Gout Traditional Treatment

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Traditional treatment is high doses of NSAIDS or indomethacin to kill the pain, anti-inflammatories, and drugs, such as allopurinol, that inhibit formation of uric acid. Allopurinol, however, has some serious side effects, such as skin eruptions, liver toxicity, inflammation of the blood vessels, and possible weakening of kidney function by forcing the kidneys to work too hard to excrete the uric acid. If you have kidney problems and use this drug, be sure to be carefully monitored. Another drug that is used is colchicine, but it, too, has serious side effects, including numbness in the hands and feet, abdominal pain, nausea, vomiting, weakness, hair loss, and abnormal bleeding or bruising. Cortisone is used for acute attacks, but should not be used for extended periods.

A new gout drug, febuxostat, which is awaiting FDA approval (2005), has proven to be very beneficial in reducing urate levels. 81% of patients taking the drug had healthy urate levels of less than 6 mg/dl, compared with only 39% who took 300 mg per day of allopurinol, the most widely prescribed gout drug.

Your doctor can diagnose whether or not you have gout either through a blood test or by taking some fluid from an affected joint and analyzing it for urate crystals.

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