What medicine can be taken to improve gout? What medicine is most effective for gout?

Gout medication is basically pain relief and uric acid reduction. Common painkillers are: colchicine, non-steroidal anti-inflammatory drugs (such as Bulofen), and some hormones (such as dexamethasone), the advantage is that it is a rapid pain reliever, and the disadvantage is that it treats the symptoms but not the root cause.

Uric acid drugs mainly include: benzbromarone, probenecid and drugs that inhibit the production of uric acid have allopurinol, the advantages of the drug are economical and convenient, the disadvantages are not curable, the drug itself is not very big, but it needs to be taken for a long time, once uric acid is stopped, so there is a cumulative amount of ***. For gout, it is recommended to dissolve uric acid crystals with the help of professional instruments, and then lower uric acid through traditional Chinese medicine, which is more effective for gout and lower.

Long-term clinical practice of traditional Chinese medicine**There are many very effective and unique recipes for gout, it is recommended that you use traditional Chinese medicine Lijin vine, Mulberry parasitic, Liu Jinu, Shenjin Cao, Millennium Jian, One Mouthful Bell, Wu Yao, Qingfeng Vine, Chicken Blood Vine, Papaya, Eucommia, Psoralen, Cuscuta Seed, Frankincense, Myrrh, Shengdi, West Sichuan Guiwei, West Sichuan Safflower, Chuanxiong, Red Peony, Dog Spine, Suoyang, Monk Head, Sheep Weed Leaves, Bone Crushed Supplement, etc.**, which can nourish the liver and kidneys, activate the meridians, reduce swelling and fix pain, and the effect is fast, and the effect is certain. Many patients do not ** after **. Guidance: The most important thing is low-purine food, mild symptoms can be controlled by paying attention to diet, even if it is a serious gout drug, it is also necessary to pay attention to diet, this is the basis of the drug, otherwise the effect is not good.

Anti-inflammatory and analgesic drugs (NSAIDs), colchicine and glucocorticoids are recommended as early as possible (generally within 24 hours) during an acute attack of gout**, and non-steroidal anti-inflammatory drugs (NSAIDs), colchicine and glucocorticoids can effectively anti-inflammatory and analgesic and improve the quality of life of patients. Acid-lowering is not given during an acute attack**, but those who have already taken acid-lowering drugs do not need to stop taking it, so as not to cause fluctuations in blood uric acid, which may lead to prolonged attacks or recurrence.

Medication, especially traditional Chinese medicine, needs to be dialectical, it is best to ask the doctor, do not take medicine yourself. In fact, regardless of Chinese medicine or Western medicine, it is best to ask the doctor. Also check whether it is gout in detail, so as not to misunderstand the condition.

1. Non-steroidal anti-inflammatory drugs, such as indomethacin, diclofenac sodium, etc., can effectively alleviate the symptoms of acute gout;

2. Narcissine;

3. Glucocorticoids: For patients with poor or intolerant effects of the above two types of drugs, they can be taken orally or injected for a short period of time, and ** acute gout has obvious curative effects.

There are three types of gout drugs according to the different goals. First, alkalize the urine to reduce uric acid deposition, the easiest way is to eat baking soda or drink a small amount of alkaline water; Second, during the acute attack of gout, choose some anti-inflammatory and analgesic drugs, such as glucocorticoid colchicine; Third, for the increase in the level of uric acid in the blood, drugs that inhibit the production of uric acid or drugs that promote the excretion of uric acid by the kidneys can be used.

Gout attack is very painful, seriously affecting our physical health and work life, so how to stop pain during gout attack?

1.When gout attacks, under the guidance of doctors, it is better to use some ** gout drugs, and patients can take non-steroidal anti-inflammatory and analgesic drugs such as etoricoxib, diclofenac sodium, loxoprofen sodium, etc., which can quickly relieve the symptoms of joint pain. If nonsteroidal anti-inflammatory drugs do not work, corticosteroids may be considered**.

After relieving the symptoms of joint pain, patients need to take drugs that inhibit uric acid production and promote uric acid excretion**, such as allopurinol, febuxostat, benzbromarone, etc.

2.Because during a gout attack, the patient has a fever and severe pain in the swollen area, so an ice pack can be applied to the ** to help reduce the pain.

