Gout Medicine

Attack of gout (gout) usually occurs in the middle of the night, after a delicious dinner or taking diuretics. Excruciating pain and intense spread of the big toe joint is red, swollen and warm (50% initial attack involves the big toe). Little contact with the sore area and any movement can make the pain increased. Gout attack is sometimes also accompanied by fever and chills.

Crisis gout usually done by administering medication and recommended rest. Without the medication, the pain will disappear on their own even if it takes longer. Placement of ice in the joint can relieve pain.

After the first attack of gout, you could potentially experience it again in a few weeks, months, or years later. In severe cases, replay attacks which happened in the long term can lead to joint damage and make a loss of mobility. That is why it is generally recommended comprehensive care, combining medication and diet to reduce uric acid levels in the blood.

Gout drug
There is no cure for gout, only medications to manage or control it. The main goal of treatment is to stop gout pain and inflammation, prevent future attacks, and to avoid complications (TOFI formation, kidney stones, and damage to joints). Several types of drugs commonly given are:

■ Analgesics, anti-pain medications to relieve pain. Analgesics only relieve pain and treat the cause of disease.
■ Anti-inflammatory drugs such as non-steroidal naproxen sodium, ibuprofen, or indomethacin to resolve inflammation. Doctors initially will give maximum dose until symptoms subside. Treatment should be continued until the pain and inflammation disappeared for at least 48 hours.
■ Colchicine is used for treating acute arthritis and prevent recurrent acute attacks. Colchicine does not cure gout or replacing other drugs that reduce levels of uric acid in the body. These drugs prevent or reduce gout attacks by reducing inflammation. Colchicine can be used in two ways: taking a small dose on a regular basis for months or years, or take large doses for a short period of time (a few hours).
■ diuretic drugs / agents such as probenecid and sulfinpyrazone uricosic awarded after completion of gout attacks to help lower uric acid levels in the blood by making you urinate more. Sometimes these drugs can cause kidney stones.
■ allopurinol to lower uric acid production in the body. This medication is used to prevent gout attacks, not to treat it when the attack occurred.
■ corticosteroids or adrenocorticotropic hormone can be used for patients who are intolerant to medication non-steroidal anti-inflammatory or colchicine. Acute gout patients usually receive daily prednisone doses ranging from 20-50 mg for three to four days, then the dose is reduced gradually over two weeks.
■ Other drugs like Losartan, Fenofibrate, etc. which are not specific for gout but help lower uric acid levels.
The above information is just for your knowledge, not as a guide to self-medication. You should get a gout medicine over doctor's instructions, which are usually given in combination to control symptoms, prevent further attacks and manage a healthy uric acid levels in the long term.