Your doctor will have no trouble treating your gout.
Anti-inflammatory (ketoprofen cream/gel) and colchicines are effective. An infiltration is more powerful and faster.
A more difficult issue is the background therapy. In the absence of long-term complications of chronic excess uric acid, it should not be systematic. It is sometimes prescribed in the absence of prior gout.
This may seem reasonable and prudent when the blood uric acid levels are very high, but the benefit is not proven. There are 2 situations:
1) You have repeated seizures, almost merging to achieve near-chronic rheumatism. Attention: beginnings can be difficult: paradoxically startup basic treatment can result in gouty access, especially if it is irregularly followed: it causes sudden changes in blood levels of uric acid that cause seizures. Your doctor will advise you extend coverage through an anti-inflammatory (ketoprofen) the first months.
2) You have spaced attacks, which can be quickly controlled by anti-inflammatory (ketoprofen). Daily pill is perhaps not essential, especially if you have no other treatment that you might frequently forget. Preventive measures such as drinking a lot and avoid misusing foods should suffice. Always have some anti-inflammatory tablets in advance (many people feel the crisis arrive by unpleasant impressions in the joint); they can very effectively block the gouty access.
TREATING FOR GOUT
This is the symptomatic treatment to be energetic. It includes rest, diet, and medication.
This rest will last as long as the painful events are calmed. You need rest to reduce the weight pressing on joints, which causes pain.
It includes a light diet of vegetables, fruits, carbohydrates with 2 liters of mineral water per day, 1/2 liter of water from Vichy to alkalize the urine, with prohibition of alcohol and also the first few days, ban fat and meat.
The first rule is clear: do not use steroids: indeed, the CORTISONE systemically has an immediate positive effect, but its removal usually leads to the emergence of a relapse and repetition of long-term treatment, which tends to have an unfavorable effect on the general development of gout creating forms rebels to other treatments (cortisone drop).
This is the specific treatment of gout. Its effect is manifested in 10 to 24 hours on average over the pains and it leads to the complete disappearance of the crisis in 3 to 4 days in general.
Treatment is generally the following doses:
· 3 tablets of 1 mg on the first day,
· 2 tablets 1 mg the next two days,
· 1 mg tablet the following three or four days,
The disadvantages of the treatment are represented primarily by diarrhea that can try to fight with specialties including opium powder (Colchimax). See your doctor!
b) NSAIDs/Ketoprofen cream/gel
Aspirin is not used in the treatment of gout because it interferes with the urinary excretion of uric acid and is only active when the dose exceeds 3 grams. Phenylbutazone (the pyrazole group) is not recommended because of hematological risk of agranulocytosis.
NSAIDs/Ketoprofen cream/gel (FELDENE®, PROFENID®, VOLTARENE® see your doctor) can be used if necessary to replace the COLCHICINE.