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Dx Gout Treatment: Read more....


The Merck Manual Home Edition
"Gout is a disorder that results from deposits of uric acid crystals, which accumulate in the joints because of high blood levels of uric acid (hyperuricemia). The accumulations of crystals cause attacks of painful inflammation in and around joints. Accumulations of uric acid crystals can intermittently cause severe joint or tissue pain and inflammation. Doctors remove fluid from the joint and check it for uric acid crystals. Drugs are given to relieve inflammation and pain, prevent further attacks, and sometimes decrease blood levels of uric acid. Gout is more common among men than women. Usually, gout develops during middle age in men and after menopause in women. Gout is rare in younger people but is often more severe in people who develop the disorder before age 30. Gout often runs in families. Twenty percent of those with gout develop uric acid kidney stones. The goal is prevention."

Medications Used in the Treatment:
1. Corticosteroids: prednisone, dexamethasone; see list
2. NSAIDs: Naprosyn®/naproxen; indomethacin see list
3. Xanthine Oxidase Inhibitors: Uloric®/febuxostat
4. Colchicum Alkaloids: Colcrys®/colchicine
5. Potassium salts/ calculi dissolution agent: Cytra®2 Cytra®K Cytra®3/sodium citrate-citric acid, Urocit®K/potassium citrate
6. Uricosuric/Colchicum: probenecid/colchicine.

Suggested Links:
*N.H.S. Choices (with Video)

*[Editor] Although the testosterone/ estrogen/ progesterone imbalances in the hormonal system have been recognized, and are "more pronounced in patients with chronic arthritis and proteinuric nephropathy", doctor have not followed the lead of I.V. Mukin who injected androgens in experimental hyperuricemia [which] led to a normalization of purine metabolism and hormonal homeostasis."

*[Editor] As sermonized in so many of these diseases, H.I.S. and H.E.R. laboratory test will likely show hormonal imbalances. By correcting these imbalances first, many disease as diverse as diabetes, ulcerative colitis, endometriosis and heart failure have responded to treatment. Can gout be far behind?

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