Many gout patients have complained like this [all those who should avoid eating are taboo, gout is still attack] [medicine is also taken, gout is still attack]…
In fact, the problem is that the treatment is not systematic and comprehensive. Systematic treatment should include: keeping your mouth shut, keeping your legs open, losing weight, drinking more water and taking appropriate drugs.
This article will talk about how to use drugs for gout. The principle of medication can be roughly summarized into three sentences:
Anti-inflammatory drugs, analgesic drugs, depending on the situation, use the right amount
To reduce acid, there are benzene bromide, neophene and old allopurine.
New Feibu has good effect and few side effects.
Anti-inflammatory and analgesic drugs
What are they: colchicine, non-steroidal anti-inflammatory drugs (diclofenac sodium, indomethacin, celecoxib, etoxib, etc.), glucocorticoid (prednisone acetate tablets, etc.).
Its function is to relieve pain and arthritis when gout attacks, and can also be used to prevent gout attacks. Analgesics can stop temporary pain, but the fundamental problem of gout is high uric acid, which should be paid attention to after pain.
When to use: when gout attacks; Patients who have just started taking uric acid-lowering drugs will also take them preventatively during remission.
Note:
- Colchicine: During the attack period, low-dose therapy with small side effects should be adopted: 1.0 mg at the beginning of the attack and 0.5 mg after 1 hour; After 12 hours, if necessary, take another 0.5 mg. After that, take 0.5 mg twice or three times a day, with a total amount of not more than 1.5 mg a day, until the pain symptoms are relieved, usually not more than two weeks. Glucocorticoid: Only for patients with very severe and recurrent gout symptoms, and cannot be used for a long time.
Uric acid reducer
What do you have: allopurinol, febustat, benzbromarone
Its function is to reduce uric acid, treat the [root] of gout, and reduce the damage of high uric acid to kidneys and joints. Maintaining blood uric acid at a low level for a long time is the key to prevent gout recurrence.
When to use: gout remission period; Under special circumstances, gout attacks can also be used.
Note:
- Allopurinol: has a long history, low price and definite curative effect. But some people may develop hypersensitivity, In severe cases, it can lead to exfoliative dermatitis and even endanger life. Friends with conditions, HLA-B5801 can be detect before administration, To improve the safety of allopurinol. For friends who have just started taking allopurinol, Attention should be paid to reexamination, In case of skin pruritus and other discomfort, Doctor should be contacted in time. Benzbromarone: For patients with kidney stones and renal insufficiency, It is best not to choose benzbromarone. Be sure to drink more water during medication. And regular review of kidney function, uric acid, etc. Febulistat: Febulistat, as a relatively new drug, can reduce uric acid synthesis, thus reducing uric acid. Its uric acid reduction effect is equivalent to allopurinol, with less side effects, and is more suitable for patients with renal insufficiency or kidney stones. However, the price of Febulistat is significantly higher than that of allopurinol and benzbromarone.
Final summary
This sentence makes many gout patients afraid of taking medicine. However, if the drug is not used, gout will do more harm to the body, far exceeding the possible [side effects] of the drug. Therefore, friends who use the drug should not be afraid of the drug.
Under the guidance of doctors, according to the examination results, choose the most suitable gout drug for yourself, which has the best effect.
After starting to take the medicine, pay attention to regular review and adjust the medicine according to the situation, so as to avoid [side effects] as much as possible.