium-and-spa treatment, traditional medicine play only a supporting role. And the selection of medicines should be carried out by a rheumatologist, taking into account the phase of the disease and possible contraindications. And, before deciding what should be the cure for gout, it is worthwhile to briefly dwell on the pathogenesis and the clinic of this disease.
General principles of drug treatment
At the heart of gout development is the accumulation in the body of uric acid compounds - urates. Clinically significant manifestations of this disease are specific inflammatory processes in the joints - gouty arthritis. A few years after the development of arthritis, tofu are formed - accumulations of urates in the form of subcutaneous nodules with localization in the region of the ear concha, joints, shins, forearms. With neglected forms of gout, it is possible to damage internal organs and develop chronic renal failure.
Complex treatment of gout with medicines has the following objectives:
- Correction of uric acid metabolism
- Elimination of gouty arthritis
- Treatment of tofusi
- Prevention of renal failure
In this connection, drugs of various groups are used: tablets, ampoules for injections, ointments for external use.
Correction of exchange processes
The effect on the metabolism of uric acid in gout involves the cessation of its entry into the body, the inhibition of its synthesis, and the enhancement of its excretion in the urine. Termination of urate intake is achieved through an appropriate diet, and medicines are not used here. Drugs from the group of uricodepressants interrupt the sequence of certain biochemical reactions, as a result of which the formation of uric acid is inhibited. To this end, use tablets from gout - Allopurinol, Thiopurinol, Allomaron. The latter has a complex effect - reduces synthesis and enhances the excretion of urates.
Urikozuricheskie funds contribute to the release of urate in the urine. Conventional diuretics in this case are not only ineffective, but also contraindicated. Urodan, Urolesan, Benzobromarone, and Ketazon have a uricosuric effect. It should be noted that the accumulation of urate may complicate some other diseases - coronary heart disease, diabetes, thyrotoxicosis, certain bacterial and viral infections. Effective treatment of these diseases will inevitably lead to a decrease in the level of uric acid. It should be noted that the use of uricodepressive and uricosuric agents does not always facilitate the course of gouty arthritis. For example, Allopurinol is ineffective for treating gout exacerbation.
Treatment of arthritis
Aggravation occurs in the form of gouty arthritis with typical symptoms - edema, pain, stiffness of movements. The best remedy for gout gout in such cases is Colchicine. This drug affects the deposition of crystals of uric acid in the joints and inhibits the release of biologically active substances responsible for the course of inflammatory reactions. Ultimately, pain and movement limits are eliminated in gouty arthritis.We also recommend reading:
Methods of treating gout on the legs
Other drugs with gout have a similar effect - nonsteroidal anti-inflammatory drugs( NSAIDs).These drugs have a direct anti-inflammatory effect, and some of them, for example, Butadione and its derivatives, also have a uricosuric effect. However, not all NSAIDs are indicated for gout. Derivatives of Acetylsalicylic acid have the opposite effect - they prevent the excretion of urates, and therefore are contraindicated in this disease.
Generally, NSAIDs for the treatment of gout are desirable to use combined, in various dosage forms. Simultaneously, pills and ointment from gout containing Diclofenac, Indomethacin, Ibuprofen are used. Naproxen and other NSAIDs. Using these medicines, one should not forget about their negative effect on the function of the liver, stomach and intestines. But these organs and so provoked with gout. Other anti-inflammatory drugs, steroid hormones( Hydrocortisone, Diprospan, Kenalog) are injected directly into the joint cavity. But these drugs are used only in extreme cases, when a pronounced inflammatory process led to the accumulation of a large amount of intra-articular fluid.
Treatment of late complications
Tofusi are formed several years after the first exacerbation of gout. In most cases, they are painless. Although in some cases, increasing tofusis, localized in the projection of the joints, can complicate the course of gouty arthritis. Nevertheless, it is not necessary to open them by themselves. With timely complex antipodal treatment, they themselves decrease. Sometimes these specific granulomas can be opened independently. Opened tofusi treated with antiseptics. Dimexide, iodine-containing products, any ointments containing antibiotics are suitable for this.
Chronic renal failure( CRF) is an extremely undesirable complication of gout. To avoid chronic renal failure, abundant drinking and periodic infusions( intravenous infusions) of alkaline solutions are recommended. The alkalization prevents the deposition of urate stones in the renal pelvis. To this end, resort to infusions of sodium bicarbonate( soda), various electrolyte solutions. These solutions, as well as other drugs, should be used under careful laboratory control. In the course of laboratory studies of blood and urine, the acid-base state, the amount of urates excreted, is estimated. Therefore, all patients in the phase of gout exacerbation should be observed by a rheumatologist in a hospital.
