1. It is necessary to relieve pain and reduce uric acid.
After taking painkillers in time for gout attacks, the symptoms will mostly be relieved. Even without medication, the symptoms of pain can be relieved within two weeks. As a result, some people hold the mentality of enduring pain.
However, joint pain is not the main harm of gout. Persistent high uric acid in remission period is also constantly endangering health, aggravating joint damage and endangering kidney at the same time.
In addition, the general time for taking painkillers in the acute phase is about one week. If the pain still does not improve significantly after one week of medication, you should see a doctor in time.
2. Antibiotics cannot cure gout
When gout attacks, the joints are painful and obviously red and swollen. Just as there are still some antibiotics in the home, some people take them with them.
Because the acute attack of gout itself has certain self-limitation, the so-called self-limitation refers to the self-relief even without any treatment. This self-relief is often mistaken for the result of the use of antibiotics, but this is not the case.
Gout is aseptic inflammation caused by the deposition of urate crystals in joints and surrounding soft tissues. Usually there is no bacterial infection. At this time, antibiotic treatment is simply ineffective.
3. Medication must be standardized and regular.
Gout, like diabetes and hypertension, is a chronic disease that generally requires long-term maintenance of medication. Once the drug is stopped, uric acid may rise and the disease may recur. Only under the guidance of a specialist can the drug dosage be adjusted, and small doses of drugs should be used to control uric acid within the target range to reduce possible drug side effects and treatment costs.
In addition, some drugs have only auxiliary effects on gout treatment, such as sodium bicarbonate. In most uric acid lowering treatments, sodium bicarbonate alone is often not enough.
4. Gout should also be treated when it does not attack.
- There is a group of patients with high uric acid, but have never had gout. There is also a group of patients who have had gout attacks before, but the attacks are not very frequent, so they muddle along.
For both types of patients, this point needs to be made clear: excessive uric acid needs treatment even if it does not cause symptoms.
5. The medicine is invalid and cannot be stopped without authorization.
Many people still have gout attacks after taking uric acid lowering drugs. This is not because the drugs have no effect, but because the concentration of uric acid in blood decreases, affecting urate in tissue fluid, redistributing and depositing them in joints, and it is not [the more treatment, the more serious it is].
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6. Pay attention to the effects between drugs
Biguanides are widely used in hypoglycemic drugs and are suitable for overweight diabetic patients, but they will cause lactic acid accumulation in the body and reduce uric acid excretion. Therefore, gout patients should be more cautious when using such drugs.
Similarly, there are also some antihypertensive drugs, such as furosemide, spirolactone, angiotensin converting enzyme inhibitor (ACEI), etc. These drugs will reduce the excretion of uric acid and significantly increase the concentration of uric acid in the body.
For the public, it may be a little difficult to write down all these drugs, but it is a little possible: when reviewing and dispensing drugs, the specialist will be informed of other drugs he takes, and the doctor will comprehensively choose the drugs that are most beneficial to the disease.
7. Regular review should be conducted during medication.
No matter what kind of drug is taken, the doctor will instruct regular review during the medication period. First, adjust the dosage of the types of drugs according to the review to achieve the best curative effect. The second is to discover the influence of drugs on different individuals in time.
For example, febustat is mainly metabolized in the liver and is suitable for patients with poor renal function or kidney stones. However, some patients find abnormal liver function after taking febustat, thus requiring other drugs to be selected. If there is no regular review, it may bring more serious consequences.
For example, patients taking sodium bicarbonate should monitor the urine pH value to prevent urine from exceeding 7.0 to prevent the formation of calcium oxalate or other stones.
8. Don’t buy drugs online
Many people seek medical treatment and medicine on the Internet. When they hear that others take a certain medicine with good effect, they also try it. But after all, it is a drug and may not be suitable for them.
For example, everyone has heard that febustat has a good effect on reducing uric acid, while nearby hospitals do not have this drug, so they do everything possible to buy foreign drugs online. First, the source of the drug cannot be guaranteed and fake products may be purchased. Second, they lack the guidance of regular doctors and cannot adjust the dosage and regular review according to the disease condition.
9. Don’t try folk remedies
The current medical level cannot cure gout, Therefore, the so-called secret recipe for curing gout among the people, It is precisely by seizing the last glimmer of hope in the patient’s heart that he swindles everywhere. Regardless of whether folk remedies have auxiliary effects or not, some profit-seeking manufacturers may illegally add western medicines (such as hormones) to folk remedies, which may be effective for a while, but not informal treatment. In the long run, it will not only delay the illness, but also endanger the body.
10. Don’t take medicine because of side effects.
The most worrying gout drug is colchicine, In the past, large doses of colchicine caused many patients to vomit and diarrhea, so many people refused to take colchicine. Now colchicine advocates small doses of colchicine, which has very good curative effect in preventing attacks during onset and remission. As long as liver and kidney functions are regularly reviewed during medication, side effects caused by drugs can be well avoided.
In addition, some people also worry about whether uric acid-lowering drugs are dependent and addictive. Gout is a disease caused by purine metabolism abnormalities in the body itself. The body cannot correct this abnormality after self-adjustment, so long-term medication is needed to adjust it.
At the end of the day, many drugs have side effects, but after keeping in mind the above-mentioned medication precautions, the effects brought by drugs must outweigh the disadvantages.