A, general treatment: eat less foods rich in purine (animal viscera, sardines, etc.). ), low sugar and low fat, lose weight and give up drinking. Drink plenty of water, the daily urine volume is higher than 2000ml, the urine pH value is maintained at 6.0-6.5, and baking soda is added if necessary.
B, acute treatment, early medication effect is good. Most people usually use drugs:
1. Colchicine: This medicine is a specific medicine for treating acute gout. General medication can relieve symptoms within 6- 12 hours, and the symptoms can be controlled within 1-2 days. We usually take this medicine 1mg orally for 2 hours until the symptoms are relieved or diarrhea occurs. When the total dose reaches 6mg, those whose symptoms have not changed should stop taking the medicine immediately.
2. Non-steroidal anti-inflammatory drugs: indomethacin, ibuprofen and naproxen. Taking it for a few days can also relieve symptoms.
3. Glucocorticoid: If only the above treatment fails, prednisone 10mg, three times a day, can quickly relieve the acute attack.
C, intermittent and chronic treatment
1, uric acid excretion drugs: suitable for patients with high blood uric acid and normal renal function. The commonly used drug is probenecid 0.25g, twice a day, and the maximum amount is not more than 3 g; Tongfeng Lixian (benzbromarone) 50mg, 1 time/day. The course of treatment is twelve weeks. In addition, pay attention to drink plenty of water when taking such drugs, and at the same time alkalize urine; But it can't be used with diuretics and salicylic acid drugs.
2. Drugs for inhibiting uric acid synthesis: allopurinol 0. 1g, 2-4 times/day, the maximum amount is not more than 0.6g/ day, and the dosage of renal insufficiency is halved. The side effects of this medicine include rash, gastrointestinal discomfort and leukopenia.
D, joint movement disorders can be physical therapy, physical therapy. If there are many tophi or fester, it can be surgically removed.
The above is the answer to what kind of medicine you want to know. It is worth reminding you that because the exact pathogenesis of the disease is still uncertain, the treatment drugs and means are limited, and the drugs you can choose are limited. I hope you can abandon the idea of "what medicine to take", carefully analyze and summarize the characteristics and symptoms of your own medication, and plan the types and doses of medication. I believe the good medicine is in your heart.