In the article we will consider effective drugs for the treatment of gout.
Gout is a complex articular pathology that must be treated with medication. The articulation is affected due to the excessive volume of uric acid and s alts. The drug for the treatment of gout is selected on the basis of determining the causes of the disease, examining the patient. Treat immediately.
Causes and symptoms of the disease
Gout is most often located on the big toes. The cause of the pathology may be excessive physical activity, metabolic disorders in the body, malnutrition.
Gout is a very insidious disease. She may not show up for a long time. During an exacerbation, she has the following symptoms: increased local temperature, swelling of the affected area, severe pain that appears mainly at night. Atthis joint is highly sensitive to the slightest touch.
As already noted, the symptoms of gout and drug treatment are interrelated.
Schemes and principles of therapy
First of all, it must be said that the treatment methods for a disease in remission and an acute attack of gout have differences. During an exacerbation, anti-inflammatory therapy is carried out. Drugs for the treatment of gout during an exacerbation can be administered to the patient intra-articularly, intramuscularly and orally, which is decided by the doctor.
Choice of drugs, dosage features in each case are set individually. Mostly during the period of exacerbation, the patient requires hospitalization. With a newly diagnosed gouty arthritis or the patient is in remission, treatment is mainly directed to the prevention of a recurrence of an exacerbation, as well as to the elimination of concomitant symptoms: high blood lipids, obesity, low sugar concentration, atherosclerosis, hypertension. Also, therapy involves the prevention of the formation of uric acid stones in the kidneys. Treatment can be carried out under the supervision of a nephrologist or rheumatologist at home, in a specialized sanatorium or in a hospital. The effectiveness of the measures taken is determined by the right combination: a noticeable result can be achieved with a reasonable combination of pharmacological preparations, proper nutrition, physiotherapy and a he althy lifestyle. This means that complex treatment of the disease will be the most successful.
Features of the treatment of pathology during an exacerbation
Thus, treatment is best done in a hospital setting. At this stage, the main thing is the elimination of pain, the reduction or elimination of the intensity of the inflammatory process, the restoration of the natural mobility of the joint. During an exacerbation, an attack is stopped with the help of the drugs listed below.
Non-steroidal anti-inflammatory drugs for gout
"Ibuprofen". This drug is used in the form of tablets. It is mainly used at a time when an exacerbation attack reaches its climax, that is, with the maximum severity of symptoms. The daily norm for the patient can be in the range of 1200-2400 milligrams. What other drugs in tablets are used to treat gout?
"Indomethacin". This tablet remedy is one of the most effective non-steroidal anti-inflammatory drugs. It is prescribed to get rid of gout on the legs in the vast majority of cases. Its main advantage is the ability to quickly eliminate pain during an exacerbation. Tablets should be taken at 0.05 grams three times a day.
There are other drugs to treat gout.
Butadion ointment is an anti-inflammatory type that can eliminate high fever and pain. In addition, this tool is an excellent antirheumatic drug. Ointment should be applied near the affected area with a thin layer. There is no need to rub it in.
Hormonal steroids
These drugs for treating gout are not always allowed, because they have a very strong effect, but they have no less side effects. If they are issued, then only in extreme cases, they have a significantly limited period of use. The following steroid-type anti-inflammatory drugs are most commonly used for treatment:
- "Betamethasone". This pain medication is used to reduce inflammation. The hormonal drug can be applied topically or systemically.
- "Methylprednisolone". Such an anti-inflammatory agent is used in the form of tablets, ointments and injections.
- "Ketazon". The drug copes well with the process of inflammation. It can be consumed in the form of tablets or dragees. A gout patient should take medicine twice a day.
Medicinal steroid preparations can be used only after the approval of the attending physician. You cannot use them on your own, as this is fraught with numerous human he alth disorders.
Gout treatment with uric acid-removing drugs is popular.
Colchicine
Against gout on the legs, one of the most effective drugs is "Colchicine". This remedy is plant-based and is almost completely safe, and therefore there are no restrictions for patients, except for kidney failure and an allergic reaction. Thanks to "Colchicine", not only severe pain is eliminatedand other signs of gout, but also stops the formation of uric acid s alts. That is why the drug perfectly stops a gouty attack, because it has an analgesic effect.
