For people with gout, once onset, the patient’s joints will appear redness and swelling, accompanied by severe pain and skin Elevated temperature, shiny skin, red and purple and other phenomena bring great pain to patients.
In the event of gout attacks, patients need to take some medicines in time for treatment. But many people don’t know what kind of medicine to take when they have a gout attack.
What kind of medicine should I take for a gout attack?
I. Acute Stage
For gout patients in the acute stage, there will be very serious redness, swelling, heat and pain< /strong> reaction, then you should quickly take some non-steroidal anti-inflammatory drugs, which can effectively relieve the local swelling and pain phenomenon.
Generally used are indomethacin, etoricoxib, diclofenac. In addition, colchicine can be used within 48 hours of gout attack, which can have a better therapeutic effect.
If anti-inflammatory drugs and colchicine are ineffective, the patient should be treated with glucocorticoids, such as dexamethasone .
Second, intermission period
for For patients in the intermittent period of attacks, uric acid is relatively high, and tophi has appeared, then some allopurinol, benzbromazine should be appropriately selected uric acid-lowering drugs such as probenecid, febuxostat.
At the same time, patients should preferably use some colchicine in small doses, which can effectively prevent acute gout attacks.
So, how long does it take for gout patients to be effective after taking medication?
If it is a acute gout attack, then the pain can be effectively relieved after 3~5 days of medication. Generally, 7~15 days of treatment can completely relieve a series of uncomfortable symptoms.
The following is a detailed list of some of the most common drug effects in the treatment of gout.
How effective are the most common gout medications?
I. Colchicine
Colchicine is a traditional medicine for the treatment of gout. It can reduce the formation of lactic acid, and can reduce the inflammatory response and achieve the effect of analgesia, suitable for patients with acute gout take.
Usually taking 1 to 2 hours can relieve symptoms. Discomfort such as nausea may occur after taking this drug, but it usually goes away as soon as the drug is stopped.
Second, Indomethacin
Indomethacin is a type of anti-inflammatory drug, which is more suitable to be taken during acute gout attacks due to stronger pain.
Generally, it can relieve pain after one hour, but this drug has a relatively large stimulation to the gastrointestinal mucosa.
Third, Dexamethasone
For patients who take some anti-inflammatory drugs and colchicine, if there is no effect after the medication, they can take dexamethasone .
This is a glucocorticoid with a very strong anti-inflammatory effect. Generally, after taking 1 hour to 8 hours, the peak blood concentration will be reached, and the effect of the drug will be fast and long-lasting. However, it is not suitable for children and people with renal dysfunction.
Four. Allopurinol
Purinol is an anti-uric acid drug, usually taken 1 After ~2 days, the uric acid value will begin to decrease, and the value will decrease very rapidly after 1 to 14 days.
Usually, the uric acid value will be at a normal level in 3 to 6 months. There will be some gastrointestinal discomfort.
V.Febuxostat
For mild to moderate renal insufficiency For patients with 100% of febuxostat, febuxostat can be appropriately used to treat uric acid.
Usually uric acid levels begin three days after taking the drug. Decrease, but many patients experience diarrhea problems after taking it.
In conclusion, gout patients at different periods require different drugs for treatment. During acute attacks, patients Some anti-inflammatory drugs, colchicine, or glucocorticoids should be taken.
If intermittent >, you should take some uric acid-lowering drugs. Generally, about three days of drugs can provide better relief.
In addition, the above 5 most common drugs for the treatment of gout, drugs The time of onset of action is different, and adverse reactions are different.
So in terms of medication, patients should timely and quantitatively take medication according to their own symptoms and under the guidance of doctors, and do daily nursing work, and then they can to the treatment of disease.