Acute gout treatment: Colchicine preferred?

summary

At present, primary gout lacks the treatment of etiology, so it is an incurable disease. Most gout is caused by improper diet. Diet plays a very important role in inducing gout, that is, excessive intake of purine diet leads to reduced excretion in the body, resulting in excessive purine deposition in the joints, causing gout attack. Gout acute attack refers to the obvious symptoms of redness, swelling, heat and pain. Generally, the onset of the thumb will be more common. Many patients in this period will choose to take some analgesic and anti-inflammatory drugs for treatment. What should we pay attention to when using drugs?

Acute gout treatment: Colchicine preferred?

First: colchicine is an old medicine to control acute attack of gout. In the past, the hospital would give patients drugs in the acute phase, but this drug has certain toxicity, relatively large adverse reactions, digestive tract reactions, liver and kidney function damage, etc., so the patients' usual medication is not the first choice;

Second: nonsteroidal anti-inflammatory drugs, which are widely used now, play an anti-inflammatory and analgesic role. Generally, the dosage of this drug is used for several days or a week, and the general symptoms can be relieved. It is not suitable to take it for a long time. If it exceeds the recommended dosage or time, it still can not relieve the symptoms. It is suggested to use other drugs or consult a doctor. Generally, the common side effects of this drug are as follows For digestive tract reactions, such as peptic ulcer, it is suggested to choose some targeted mechanisms, such as selective cyclooxygenase-2 inhibitor Ankangxin, which will reduce the incidence of side effects; at the same time, it can also be combined with taking some acid inhibitors, such as omeprazole, ranitidine, or mucosal protective agent sucralfate, to reduce the occurrence of adverse reactions.

Third: there is also a kind of painkiller aspirin, which is not recommended in the acute stage of gout, because it can inhibit the excretion of uric acid; there are also some drugs that usually take the excretion of acetic acid, such as ligalixian, or drugs that inhibit the formation of uric acid, such as omeprazole, which are recommended to be postponed in the acute stage, because these drugs will aggravate the symptoms in the acute stage.

matters needing attention

At the same time, the patient should rest in bed, raise the affected limb; avoid exercise, until the pain is relieved 72 hours before the recovery of activities, early treatment, so as to quickly relieve symptoms, prevent delay.