Drug for the treatment of gout on the legs "Colchicine" allows you to remove uric acid from the blood. But the effectiveness of the drug is determined by when the patient started taking it. The fact is that you need to drink "Colchicine" on the first day of the onset of inflammation. These anti-gout pills should be taken every hour (no more than ten pieces per day).
Patients respond well to Colchicine, noting that with the help of the drug it is possible to achieve a decrease in the content of uric acid in the blood plasma. The use of the drug ends after the intensity of the symptoms decreases and the signs of the disease disappear.
What other medications are prescribed to treat gout?
Drugs for basic treatment
As soon as an acute gouty attack has been stopped, it is necessary to switch to the main treatment, which involves reducing the content of uric acid in the blood and removing s alts from the body. Drugs in such a situation are prescribed non-steroidal, they almost do not serve to eliminate pain and other disease-causing symptoms. There are two groups of such drugs: uricodepressants and uricosuric.
Treatment of gout with drugs that remove uric acid should be carried out under the supervision of a specialist.
Uricodepressants
These drugs depresssynthesis of uric acid.
The drug "Allopurinol". It should be taken once a day in the amount of 300 milligrams or three times a day for one hundred milligrams. The tablet is recommended to be taken after a meal. Allopurinol removes uric acid from the blood plasma. In addition, this drug prevents the occurrence of complications. During its reception, the patient's duty is to control the content of uric acid in the blood every month. The use of the drug should be agreed with the doctor. The fact is that due to "Allopurinol" a person's condition can be aggravated in the presence of concomitant pathologies. "Thiopurinol" is an analogue of the medication described above.
What else is used in the treatment of gout? Uric acid medications are inexpensive.
Uricosuric agents (remove s alts from the joints and purify the blood)
Drugs of this type purify the blood and remove s alt from the joints.
- "Benemid". Tablets can speed up the excretion of s alts from the body several times. This drug is fairly well tolerated by people.
- "Anturan". Such tablets, in comparison with the previous ones, are even more effective. But the medicine should not be taken along with Aspirin, as it blocks its functioning. Treatment of gout with drugs that remove uric acid is very effective.
- Flexen. The presented medication is sold in ampoules, tablets, suppositories and capsules. This remedy is used when it is necessary to suppress an acute attack and cope with others.gouty symptoms.
- Amplivix. Therapy with this drug helps to accelerate the excretion of uric acid s alts from the body. But you need to take it for several weeks up to a couple of months.
All described non-steroidal drugs can be prescribed by a doctor, depending on the characteristics of the attack. In addition, the ability of the kidneys and liver to perform their functions and the age of the person should be taken into account.
Compresses
The most commonly used for lotions is a drug such as "Dimexide", which is an additional tool in the treatment of gout. It should be used correctly:
- solution must be mixed in equal proportions with water;
- then a piece of gauze is wetted in the mixture, applied to the affected joint, covered with a film;
- as an addition, the compress should be wrapped with a woolen scarf or cotton cloth;
- should be removed in half an hour.
The treatment course can last from 10 to 90 days. Patients respond positively to this solution. But it cannot be used in an attack.
Analgesics
In an acute gouty attack, it is vital to use drugs that relieve pain. The most effective among them are:
- "Movalis" in injections. Thanks to its use, an accelerated short-term effect can be achieved. The drug is administered intramuscularly. It is strictly forbidden to administer the drug into a vein, as this is fraught with deficiencykidney activity.
- "Diclofenac". This tool is fast acting. You can use it in the form of an ointment or tablets (the first form is most often used). The course of treatment lasts approximately one and a half months.
- Voltaren. Used for severe pain. In this case, the simultaneous use of ointment and tablets is required.
- "Blemarin". This tool helps to quickly remove uric acid and alkalizes it. The advantage of the drug is absolute safety for the kidneys and liver.
It is strictly forbidden to engage in self-treatment of gout with drugs during an exacerbation.
New drugs
Pathologies of the musculoskeletal system of the human body greatly complicate life.
