What medicine should I take for gout attack? Analysis of hot topics on the Internet in the past 10 days
Gout is a common metabolic disease, and its incidence has increased year by year in recent years. Among the hot topics on the Internet in the past 10 days, the discussion on how to use medicine when gout attacks is particularly heated. This article will combine the latest hot topics and authoritative advice to provide you with structured data and analysis.
1. Statistics of hot topics related to gout in the past 10 days across the Internet
| Ranking | topic | amount of discussion | heat index |
|---|---|---|---|
| 1 | Selection of analgesics for acute gout attacks | 128,000 | 98.5 |
| 2 | Colchicine side effects | 96,000 | 87.2 |
| 3 | NSAIDs comparison | 83,000 | 82.1 |
| 4 | The effect of traditional Chinese medicine in treating gout | 75,000 | 78.6 |
| 5 | Long-term medication regimen for gout | 69,000 | 75.3 |
2. Comparison of commonly used drugs during gout attacks
| drug class | Representative medicine | Onset of effect | Applicable people | Things to note |
|---|---|---|---|---|
| NSAIDs | Ibuprofen, diclofenac | 30-60 minutes | Those without severe gastrointestinal disease | Avoid long-term use |
| colchicine | Colchicine tablets | 12-24 hours | People with normal kidney function | Pay attention to dose control |
| Glucocorticoids | prednisone | 4-6 hours | Patients with severe attacks | short term use |
3. Medication regimen recommended by experts
According to the latest clinical guidelines and expert consensus, medication during acute gout attacks should follow the following principles:
1.Early medication: The medication has the best effect within 24 hours after the attack, and can significantly shorten the course of the disease.
2.personalized choice: Factors such as patient age, comorbidities, and drug tolerance need to be considered.
3.step therapy: Non-steroidal anti-inflammatory drugs are the first choice for mild to moderate attacks. If the effect is not good, combined use of drugs can be considered.
4. Precautions for medication use in special groups
| Crowd type | Recommended medicine | contraindicated drugs | Adjust dose |
|---|---|---|---|
| renal insufficiency | low dose glucocorticoids | NSAIDs | Colchicine reduction |
| elderly | Selective COX-2 inhibitors | high dose colchicine | Appropriate reduction |
| pregnant woman | Acetaminophen | Most antigout drugs | Strictly follow medical advice |
5. Answers to hotly discussed questions on the Internet
1.Can Chinese medicine replace Western medicine?There is currently insufficient evidence that Chinese medicine can completely replace Western medicine, but it can be used as an auxiliary treatment.
2.Are painkillers addictive?Regular use of NSAIDs will not cause dependence, but long-term use of high doses should be avoided.
3.Can uric acid be lowered during an attack?It is not recommended to start uric acid-lowering treatment in the acute phase and should be started 2 weeks after symptoms have relieved.
6. Dietary recommendations to prevent gout attacks
In addition to rational use of medications, it is also important to adjust the diet structure:
- Limit intake of high-purine foods
- Increase water intake
- Control alcohol intake
- Maintain a proper weight
The choice of medication during a gout attack requires comprehensive consideration of many factors. It is recommended that patients use medication rationally under the guidance of a doctor and do not adjust the medication plan on their own. With standard treatment and lifestyle adjustments, most gout patients can be well controlled.
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