When your doctor has found that you have gout, he is likely to prescribe medications to alleviate the pain. He is likely to advise you to take ibuprofen or naproxen orally, or other similar drugs that are indicated to bring down the swelling, as well as the pain.
If you have another medical condition which requires you to take aspirin, even in small dosage or is taking low-dose aspirin to avoid a heart condition, make sure that you tell your doctor. He may have to modify the dosage, or ask for a temporary abstention from it. Aspirin is known to affect the way your body gets rid of uric acid. It tends to aggravate gout. Depending on the hardness of your gout, and of the other conditions, your doctor may have to adjust or alter his prescriptions.
When the pain becomes so bad that it starts to impinge on other areas of your life, your physician may advise that the affected joint be injected with a corticosteroid. As an alternative, he may recommend oral medications containing steroids. These drugs are known to bring express relief from severe pain. A medical professional, however, is only likely to do this in cases of severely painful or chronic gout. Corticosteroid treatments, especially if taken on a long-term basis, have been known to have strongly adverse side effects thus doctors are not inclined to give them in the absence of urgency.
One other acute gout treatment is colchicine. Colchicine is said to be very effective, especially when you can take it during the first twelve hours of the gout episode. It also helps foil subsequent attacks. Similar to corticosteroids, though, doctors are not likely to prescribe colchicine unless your case strongly warrants it. Patients are strongly cautioned against this drug because of highly undesirable side effects it may have. A high dosage of the drug may especially bring on problems. It may also inter-act adversely with certain drugs the likes of antidepressants, tranquilizers, or antihistamines.
If you have had an episode of gout, you should find means and ways to reduce the chances of another one occurring.
A doctor will tell you to stay away from protein-dense food, especially those rich in purines which transform into uric acid. Included in this list are pork, beef, organ meats, anchovies, shellfish, fat-dense fish, asparagus, spinach, and almost all varieties of beans. Alcoholic drinks, with the special mention of beer, should be avoided.
Patients are always advised to drink a lot of water. Weight has to be monitored. Patients who are overweight are prone to develop gout.
It is likewise important for steps to be taken to bring down the amounts of uric acid present in the blood. This will lead to the break-down of the crystals deposited in the joints. Diet usually plays an important role in achieving this. However, this may not be enough. Drugs may be required, especially in severe cases of gout.
Allopurinol is one drug identified to have properties necessary to decrease the manufacture of uric acid in the system. It has several side effects, though. One may become sleepy, disoriented, and may even develop rashes. It is also contra-indicated for people who are taking diuretics and drugs intended to thin the blood. If you have difficulties with your kidneys or liver, you are also advised against taking allopurinol.
A new drug is being sold now to help gout patients manage the high levels of uric acid in their systems. This is febuxostat (Uloric) which has recently passed approval. It lowers present levels of uric acid and prevents its excess production. The drug also has undesirable side effects—nausea, rashes, and liver malfunctions, among them.2016-08-08