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GOUT-ACUTE MANAGEMENT

Rheumatology

GOUT-ACUTE MANAGEMENT

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.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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