How is gout treated? Medication, diet or rehabilitation

Long-term treatment of gout is aimed at increasing the urinary excretion of uric acid and inhibiting purine biosynthesis. Medicines called uricosurics and uricostatics are used:

Uricosurics are used in diseases caused by reduced uric acid excretion. Examples of uricosuric drugs are Normurat, Desuric, Uricovac. Benzbromarone .
On the contrary, we use uricostatics in the case of excessive uric acid production. Its excretion from the body may be unchanged. The only drug used in this group is allopurinol (Milurit, Zyloric).

Treatment for an acute gout attack is analgesic, ie aimed at relieving pain. Most commonly, non-steroidal anti-inflammatory drugs (NSAIDs) (anti-inflammatory drugs) are used, which also suppress inflammation.

Analgesia is more effective when the patient is at rest at that time, preferably in bed. The affected limb should be lined with a pillow. The increased position ensures a reduction in blood flow in the area, and at the same time relieves swelling and thus pain.
Although the patient should avoid cold because it evokes a seizure, in the case of an acute attack and pain, ice packs on the affected area are suitable, directly desirable. They locally reduce blood flow, temperature, swelling, pain and slow down the inflammatory process.
Directly into the joint can be applied corticosteroids to reduce inflammation. Of the oral anti-inflammatory drugs, colchicine is the most commonly administered .

The treatment of days between seizures is mainly regimen. It focuses on adequate fluid intake, strict dietary measures with the absolute absence of alcohol, spa treatment, and rehabilitation.