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Gout remedy stops the development of the disease
Treatment of gout in modern ways
There are many methods for treating gout, but first of all, the level of uric acid in the blood is determined and the degree of involvement of other internal organs is determined. When prescribing medicines, for example, it is important to know whether the kidney function is impaired and whether there are any stones. The main methods are as follows:
The first step is the removal of pain in the joints. To do this, the level of uric acid in the blood decreases. The first quick and independent help can be done at home. For this, the patient with his suffering joint is laid in bed to ensure complete rest. The joint is fixed on a hill( pillow, roller) and an ice pack is applied to it.
At this time, it is necessary to drink a lot of liquid, especially good is a rosehip drink, which quickly removes uric acid from the body. By directly treating the area of the foot, patients often resort to the method of acupressure and acupuncture. In this way stagnation in the blood is eliminated, deposits of salts are eliminated and the tissue structure is restored.
Any treatment method is accompanied by an adjusted diet. Nutrition can prevent the occurrence or stop the development of gout, excluding excessive consumption of meat, mushrooms, salt, legumes.
deposits of urates on the joint
In modern medicine, non-steroidal anti-inflammatory drugs are used. One of the oldest and most powerful means of blocking pain is colchicine. On the drug, indeed, the body reacts very quickly in terms of alleviating the attack of gout. But, unfortunately, this drug is very toxic, can cause nausea, vomiting, stomach spasm, diarrhea. P The use of colchicine is prohibited when alcoholism, kidney failure, pregnancy, purulent infection and in old age. When non-steroid drugs are powerless, steroid drugs are prescribed, which can act as injections.
What's new today?
In the treatment of this disease, medicine is making significant progress. Medications relieve gout symptoms within the first two days, and then their action is directed at preventing subsequent attacks, which is achieved by controlling the permissible level of uric acid in the blood. Today, new drugs for gout are less toxic and very effective against acute attacks. With the same colchicine, which is effective at an early stage, the use of allopurinol is well combined. This is especially good for patients with kidney stones.
At first, a rash and a slight upset stomach may occur, but there is a rapid adaptation to the drug. For people working with mechanisms and driving, allopurinol is administered cautiously, as it can cause drowsiness. During an acute attack of gout, this drug is not used. In this case, we can talk about its combination with colchicine, which blocks the attack of gout, and in the future the action of allopurinol is aimed at reducing uric acid in the blood and the risk of new attacks. This drug is also used as a supporting agent in the treatment of cancer.
tablets stop gout attacks
Thus, it is seen that in the treatment of gout, two lines of therapy are allocated: one aimed at treating acute status( eg colchicine), the second - reduces the level of uric acid( until recently the only effective was considered the action of allopurinol).Now a new era - new drugs. Modern scientists in the field of pharmacology are studying which drugs can safely reduce the level of uric acid in the blood. With the development of new methods for diagnosing gout and its attendant diseases, a new treatment for gout is being identified. But the diet, physiotherapy and recommendations of sanatorium treatment remain unchanged.
Fullflex for the treatment of attacks
Often when prescribing gout treatment, fullflex appears. The advantage of this drug is that it is created on the basis of herbs: martini, scented, white willow. Virtually no contraindications and no side effects. The root of martini sweets included in the pharmacopoeia countries such as France, Germany, England. He resembles a crooked hand and was called "the devil's claws."
This agent is able to bind uric acid in the blood and remove it from the body. The presence of the extract of the bark of the white willow removes puffiness, joint pain and restores their mobility. It contains salicylate, which has an anti-inflammatory effect. The drug has the form of capsules or cream, and the full price of the price is so insignificant that it is available to a patient of any social group. What is convenient is that one capsule per day is sufficient. The remedy is not a medicine, it is a dietary supplements and the only contraindications are pregnancy, breast-feeding and children under 14 years of age.
This tool is based on modern research, is unique and reduces the cholesterol level. Ointment fulflex must be applied to the painful joint and rubbed with light circular motions. This external application reduces the pain syndrome. The combination of external application with internal is considered the most effective. As a result, we get the receding gout and the adjusted work of the joints.
Gout is a chronic disease, and it is completely impossible to cure it. An ideal medicine does not exist, since tolerability of all is different and individual reaction. It is always recommended to conduct treatment under the supervision of a doctor. Self-medication is in any case prohibited, in order not to harm the joint completely.
Treatment of gout at the time of acute
development A patient suffering from this disease should be aware that some gout medications should not be taken at the time of an acute attack or they should be treated only under the constant supervision of a doctor and with supervisionlaboratory indicators of blood.
If the patient develops the first attack of gouty arthritis, then only anti-inflammatory drugs are prescribed for his relief - 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 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 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 mandatory 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 - the only drug used at any stage of the disease, but under constant medical supervision
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