Gout Treatment |
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09/06/2008 |
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Gout arthritis treatment
Just about every course of treatment for gout arthritis starts with a visit to the doctor when you have an acute gout attack. Gout treatment guideline usually following by doctor :
Most doctors will also recommend that you improve your lifestyle by reducing weight and taking more exercise.
Gout arthritis medications
Pain Relief Treatments gout arthritisAs the pain of gout arthritis is mainly due to inflammation caused when uric acid crystals form in the joints, most pain relief gout treatment are based around reducing inflammation. These may be supported with general pain relief gout treatment such as acetaminophen (also known as paracetamol- brand names include Tylenol and Panadol). The gout treatment that are aimed at reducing inflammation are, most commonly, NSAIDs (Non Steroidal Anti Inflammatory Drugs) and also Corticosteroids. An increasing numbers of qualified medical practitioners are recognizing pain relief gout treatments that do not involve drugs. These are included in the Alternatives section, but I recommend that you discuss any gout treatment that you are considering with your doctor, even if it is a non-medical gout treatment. Long term gout treatments for preventing gout attack are aimed at uric acid management. Specifically, uric acid must be lowered below 6mg/dL to have any effect. Lower doses may slow the spread of gout, but they will not stop uric acid crystals building up to the point where tophi develop and joint damage occurs. Whatever gout treatment you and your doctor decide upon, it is vital that you have regular uric acid level checks. Uric acid treatments fall into two camps - those aimed at blocking production of uric acid, and those aimed at encouraging its excretion.
Gout treatment by controlling uric acidColchicine, a derivative of the autumn crocus, has been used to gout treatment for thousands of years. This drug relieves the pain and swelling and can help prevent future gout attack. Although highly effective, it is no longer the first gout treatment choice due to the potential for unpleasant side effects.
The most common gout treatment is to try to prevent the production of uric acid. At the moment, the only significant uric acid inhibitor is Allopurinol, though new drugs are being developed. Allopurinol (Lopurin, Zyloprim) blocks uric acid production and is the drug most often used in long-term gout treatment for older patients and those with high levels of excreted uric acid. The new drugs include Febuxostat, which works in a similar way to allopurinol, and Puricase which converts uric acid to a more soluble compound, allantoin.
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