Gout treatment medication: analgesics and chondroprotectors
Gout is a joint disease characterized by deposition in tissues of urate salts. When the attack of the disease, the patient feels severe pain, so immediately go to the doctor. Gout treatment is carried out comprehensively with the use of drugs.
Uric acid causes inflammation in joint tissue. The accumulation of acid in the body due to its increased production or kidney failure. Inflammation begins to cover the entire joint. The pain becomes unbearable. People can not step on the affected limb. Most often, gout affects one joint, but may be symmetric, capturing the same two joints in different limbs.
Gouty arthritis frequently leads to limb deformation and thinning of the cartilage in the affected joint. As the drugs doctors prescribe:
- NSAIDs (drugs, relieving an inflammatory process);
- medicines to remove surplus uric acid.
NSAIDs, analgesics and chondroprotectors
Required drugs in the treatment of gout are considered to be NSAIDs. They effectively cope with the inflammation in the joint. To take pills need about 10 days. After a certain period of time (about 2-3 weeks) you can re-take a course of treatment. Contraindications to NSAIDs:
- drug intolerance in the group;
- diseases of the gastrointestinal tract in acute phase;
- the period of gestation of the child;
The most important contraindications are diseases of the digestive system, since drugs in this group slow down the production of substances that «inhibits» the gastric juice. In the result, the stomach wall begins to become inflamed, a patient can worsen chronic diseases (gastritis, ulcers). People with chronic diseases of the stomach and intestines should take NSAIDs with care and under strict supervision of a specialist.
Severe pain in the joint, you can use local anti-inflammatory agents, for example, dimexide. Applying it together with ketonala, you can make a good poultice that has anti-inflammatory, analgesic effect. Dimexide enhances metabolism, relieve, relieves inflammation and destroys the germs. This drug is able to penetrate through the skin and mucous membranes. It is often used in diseases of the joints. Dimexide can cause a severe allergic reaction. Before putting the compress, you need to conduct a test on the sensitivity.
To make a compress by yourself, you need to combine 30 ml of Dimexidum and warm water of 1 ml was ketonala. Next is to fold the cheesecloth into several layers and dip it in the prepared solution. Then gently squeeze the gauze and put on the joint. In a cheesecloth put the oilcloth, and on top to wrap the joint with a scarf. Keep the compress should not exceed 30 minutes, as you may burn the skin.
Drugs that have analgesic effect, very important if you experience symptoms of gout. The attack causes severe pain in the affected joints. For treatment using standard analgesics. But sometimes doctors prescribe psychotropic drugs, they help to get rid of severe pain. The choice of psychotropic drugs should always be approached with caution, as they have a lot of side effects and contraindications.
Chondroprotectors slow down the process of joint destruction and promote their regeneration. This versatile drugs for the treatment of any disease of joint tissue. Tablets this group increase blood circulation to the damaged area. Take drugs hondroprotektory only need the advice of a doctor.
Gout — the disease is insidious, you need a competent approach to its treatment. The disease is responding to therapy, if you have not purchased running form. NSAIDs well eliminate the inflammatory process in the joint, but the pain remains. Unable to take her painkillers. Chondroprotector protects the joint from destruction.
Drugs for uric acid excretion
In the treatment of gout uricosuric use, urinatepissing, unicalities medicines. First increase the excretion of urate, the second inhibit production of uric acid. Unicalities products provide the disintegration of urinary salts.
Most popular hypouricemia the drug allopurinol. He no pain medication, this medicine is prescribed for the presence of stones in the kidneys, increased creatinine in the blood. Treatment of gout includes the cancellation of diuretics. Allopurinol standard dosage is 100-150 mg per day. Then within 14 days, the dose may be increased to 300 mg. If a positive effect is obtained, then reduce dosage to 2 times.
If within 14 days uric acid in the blood stream is not normal, take up to 600 mg of allopurinol per day. Exacerbation of gout may occur after a few months after the treatment. In this case, doctors recommend anti-inflammatory therapy.
Side effects of allopurinol:
- hemorrhagic lesions;
- the change of liver function;
- inhibition of the functioning of the bone marrow.
After treatment with allopurinol for 10-12 months lost the feeling of stiffness in the joints, pain, tophi disappear, normal renal function, displayed small stones from the kidneys. If the exacerbation of gout during the year were not observed, it is possible to make a break in taking medication for a period of 3 months. Then measured the level of uric acid in the blood. Increasing the doctor re-appoints allopurinol.
Uricosuric drugs — probenecid and benzbromarone. They appoint persons to 60 years. They can be taken only in the absence of kidney stones. Indications for medications in this group:
- hyperuricemia, which appeared due to the lowering of exercie uric acid;
- hyperuricemia with creatinine clearance at least 50 ml/min.
Stage of disease determines treatment
Gout undergoes 2 stages of development — the aggravation and remission. In the acute stage in humans are observed:
- swelling of the lesion;
In this case, the doctor recommends to take drugs, anti-inflammatory, usually kolhamin and indomethacin. Sometimes, very rarely prescribed hormonal drugs, such as prednisone, dexamethasone.
In remission, doctors prescribe uricosuric drugs.
The duration of remission depends on the amount of uric acid in the blood stream.
Gout treatment is based on diet. Don’t use egg whites, radishes, sorrel, beans. Every day you should drink at least 2 liters of liquid, it promotes the excretion of uric acid. Important therapeutic exercise. Shown Spa treatment. Stay in the sanatorium is given only at the stage of remission. Doctors recommend at least 2 times a year to attend specialized boarding houses.
During the treatment of gout drugs it is strictly forbidden to receive aspirin, since this helps retard uric acid in the body.