Gout is an insidious disease that causes a lot of suffering. That is why it should be fought thoroughly. The disease can be treated using modern new generation drugs.
New drug for the treatment of gout "Febuxostat". This remedy is not of purine origin, is used to get rid of the high content of uric acid in the body with gout. You can not use it during an exacerbation of the disease. The fact is that at first the level of acid rises. Reception "Febuxostat" is allowed for a long time. With the development of an exacerbation after the appointment of the drug, you should not stop taking it. Febuxostat is a fairly effective tool, but it is used strictly for its intended purpose.
Modern drug for the treatment of gout "Arcoxia". It is applied fortreatment of pain and other signs of illness. But "Arcoxia" may not be used by everyone. This tool can cause many side effects, despite the fact that when used correctly, unwanted effects are infrequent, single. The drug is available in the form of film-coated tablets. It is used more commonly as an anti-inflammatory and pain reliever.
All the latest generation of gout medications have been proven to work, but only a doctor can recommend the best ones for each patient.
Modern methods of physiotherapy against gout
As a component of complex treatment for gout, physiotherapy is quite effective: thanks to it, the condition of cartilage tissues improves and their decay is prevented. You can list the most common methods of physiotherapy, which are most often prescribed between attacks of gout:
- Electrophoresis is a procedure in which the patient's body is affected by permanent electrical impulses, due to which a local therapeutic effect is produced. In addition, electrophoresis makes it possible to enhance the penetration of external drugs through the skin.
- Novocaine and Analgin are used for gout pain relief, and cartilage tissue stimulates lithium, sulfur and zinc.
- Mud treatment is a popular way to improve the patient's condition. This procedure is often prescribed during the period of spa treatment.
- Thermal treatments dissolve uric acid deposits. For this purpose, ozocerite and paraffin applications are made for patients.
- One of the most enjoyable physical therapy methods is balneotherapy. The effect on the joints is carried out while taking baths.
- Bishofite is a natural solution containing titanium, iron, copper, iodine, potassium, calcium and sodium. Compresses with it allow you to anesthetize the inflamed area and eliminate inflammation.
- In addition, magnetic therapy, ultrasound, UVT, massage and exercise therapy are successfully used for gout.
What kind of physiotherapy will be the most effective in a particular situation, the doctor can determine. The vast majority of physiotherapy procedures are most often available when undergoing spa treatment.
Prevention
The possibility of gout is quite high in people who abuse fatty foods, alcohol, lead a sedentary lifestyle and neglect a he althy diet. Also at risk are people who are overweight and have high blood pressure, and those who have relatives with the same disease. Preventive measures are extremely simple: exercise, proper nutrition, avoiding alcohol, weight control and fresh air. If they are observed, unpleasant consequences can be avoided.
In addition to the treatment of gout with drugs, diet therapy is important.
Diet
With gout, it is the diet that allows you to control the disease and avoid its attacks in the future. The most harmful product in this caseis red meat.
The main principle of nutrition in this case is to avoid foods that contain a lot of urate or substances that can turn into urate in the body. Such products are primarily: meat, especially veal and lamb, kidneys and liver, meat broths and soups, jelly, certain fish (herring, sardines, mackerel), alcoholic beverages. You can eat bread, pasta, milk and dairy products, cheeses without restrictions.
Reviews
Patients note in the reviews drugs that help them with gout. During an acute attack, specialists often prescribe Colchicine. The appearance of nausea after taking the pills is noted, but the inflammation and pain in the legs have really become less. Some reviews claim that the drug adversely affects the liver, stomach and kidneys. However, the pills do help to heal.
Other patients report the effectiveness of Allopurinol. There is an improvement after just a few sessions. Reviews often talk about depression and headaches as a side effect of the remedy, but this does not happen to everyone.
In the absence of the effectiveness of non-steroidal anti-inflammatory drugs and Colchicine, doctors prescribe hormonal-type drugs that reduce inflammation - glucocorticoid hormones.
Patients also note that dieting is very helpful. But the most important thing is to start taking the drugs in time to stop the development of gout.
