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Gout hurts like hell I knew it.
Many gout patients have a misunderstanding that drugs are toxic in three ways, and they always think that taking painkillers during gout attacks will harm the liver and kidney of the human body. In fact, during the gout attack, due to the short course of disease, there are not many days to take medicine. As long as the patients' internal organs are healthy and there are no other metabolic abnormalities, they should take analgesic drugs 1~2 weeks scientifically and regularly. Not only will it not cause too much burden to the body, but it can also treat pain better with no side effects.
There are three kinds of drugs commonly used to treat gout attacks: colchicine; Non-steroidal painkillers; Glucocorticoid.
Among many analgesic drugs for gout, colchicine is an alkaloid analgesic drug specifically for gout. Colchicine has a good therapeutic effect on acute inflammation of gout in the early stage. Because colchicine can inhibit the mitosis of inflammatory cells, it can effectively treat acute gout and inhibit the expansion of inflammation within 24 hours after gout occurs.
However, due to the physiological toxicity of drugs, in the case of improper use of drugs, patients often have symptoms such as diarrhea and abdominal pain, and patients who take them too carelessly even die. So it is necessary to share two tips here:
(1) At present, academic circles have confirmed that during gout attack, high-dose colchicine has the same therapeutic effect as low-dose colchicine, and taking low-dose colchicine can better control the side effects of drugs. In other words, eating more is the same as eating less, but eating less will obviously reduce the probability of side effects for patients. Its specific practices are as follows:
At first 1.0 mg, 0.5 mg after 1 hour, and 0.5 mg after 1.2 hour if necessary (the full-day dose shall not exceed 2mg). After that, take 0.5 mg twice or three times a day until the pain symptoms are relieved, usually not more than two weeks.
Therefore, do not follow the instructions for taking this drug. Many manufacturers' drug instructions have been published.
(2) For the treatment of acute gout, the sooner you take the medicine, the better, generally no later than 24 hours. And for patients who can predict that their gout is about to attack, they can take 0.5~ 1 mg in advance 12 hours, which has a certain probability of preventing gout attack. If gout attacks, the severity of the disease will be reduced.
Many people may not understand this proper term. In fact, non-steroidal painkillers are a general term for a series of painkillers. Fenbid and Tylenol, which are common at ordinary times, can actually be classified as non-steroidal painkillers. For gout patients, the commonly used non-steroidal drugs are celebrex, Yingtaiqing and Ankang.
Because these drugs are complicated, they are divided into cox- 1 and Cox-2, and there are many products. In order to avoid confusion, here is a brief summary for your reference when purchasing.
For patients with poor gastrointestinal tract, COX-2 non-steroidal drugs, such as celebrex and Ankang, should usually be selected. For patients with serious cardiovascular problems, cox- 1 nonsteroidal drugs, such as Yingtaiqing, should be selected. No matter what kind of non-steroidal drugs are taken, they should be taken after meals. For patients with more basic diseases, they should be taken under the guidance of doctors. As for the dosage, please refer to the drug instructions for each drug.
Glucocorticoid is a widely used drug, which can be used to treat joint pain, such as dermatitis, allergy and asthma. It is also a gout painkiller with quick effect. Commonly used corticosteroids specially used to treat gout are prednisone acetate and dexamethasone.
This medicine, whether taken orally or injected, has a therapeutic effect on gout. However, in the case of improper use or lack of experience, the side effects of such drugs are also relatively large, and it is usually not recommended for individuals to carry out autonomous treatment. If you have to, please promise that you will follow the doctor's advice!
As the name implies, non-drug treatment is to treat acute gout without drugs. Common methods include local cold compress, drinking plenty of water, controlling diet and raising lower limbs. However, even with such a cliche, there are still many gout patients who have made mistakes and even stepped into misunderstandings.
After cold compress for 20~30 minutes, you should take a proper rest for a period of time to avoid skin frostbite. At the same time, during acute inflammation, do not apply hot compress, otherwise it will enlarge the inflammation and aggravate the condition.
In fact, drinking more water is a very beneficial way to relieve pain during gout attacks. In addition to bringing more uric acid crystals out of the body, it is also beneficial to relieve pain. As for raising the lower limbs, it is a beneficial activity that few people do. For severe gout, joint edema is a common accompanying phenomenon, and raising the affected limb can just alleviate this symptom.
Many novices of gout like to use drugs such as trauma cream and safflower oil to promote blood circulation and remove blood stasis when gout attacks. In fact, the effect of doing this is the same as that of hot compress. In acute inflammation, accelerating blood circulation will only lead to the expansion of inflammation, thus prolonging the course of disease. In addition, bloodletting, electric shock massage and other methods are not desirable in acute inflammation. Due to the limited space, this kind of thing will be discussed later.
In short, after gout attacks, patients who have no drug contraindications should keep in mind the core concept of "drugs should be taken early". With proper treatment, most acute gout can be relieved in a short time.
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