3.Soaking your feet in a gout hand and foot bath for at least 30 minutes before going to bed at night can reduce pain and allow uric acid crystals to re-dissolve and excrete from the body.

4.Drinking more water is also a good way to relieve gout, because drinking more water can help the uric acid to be excreted from the kidneys, so that there is less uric acid in the body, and it can also relieve the symptoms of gout in patients, so patients with gout must pay attention to drinking more water, so as to relieve the symptoms of gout.

1. Acid-lowering drugs, gout attacks are mainly caused by the increase of uric acid in the body, so acid-lowering drugs should be actively used to prevent repeated acute attacks of the disease. There are two kinds of drugs commonly used to lower acid, one is drugs that can inhibit the production of uric acid, such as: febuxostat and allopurinol.

The other is drugs that can promote the excretion of uric acid, such as benzbromarone and probenecid.

2. Non-steroidal anti-inflammatory drugs, joint swelling and pain will occur during gout attacks, and you can take such drugs to relieve symptoms, such as: indomethacin, ibuprofen, naproxen, diclofenac sodium, etc. This kind of drug can play an antipyretic, analgesic and anti-inflammatory role, and has a good effect on gouty arthritis, rheumatoid arthritis and other diseases.

3. Traditional Chinese medicine prescriptions, first of all, you can use some Chinese herbal medicines that have the effect of reducing swelling and relieving pain, invigorating blood circulation and circulation, such as: asarium, licorice, parsnip, cinnamon and Qianghuo. Secondly, you can take herbal decoctions that have the ability to prevent the formation of tophi, such as:

Desmodium, Cinnamomum peel, tangerine peel, green peel, hyssop, willow branches, etc.

During the use of the above drugs, it can be combined with physiotherapy programs, such as: acupuncture, massage, massage, cold compress, etc. These physiotherapy programs have the effect of improving blood circulation and relieving pain symptoms.

In addition, there are some sports that can be done as much as your body allows, which not only strengthens your physique but also maintains joint mobility. Sports that are more suitable for patients include: playing badminton, table tennis, cycling, yoga, swimming, tai chi, etc., as long as strenuous exercise is avoided.

Gout can be divided into acute and chronic phases, and the medication for different periods is also different, so patients need to go to a professional hospital for examination and follow the doctor's medication.

**Commonly used medications for gout include:

1. Acute stage**: The acute attack period of gout patients is usually mainly to relieve pain and control inflammation, mainly using non-steroidal anti-inflammatory drugs, colchicine and glucocorticoids. Commonly used non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen, indomethacin, etoricoxib, and voltarin, which are effective in relieving symptoms of acute gouty arthritis.

The anti-inflammatory effect of colchicine is also good, but it is easy to be poisoned when used in large doses, so it is usually used in small doses, and the best effect on gout is better. Glucocorticoids are mainly used for patients with non-steroidal anti-inflammatory drugs and colchicine inresponse or renal insufficiency, and short-term oral or intra-articular injection has obvious efficacy. It should be noted that the above drugs need to be used under the guidance of professionals.

2. Chronic phase**: For patients in the chronic phase or non-acute attack phase, uric acid lowering is mainly carried out**. At present, there are two types of uric acid-lowering drugs: drugs that inhibit uric acid production and promote uric acid excretion.

Drugs that inhibit the production of uric acid are commonly used allopurinol, febuxostat, etc., among which allopurinol is the gold standard drug for gout; Drugs to promote uric acid excretion are commonly used benzbromarone and probenecid, and long-term use of sodium bicarbonate can lead to complications such as osteoporosis, so long-term use is generally not recommended.

In addition to the above medications**, lifestyle modifications are also beneficial for gout**. Patients with gout should try to quit smoking and drinking, limit the intake of high-purine foods such as seafood, and also need to avoid strenuous exercise, pay attention to keeping warm, and drink as little fructose as possible. Some studies have shown that the frequent use of fresh fruits and vegetables is beneficial to maintaining the health of gout patients, and patients also need to eat and rest regularly.

Therefore, gout is a comprehensive disease that requires a balance of diet and medication.

