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Sekiranya anda berisiko mengambil NSAID atau colchicine, atau kedua-dua ubat tidak berfungsi dengan berkesan, doktor anda mungkin memberi anda steroid untuk merawat gout anda.
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Colchicine boleh diekskresikan ke dalam susu ibu. Namun, jumlah yang dipindahkan adalah kecil, dan kesannya terhadap bayi biasanya tidak signifikan. Walaupun begitu:
Walau bagaimanapun, allopurinol boleh menyebabkan kesan sampingan dalam bentuk ruam dan jumlah darah yang rendah. Ubat ini tidak digalakkan untuk mereka yang mempunyai masalah buah pinggang.
Numerous remedies are powerful for acute flare-ups. The performance of reduced-dose colchicine is comparable to that of significant-dose colchicine with fewer adverse results. NSAIDs and glucocorticoids are as powerful as colchicine.
Anda tidak boleh membeli ubat penurun asid urik di get more info kaunter farmasi. Sebabnya, pemberian febuxostat mestilah beransur-ansur, dari dos rendah hingga tinggi, terutamanya apabila dos rendah tidak mencukupi untuk mengurangkan kadar asid urik.
Swap to another agent in people with record of cardiovascular disease or new cardiovascular event
Gout is usually a distressing arthritic condition That usually starts in the big more info toe and spreads to other joints, leaving them swollen and discolored. Procedure typically starts having an over-the-counter NSAID to ease agony and inflammation.
Further lbs. Your body makes a lot more uric acid, and also your kidneys have difficulty receiving rid of it when you're overweight.
Ubat kortikosteroid seperti ubat prednison, dapat mengawal keradangan dan sakit gout. Kortikosteroid mungkin didapati dalam bentuk pil, atau boleh disuntik ke sendi anda.
Rawatan gout akut awal ditentukan berdasarkan keterukan keadaan semasa prognosis. Tambahan pula, pesakit mungkin mempunyai keadaan perubatan sedia ada yang merumitkan terapi gout. Namun, dengan mengikuti terapi gout, ia berjaya di atasi tanpa sebarang komplikasi.
A Phrase From Verywell Several drugs are available for the avoidance and cure of gout and gout flares. The most typical efficient choices for prevention are allopurinol and Uloric (febuxostat), that have equivalent efficacy premiums.
Colchicine interacts with other medicines broken down with the liver enzyme cytochrome P450 3A4. A couple of illustrations include statins, antifungals, and many heart medicines.