There are some medicines that your doctor can prescribe to help in easing the pain as well as reducing the swelling of a gout attack. The goals of drug treatment are to:
1. Ease the pain brought about by acute gout attacks
2. Prevention of future gout attacks
3. Prevention of tophi and kidney stones formation
Non-steroidal anti-inflammatory drugs or NSAIDS such as naproxen taken orally and corticosteroids such as prednisone also taken orally or injected into the affected joint are the most common medication for an acute gout attack. NSAIDs aid in the reduction of inflammation brought by uric acid crystal deposits but it has no effect on the amount of the uric acid in the body.
Within a few hours after taking a corticosteroid, people often feel some improvement in their condition and the attack normally goes away within a week or so. Individuals with a pre-existing heart condition,dbol canada kidney disease, high blood pressure or lung disease or if you are over the age of 65, it is best to consult your doctor about taking them as these medicines may be harmful to your health.
However, there are times when NSAIDs or corticosteroids are not able to control the symptoms of gout so at this point, doctors may consider prescribing another kind of medicine called cochicine, a drug most effective when taken within the first 12 hours of an acute attack. The drug Colchicine reduces the build up of urate in the body.
Colchicine may be prescribed by a physician to be taken orally as often as every hour until the gout symptoms in the joints begin to improve or when the side effects such as vomiting, nausea, diarrhea or abdominal cramps brought about by intake of this drug makes it too uncomfortable for the patient to continue.
At times, doctors may prescribe daily doses of NSAIDs or oral cochicine to prevent future gout attacks. Drugs such as allopurinol or probenecid may also be prescribed by doctors for hyperuricimia treatment and to also reduce frequency of sudden gout attacks and tophi formation.
For patients suffering from gout who cannot take NSAIDs or colchicines, the physician may prescribe another kind of drug: steroid tablets. And if gout attacks in a larger joint such as the knee, as an alternative treatment, the doctor may recommend a steroid injection instead. Patients experiencing repeat gout attacks will find that there are also medicines they can take to help prevent recurrence of the disease such as:
Allopurinol – this prevents gout by preventing the build up of urate. The doctor may prescribe this drug to be taken daily. First time users of allopurinol may actually experience a gout attack because the urate level in the body of the gout sufferer will increase a bit before it falls. To keep this from occurring, the doctor may prescribe a combined intake of allopurinol with NSAIDs, colchicines or steroid tablets for up to three months. Always remember to drink enough fluids when taking these drug medications.
Probenecid or Sulphinpyrazone– these medicines may be prescribed by the doctor to increase the amount of urate which is excreted from the body in the form of urine. These medicines are not used to treat acute gout attacks. They are normally prescribed to be taken after an attack is over.
For the best medicine to treat gout, it is best to seek advice from your doctor for advice and to also read the patient information leaflet that comes attached with the drug medication.