The list of treatments mentioned in various sources for Gout includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Gout may include:
Hidden causes of Gout may be incorrectly diagnosed:
Products, offers and promotion categories available for Gout:
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Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.
Some of the different medications used in the treatment of Gout include:
The following are some of the latest treatments for Gout:
These medical statistics relate to hospitals, hospitalization and Gout:
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Correct management seeks to terminate an acute attack, reduce hyperuricemia, and prevent recurrence, complications, and the formation of renal calculi. Colchicine is effective in reducing pain, swelling, and inflammation; pain often subsides within 12 hours of treatment and is completely relieved in 48 hours. Treatment for the patient with acute gout consists of bed rest; immobilization and protection of the inflamed, painful joints; and local application of heat or cold, whichever works for the patient. Maximal doses of nonsteroidal anti-inflammatory drugs (NSAIDs) usually provide excellent relief for patients who can tolerate them; doses should be gradually reduced after several days.
Resistant inflammation may require oral corticosteroids or intra-articular corticosteroid injection to relieve pain. Treatment for chronic gout aims to decrease serum uric acid level. Continuing maintenance dosage of allopurinol may be given to suppress uric acid formation or control uric acid levels, preventing further attacks. However, this powerful drug should be used cautiously in patients with renal failure. Uricosuric agents promote uric acid excretion and inhibit accumulation of uric acid, but their value is limited in patients with renal impairment. These medications shouldn’t be given to patients with renal calculi.
Adjunctive therapy emphasizes a few dietary restrictions, primarily the avoidance of alcohol and purine-rich foods (organ meats, beer, wine, and certain types of fish are high in purines). Obese patients should try to lose weight because obesity puts additional stress on painful joints.
In some cases, surgery may be necessary to improve joint function or correct deformities. Tophi must be excised and drained if they become infected or ulcerated. They can also be excised to prevent ulceration, improve the patient’s appearance, or make it easier for him to wear shoes or gloves.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Effective management relieves pain with analgesics and immobilization using crutches, splints, braces, and restriction of weight bearing to the affected joint.
In severe disease, surgery may include arthrodesis or, in severe diabetic neuropathy, amputation. However, surgery risks further damage through nonunion and infection.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Correct management seeks to terminate an acute attack, reduce hyperuricemia, and prevent recurrence, complications, and the formation of renal calculi.
Treatment for the patient with acute gout consists of bed rest, local application of heat or cold, and immobilization and protection of the inflamed, painful joints.
Analgesics, such as acetaminophen, relieve the pain associated with mild attacks, but acute inflammation requires concomitant treatment with colchicine (by mouth or I.V.) every hour for 8 hours until the pain subsides or until nausea, vomiting, cramping, or diarrhea develops.
Phenylbutazone or indomethacin in therapeutic doses may be used instead, but each is less specific. Resistant inflammation may require corticosteroids or corticotropin (I.V. drip or I.M.) or joint aspiration and an intra-articular corticosteroid injection.
Treatment of chronic gout consists of the following measures:
❑ A continuing maintenance dosage of allopurinol is given in many cases to suppress uric acid formation or control uric acid levels, preventing further attacks. This powerful drug should be used cautiously in patients with renal failure.
❑ Colchicine prevents recurrent acute attacks until uric acid returns to its normal level, but it doesn’t affect the uric acid level. Uricosuric agents (probenecid and sulfinpyrazone) promote uric acid excretion and inhibit its accumulation, but their value is limited in patients with renal impairment. These drugs shouldn’t be given to patients with renal calculi.
❑ Other therapeutic measures include a few dietary restrictions, primarily the avoidance of alcohol and purine-rich foods. Obese patients should try to lose weight because obesity puts additional stress on painful joints.
❑ In some cases, surgery may be necessary to improve joint function or correct deformities. Tophi must be excised and drained if they become infected or ulcerated. They can also be excised to prevent ulceration, improve the patient’s appearance, or make it easier for him to wear shoes or gloves.
Source: Handbook of Diseases, 2003
Effective management relieves associated pain with an analgesic and immobilization, using crutches, splints, braces, and restriction of weight bearing.
In patients with severe disease, surgery may include arthrodesis or, in those with severe diabetic neuropathy, amputation. However, surgery risks further damage through nonunion and infection.
Source: Handbook of Diseases, 2003
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