Indomethacin capsules: used in acute gout attacks, rheumatoid arthritis, etc.

Etoricoxib tablets: anti-inflammatory and antirheumatic drugs, **acute gouty arthritis, etc.

Voltarin: Used to relieve pain in muscles, soft tissues, and joints.

Colchicine tablets: for acute attacks of gouty arthritis.

Glucocorticoids: A class of steroidal hormones secreted by the adrenal cortex.

Allopurinol extended-release tablets: anti-gout drugs.

Febuxostat tablets: indicated for long-term hyperuricemia**.

Benbromarone tablets: anti-gout drugs.

Probenecid: used for hyperuricemia with chronic gouty arthritis and tophi.

Gout is a crystal-associated arthropathy caused by monosodium urate deposition, and the preferred drugs for gout pain relief are non-steroidal anti-inflammatory drugs, such as indomethacin and meloxicam. Colchicine is used as a first-line drug for acute gouty arthritis, but this kind of drug is relatively toxic to the kidney, and people with kidney disease should use it with caution.

When colchicine and non-steroidal anti-inflammatory drugs** are not effective, glucocorticoids can be used, which have a good analgesic and anti-inflammatory effect.

In addition to Western medicine, you can also use traditional Chinese medicine**, generally used: 50 grams of psyllium, 100 grams of red Poria cocos, decoction water to take Zhibai Dihuang pill** for more than 2 months, it will have a good effect.

In the acute phase of gout, you can generally take colchicine, non-steroidal anti-inflammatory drugs, glucocorticoids and other drugs according to the doctor's instructions**; In the chronic phase, you can take drugs such as drugs that inhibit the synthesis of uric acid and promote uric acid excretion** as prescribed.

1.Acute phase:

1) Colchicine:

Colchicine is usually the first-line drug in the acute exacerbation stage, generally by reducing leukocyte activity and phagocytosis, reducing lactate formation, reducing the deposition of uric acid crystals, reducing inflammation, and relieving joint pain symptoms.

Colchicine is contraindicated in patients with hypomyeloproliferative bone marrow and renal and hepatic insufficiency. Gastrointestinal symptoms such as abdominal pain and diarrhea, muscle, peripheral neuropathy, bone marrow suppression, shock, teratogenicity and other adverse reactions can be seen after use, so it should be used with caution.

2) Non-steroidal anti-inflammatory drugs:

Indomethacin, diclofenac sodium, etc., can be used with rubber, which has analgesic and anti-inflammatory effects, and can relieve arthritis symptoms such as joint redness, swelling, heat, and pain.

3) Glucocorticoids:

Glucocorticoids (eg, dexamethasone, prednisone, etc.) are reserved for colchicine and nonsteroidal anti-inflammatory drugs that are ineffective or contraindicated, and have renal insufficiency. Oral corticosteroids or intra-articular injections can be prescribed by your doctor to relieve symptoms such as redness, swelling, and pain caused by joint inflammation.

2.Chronic phase:

1) Inhibition of uric acid synthesis drugs:

Allopurinol and febuxostat are commonly used to reduce uric acid production by inhibiting xanthine oxidase. Allopurinol should be used with caution in patients with renal insufficiency; Febuxostat is not completely dependent on renal excretion and can be used in patients with mild to moderate renal insufficiency, and should be used with caution in patients with severe renal insufficiency.

2) Drugs that promote uric acid excretion:

Benbromarone, probenecid, etc., which can increase the excretion of urate and reduce the concentration of uric acid in the blood by inhibiting the reabsorption of uric acid in the renal tubules. Benbromarone can be used in patients with mild to moderate paraosmotic renal dysfunction or renal transplantation. Probenecid is used in people who are taking salicylic acid drugs such as aspirin.

The above drugs should be used under the guidance of a physician and avoid self-medication to avoid delaying the condition.

If there are symptoms such as joint redness and swelling, severe joint pain, etc., it is recommended to seek medical attention in time, improve relevant examinations, clarify **, and follow the doctor's instructions to target** to alleviate the symptoms of the disease and improve the prognosis.

Febuxostat colchicine, which can be relieved, but cannot be done**.

Pain relief + anti-inflammatory. The fundamental problem is to control uric acid.