1, non-steroidal anti-inflammatory drugs: analgesic drugs, such as voltarin, fenbid, loxoprofen sodium, celebrex, Ankang, etc. ;
2. Glucocorticoid: It needs a small dose and a short course of treatment. As long as it can effectively relieve pain and swelling, it should be reduced or stopped as soon as possible;
3. Anti-rheumatic drugs improve the condition: that is, anti-rheumatoid arthritis drugs are used to prevent the disease from progressing, prevent joint damage, and achieve the effect of relieving pain. Such as methotrexate, leflunomide, ilamod, sulfasalazine, hydroxychloroquine, cyclosporine and thalidomide;
4. Biological agents: including tumor necrosis factor, α -receptor antagonist, interleukin -6 inhibitor such as Yamulo (Tozumab injection), oral biological agents such as Tofatib, etc., with good analgesic effect;
5, Chinese medicine: plant Chinese herbal medicine. Gouty arthritis is easy to recur, and patients need to use non-steroidal anti-inflammatory painkillers, colchicine and glucocorticoid drugs during the treatment. After the patient's condition is relieved, he can also choose to use drugs that inhibit uric acid production. When using drugs, he must follow the instructions, otherwise it will affect the therapeutic effect of drugs.
Gouty arthritis is a common disease in rheumatology immunology department, and the high incidence population is middle-aged and elderly people. This disease is an inflammatory reaction caused by urate deposition in joint capsule or synovial cavity. It will show symptoms of redness and swelling of the joints. If the patient presses the affected part, there will be very serious pain. If the disease is not treated in time, it is likely to cause cerebral arteriosclerosis or myocardial infarction. For most patients, rational medication can effectively control the disease, so what medicine should be taken for gouty arthritis?
First, non-steroidal anti-inflammatory painkillers
The patient's pain will be very serious in the acute stage. At this time, non-steroidal anti-inflammatory painkillers can be taken to relieve pain, and the most common ones are celecoxib or meloxicam. If the patient is intolerant of these two drugs, then diclofenac potassium can be used instead. It should be noted that patients should never drink alcohol during medication, because alcohol easily interacts with drugs. If the patient's condition is serious, it may be necessary to take NSAIDs for a long time. At this time, it is also necessary to monitor the serum creatinine level in time.
Second, colchicine.
Some patients may be intolerant of non-steroidal anti-inflammatory painkillers, and colchicine can be used instead. Patients should start taking small doses at first, and must stop taking drugs in time after the symptoms are relieved.
Third, hormone drugs.
It is very necessary for patients with renal insufficiency to choose hormone drugs, the most typical of which is diprospan.