With Gicht it is important that the therapy starts as early as possible. This often prevents complications such as damage to joints and internal organs as well as a chronic course. In general, a distinction is made in the treatment between an acute and a long-term therapy.
Acute and permanent therapy
The initial therapy is to stop the gout attack and relieve the pain. Here, the use of drugs plays an important role. The medication reduces the acute symptoms, but does not lower the uric acid level.
In the long-term therapy is about lowering the level of uric acid in the blood so far that there are no more gout attacks. This is to avoid a chronic course. In the long-term treatment of gout, medicines are used that contribute to the stabilization of the uric acid level. In addition, however, especially an adapted, healthy diet is important.
Medicines in acute gout attack
An acute attack of gout can usually be treated well by taking medication. Possible cortisol-free (non-steroidal) anti-inflammatory drugs (NSAIDs), cortisone preparations and the plant toxin colchicine.
NSAIDs such as diclofenac or indomethacin help reduce inflammation more quickly and relieve pain. Cortisone preparations - usually used in gout prednisolone - can be taken in the form of tablets or injected directly into the affected joint. They are preferable to treatment with NSAIDs, especially if renal function is impaired.
Colchicine can effectively relieve joint pain in an acute gout attack. Due to its side effects, however, the plant toxin is rarely used directly at the beginning of gout therapy. As a rule, it is only used as a reserve
Beware of certain medications
If you have gout, it is important to discuss with your doctor what other medicines you are taking. In fact, some active ingredients can increase the level of uric acid in your blood, which can increase your discomfort.
These drugs include laxatives, diuretics and anticancer drugs. Likewise, you should better abstain from acetylsalicylic acid for the relief of pain.
Protect the joint
In addition to taking medication, you can do a lot in a gout attack, so that the symptoms quickly subside. It is important that the affected joint is stored and spared. If necessary, you should stay in bed because of this. Make sure, however, that the joint does not get too warm. Ideally, cool it with cold envelopes.
Take during a gout thrust as low-purine food to be. Therefore, do not use sausage and meat. On the other hand, dairy products as well as most fruits and vegetables are very suitable. Even after the end of the gout attack, you should pay attention to a low-purine diet.
In addition to nutrition, it is also important that you drink enough fluid. Only then can the excess uric acid be flushed out of the body. Well suited are primarily mineral water and herbal teas. You should definitely refrain from alcohol, as alcohol blocks the excretion of uric acid.
If the acute attack of gout has subsided, the aim must be to keep the level of uric acid in the blood at a normal level and thus to prevent the occurrence of another attack of gout. Above all, a balanced diet plays an important role. Gout patients should generally consume no more than 500 milligrams of uric acid per day and 3000 milligrams per week.
In the long run, your uric acid level should ideally settle at around six milligrams per deciliter. It is best to set up a nutrient table in which the purine content of different foods is given. You can also find more information about the right diet for gout here.
Further nutrition tips for gout
In addition to purine-rich foods, you should also abstain from alcohol as much as possible. Especially beer is harmful, as it not only inhibits the excretion of uric acid, but also contains very many purines. Also important are the following factors:
- Drink at least two liters of fluid every day, as long as there are no medical objections. This will ensure that the kidneys are rinsed well.
- Avoid thirsty phases and fasting. You should also do without very generous meals.
- Reduce your overweight. However, be slow and do not make a zero diet.
- Move! Physical training has a positive effect on the uric acid level.
In addition to a healthy diet, certain medications can also help to keep uric acid levels constant. Among others, the following means are suitable:
- Uricostatic drugs such as allopurinol inhibit the formation of uric acid
- Uricosuric drugs such as benzbromarone promote the excretion of uric acid
Uricostatic and uricosuric agents are commonly used at the beginning of long-term therapy. After a few months, it then often suffices to continue the treatment with uricostatic drugs.