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How to treat gout?

Jul 2013
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Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
how to treat gout
Posted Sun, 10 Nov 2013 in Arthritis
Answered by Dr. K. Naga Ravi Prasad 24 minutes later
Brief Answer:
Treatment of Gout falls into Categories.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

The treatment of Gout falls into different categories -
- Treatment of Acute gouty attacks
- Long term treatment

TREATMENT OF AN ACUTE ATTACK - The first line treatment for a gout attack is taking one of the nonsteroidal anti-inflammatory drugs (NSAIDs), such as diclofenac, ibuprofen, or indomethacin. For people who can't take NSAIDs, a drug called colchicine is an alternative. Colchicine is very effective but can cause diarrhoea when used in high doses. gout. The trouble with colchicine is its side effects, especially the copious diarrhea. If neither an NSAID nor colchicine is an option, then gout attacks can be treated with an oral corticosteroid such as
Applying an ice-pack to the joint can also relieve pain, swelling and inflammation.

LONG TERM TREATMENT - There are two strategies in this management.
* Changing diet and losing weight - Changing adverse life-style factors is an important part of treatment. Losing weight and reducing consumption of alcoholic drinks (particularly beer) and purine-rich foods (such as red meat, offal and dark fish) can all help to reduce uric acid levels. A small amount of research evidence
supports the consumption of dairy products such as low-fat yogurts and skimmed milk, or cherries to specifically reduce uric acid levels.

* Drug treatment - Long-term drug treatment of gout aims to lower uric acid in order to prevent new crystals from forming and dissolve existing crystals.
ALLOPURINOL has emerged as the first-line uric acid–lowering drug because it needs to be taken only once a day and reduces uric acid levels regardless of whether the root problem is overproduction of uric acid or inadequate clearance by the kidneys.
A new drug, FEBUXOSTAT is similar to allopurinol in the way it works. In head-to-head trials, Febuxostat looked to be more effective than allopurinol in controlling uric acid levels.

The accepted target level of Uric acid should be less than 6mg/dL after the start of the therapy.

Hope I have addressed your query. Happy to help further

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