Difference between revisions of "GOUT-ACUTE MANAGEMENT"

Latest revision as of 20:03, 13 March 2023

SUMMARY

1. NSAIDs, corticosteroids, or oral colchicine are all appropriate 1^st line agents for acute gout. Know that the earlier any treatment is initiated the better the response.

2. Low-dose oral colchicine (1.2 mg x 1 dose, then 0.6 mg 1 hour later) followed by prophylactic doses if needed can be used in patients instead of NSAIDs.

3. This low-dose regimen has equivalent efficacy and better GI tolerability.

4. Anti-hyperuricemic drugs for chronic treatment of gout (allopurinol, febuxostat) should not be started during an acute attack, but should be continued if the patient is already taking the drug.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

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 ==Reference(s)==
-Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
+Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
+<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
 <br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
 <br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].