Medication and medical conditions associated with gout

Certain medications such as diuretics. Which are use to treat hypertension and heart disease, can increase the risk of having symptoms of gout.

Other medications associated with increased risk of gout are medications that control blood pressure, such as ACE-inhibitors, angiotensin-receptor blockers (except Losartan) and beta-blockers.

Medical conditions that may lead to gout include:

• Chronic kidney disease (CKD)
• Obesity
• High blood pressure
• High cholesterol
• Heart failure
• Obstructive sleep apnoea
• Psoriasis
• Blood cancers

Are high uric acid levels a definite sign of gout?

Many patients with elevated blood uric acid levels may never have clinical gout. Having a high blood uric acid level is also associated with สนใจสมัคร? คลิกที่นี่เพื่อเริ่มต้น other conditions such as metabolic syndrome, diabetes, high blood pressure, kidney disease and cardiovascular disease.

It is important to review with your doctor to identify the risks factors and take active steps to address them in order to reduce your risk of developing gout.

How to manage acute gout and gout flare-ups

Acute gout typically presents as sudden painful swelling over a joint. The main aim of treatment is to reduce the acute inflammation.

In the event of a flare-up, a doctor will typically advise patients to rest the joint and limit physical activities, as well as prescribe medications such as non-steroidal anti-inflammatory medications (NSAIDS) and colchicine.

For patients who may be unable to tolerate these medications, steroids may be prescribed to help ease the inflammation. Some patients may require steroid injections into the joints (intra-articular steroids) to help control the inflammation.

Most of the time, gout is diagnosed clinically, medical conditions associated with gout and your doctor may order blood tests to check your uric acid levels. In some cases, fluid may be drawn out from the joint with a needle (joint aspiration) to rule out other causes of joint swelling.

Colchicine

How it works: Anti-inflammatory effect, medical conditions associated with gout commonly used in gout and other inflammatory conditions.

Common side-effects: Diarrhoea, nausea, vomiting.

Dosage/frequency of use: Usual dose of 0.6mg tablets 3 times per day (depending on underlying medical conditions).

NSAIDs such as Ibuprofen, diclofenac, or naproxen tablets

How it works: Reduce inflammation by inhibiting an enzyme called COX (cyclooxygenase)

Common side-effects: Gastric discomfort. Used with caution in patients with gastric, kidney and heart conditions.

Dosage/frequency of use: 2 to 3 times a day